2.50
Hdl Handle:
http://hdl.handle.net/10755/182254
Category:
Abstract
Type:
Presentation
Title:
Pressure Ulcer Risk Assessment in Critical Care Patients
Author(s):
Hester, Jeannette
Author Details:
Jeanette Hester, MSN, RN, CCRN, Shands at the University of Florida, Gainesville, Florida, USA, email: hestjm@shands.ufl.edu
Abstract:
Purpose: The purpose of this study was to identify which risk factors, in addition to the Braden Risk Assessment Score, were most strongly associated with Facility Acquired Pressure Ulcer (FAPU) development in critically ill adults. Method/Results: Data were initially collected for quality improvement purposes over a one year time frame on a 36 bed adult ICU/IMC. After obtaining IRB approval, additional data were collected and analyzed. Of 1416 subject observations, 789 unique subjects were identified for analysis. Of these subjects, 150 had pressure ulcers (PU). Descriptive statistics, univariate and bivariate analysis were used to compare the PU and no PU groups for significant patient factors. Of the 26 factors analyzed, 9 were statistically significant. These included respiratory failure, ventilator days, length of stay, renal failure, operating room time, multiorgan dysfunction syndrome, age, gender, comorbidities. This study is currently in final analysis pending multivariate regression and model building, with projected time of completion in March, 2009. Implications for clinical practice will be discussed. Discussion: Many sources now refer to nosocomial PU as never events, implying that all FAPU are preventable. In spite of this assumption, other studies and national benchmarks report the incidence of FAPU prevalence in the ICU population from 0-50%. While the Braden Risk Assessment score is the most commonly used tool to identify patients at highest risk, this study found several additional factors that were different in the PU group. This knowledge is a first step in developing a predictive scale for PU development in critically ill adults. References: Antle, D., Leafgreen, P. (2001). Reducing the incidence of pressure ulcer development in the ICU: Nurses at one facility take initiative. American Journal of Nursing. 101(5), 24EE-24JJ. ; Bergstrom, N., Braden, B., Kemp, M., Champagne, M., Ruby, E. (1998). Predicting pressure ulcer risk: A multisite study of the predictive validity of the Braden Scale. Nursing Research. 47(5), 261-269. ; Eachempati,S., Hydo, L., Barie, P. (2001). Factors influencing the development of decubitus ulcers in critically ill surgical patients. Critical Care Medicine.29(9), 1678-1682. ; Pender, L., Frazier, S. (2005). The relationship between dermal pressure ulcers, oxygenation and perfusion in mechanically ventilated patients. Intensive and Critical Care Nursing. 21, 29-38. ; Pieper,B., Sugrue, M., Weiland, M, Sprague, K., Heiman, C. (1998). Risk factors, prevention methods, and wound care for patients with pressure ulcers. Clinical Nurse Specialist: A Journal for Advanced Nursing Practice. 12(1), 7- 12.; Schoonhoven,L., Defloor,T., Tweel, I., Buskens, E., Grypdonck, M. (2002). Risk indicators for pressure ulcers during surgery. Applied Nursing Research. 16(2), 163-173. ; Theacker, C., Mannan, M., Ives, N., Soni, M. (2000). Risk factors for pressure ulcers in the critically ill. Anesthesia. 55, 221-224. ; Wolverton, C., Hobbs, L., Beeson, T., Benjamin, M., Campbell, K., Forbes, C., Huff, N., Kieninger, M., Luebbehusen, M., Myers, M. White, S. (2005). Nosocomial pressure ulcer rates in critical care: Performance improvement project. Journal of Nursing Care Quality. 20(10), 56-62.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2009
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Louisville, Kentucky, USA
Description:
"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePressure Ulcer Risk Assessment in Critical Care Patientsen_GB
dc.contributor.authorHester, Jeannetteen_US
dc.author.detailsJeanette Hester, MSN, RN, CCRN, Shands at the University of Florida, Gainesville, Florida, USA, email: hestjm@shands.ufl.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/182254-
dc.description.abstractPurpose: The purpose of this study was to identify which risk factors, in addition to the Braden Risk Assessment Score, were most strongly associated with Facility Acquired Pressure Ulcer (FAPU) development in critically ill adults. Method/Results: Data were initially collected for quality improvement purposes over a one year time frame on a 36 bed adult ICU/IMC. After obtaining IRB approval, additional data were collected and analyzed. Of 1416 subject observations, 789 unique subjects were identified for analysis. Of these subjects, 150 had pressure ulcers (PU). Descriptive statistics, univariate and bivariate analysis were used to compare the PU and no PU groups for significant patient factors. Of the 26 factors analyzed, 9 were statistically significant. These included respiratory failure, ventilator days, length of stay, renal failure, operating room time, multiorgan dysfunction syndrome, age, gender, comorbidities. This study is currently in final analysis pending multivariate regression and model building, with projected time of completion in March, 2009. Implications for clinical practice will be discussed. Discussion: Many sources now refer to nosocomial PU as never events, implying that all FAPU are preventable. In spite of this assumption, other studies and national benchmarks report the incidence of FAPU prevalence in the ICU population from 0-50%. While the Braden Risk Assessment score is the most commonly used tool to identify patients at highest risk, this study found several additional factors that were different in the PU group. This knowledge is a first step in developing a predictive scale for PU development in critically ill adults. References: Antle, D., Leafgreen, P. (2001). Reducing the incidence of pressure ulcer development in the ICU: Nurses at one facility take initiative. American Journal of Nursing. 101(5), 24EE-24JJ. ; Bergstrom, N., Braden, B., Kemp, M., Champagne, M., Ruby, E. (1998). Predicting pressure ulcer risk: A multisite study of the predictive validity of the Braden Scale. Nursing Research. 47(5), 261-269. ; Eachempati,S., Hydo, L., Barie, P. (2001). Factors influencing the development of decubitus ulcers in critically ill surgical patients. Critical Care Medicine.29(9), 1678-1682. ; Pender, L., Frazier, S. (2005). The relationship between dermal pressure ulcers, oxygenation and perfusion in mechanically ventilated patients. Intensive and Critical Care Nursing. 21, 29-38. ; Pieper,B., Sugrue, M., Weiland, M, Sprague, K., Heiman, C. (1998). Risk factors, prevention methods, and wound care for patients with pressure ulcers. Clinical Nurse Specialist: A Journal for Advanced Nursing Practice. 12(1), 7- 12.; Schoonhoven,L., Defloor,T., Tweel, I., Buskens, E., Grypdonck, M. (2002). Risk indicators for pressure ulcers during surgery. Applied Nursing Research. 16(2), 163-173. ; Theacker, C., Mannan, M., Ives, N., Soni, M. (2000). Risk factors for pressure ulcers in the critically ill. Anesthesia. 55, 221-224. ; Wolverton, C., Hobbs, L., Beeson, T., Benjamin, M., Campbell, K., Forbes, C., Huff, N., Kieninger, M., Luebbehusen, M., Myers, M. White, S. (2005). Nosocomial pressure ulcer rates in critical care: Performance improvement project. Journal of Nursing Care Quality. 20(10), 56-62.en_GB
dc.date.available2011-10-28T15:16:02Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:16:02Z-
dc.conference.date2009en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationLouisville, Kentucky, USAen_US
dc.description"Magnet: Inspiring Innovation, Achieving Outcomes" was the theme and "Explore the relationship among leadership, innovation, and nursing practice outcomes" was the goal of the 13th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 1-3 October, 2009 in Louisville, Kentucky, USA.en_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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