Predictors of pressure ulcer risk in adult intensive care patients: A retrospective case-control study.
Author(s) de Almeida Medeiros, Ana Beatriz; da Conceição Dias Fernandes, Maria Isabel; de Sá Tinôco, Jéssica Dantas; Cossi, Marcelly Santos; de Oliveira Lopes, Marcos Venicios; de Carvalho Lira, Ana Luisa Brandão
Source Intensive & critical care nursing; Apr 2018; vol. 45 ; p. 6-10
Publication Date Apr 2018
Place of Publication Netherlands
Accession Number 29223413
ISSN 1532-4036
PubMed ID 29223413
Publication Type(s) Journal Article
Database Medline
Abstract
OBJECTIVESTo evaluate the predictive power of risk factors for pressure ulcers in adult intensive care patients.METHODA retrospective case-control study was performed utilising a heterogeneous sample group allocated into a case group with pressure ulcers (n=90) and a control group without pressure ulcers (n=90). The analysis explored the predictive power of risk factors for pressure ulcers using a hierarchical logistic regression model.RESULTSThe risk factors that predicted pressure ulcers were friction (OR=5.97), previous history of pressure ulcers (OR=5.43), prolonged intensive care unit stay (OR=3.92), dehydration (OR=3.18), elevated skin temperature by 1-2°C (OR=3.12) and treatment of other comorbidities (OR=2.79).CONCLUSIONAdult intensive care patients have an increased risk of developing a pressure ulcer. These risk factors are regarded as strong predictors for pressure ulceration. This study advances nursing knowledge in that it investigates additional risk factors for the development of pressure ulcers and it identifies a set of factors that best predict their occurrence, which may contribute to the nurses' diagnostic reasoning in the intensive care unit.
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