Prevalence of skin pressure injury in critical care patients in the UK: results of a single-day point prevalence evaluation in adult critically ill patients

Rubulotta, Francesca, Brett, Stephen, Boulanger, Carole, Blackwood, Bronagh, Deschepper, Mieke, Labeau, Sonia O, Blot, Stijn and Szakmany, Tamas ORCID: https://orcid.org/0000-0003-3632-8844 2022. Prevalence of skin pressure injury in critical care patients in the UK: results of a single-day point prevalence evaluation in adult critically ill patients. BMJ Open 12 (11) , e057010. 10.1136/bmjopen-2021-057010

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Abstract

Objectives Hospital-acquired pressure injuries (PIs) are a source of morbidity and mortality, and many are potentially preventable. Design This study prospectively evaluated the prevalence and the associated factors of PIs in adult critical care patients admitted to intensive care units (ICU) in the UK. Setting This service evaluation was part of a larger, international, single-day point prevalence study of PIs in adult ICU patients. Training was provided to healthcare givers using an electronic platform to ensure standardised recognition and staging of PIs across all sites. Participants The characteristics of the ICUs were recorded before the survey; deidentified patient data were collected using a case report form and uploaded onto a secure online platform. Primary and secondary outcome measures Factors associated with ICU-acquired PIs in the UK were analysed descriptively and using mixed multiple logistic regression analysis. Results Data from 1312 adult patients admitted to 94 UK ICUs were collected. The proportion of individuals with at least one PI was 16% (211 out of 1312 patients), of whom 8.8% (n=115/1312) acquired one or more PIs in the ICU and 7.3% (n=96/1312) prior to ICU admission. The total number of PIs was 311, of which 148 (47.6%) were acquired in the ICU. The location of majority of these PIs was the sacral area, followed by the heels. Braden score and prior length of ICU stay were associated with PI development. Conclusions The prevalence and the stage of severity of PIs were generally low in adult critically ill patients admitted to participating UK ICUs during the study period. However, PIs are a problem in an important minority of patients. Lower Braden score and longer length of ICU stay were associated with the development of injuries; most ICUs assess risk using tools which do not account for this.

Item Type:	Article
Date Type:	Published Online
Status:	Published
Schools:	Medicine
Additional Information:	Tamas Szakmany contributed to this article as a member of the following: - UK Collaborating Site Investigators On behalf of the DecubICUs study team and the European Society of Intensive Care Medicine Trials’ Group UK Collaborators
Publisher:	BMJ Publishing Group
Date of First Compliant Deposit:	5 June 2023
Date of Acceptance:	30 October 2022
Last Modified:	15 Jun 2023 11:09
URI:	https://orca.cardiff.ac.uk/id/eprint/159197

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