Pressure injuries during the SARS-CoV-2 pandemic: A retrospective, case-control study

被引:10
|
作者
Sianes-Gallen, Monica [1 ]
Maria Pujol-Garcia, Anna [1 ]
Rus Garcia, Montserrat [1 ]
Partera Luque, Carmen [1 ]
Lopez Postigo, Montserrat [1 ]
Call Manosa, Silvia [1 ]
Camposo Montesino, Maria Carmen [1 ]
Ibanez Tourino, Belen [1 ]
Ribas Obon, Eulalia [1 ]
Segura Rodriguez, Tania [1 ]
Cores Fuentes, Pilar [1 ]
Tamame Sanantonio, Marta [1 ]
Jornet-Gibert, Montsant [2 ,3 ]
机构
[1] Univ Autonoma Barcelona, Nurses Unit, Parc Tauli Hosp Univ, Inst Invest & Innovacio Parc Tauli I3pT, Sabadell, Spain
[2] Univ Autonoma Barcelona, Parc Tauli Hosp Univ, Inst Invest & Innovacio Parc Tauli I3PT, Sabadell, Spain
[3] Univ Barcelona, Fac Psychol, Dept Clin Psychol & Psychobiol, Barcelona, Spain
关键词
Clinical device; Coronavirus infection; ICU; Nursing care; Pandemic; Pressure ulcer; SPINAL-CORD-INJURY; INTENSIVE-CARE; RISK-FACTORS; ULCERS; COMPLICATIONS; OXYGENATION; PERFUSION;
D O I
10.1016/j.jtv.2021.07.011
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Aim of study: The main objective of this study was to ascertain whether severe alterations in hypoxemic, in-flammatory, and nutritional parameters in patients diagnosed with SARS-CoV-2 infection were associated with the occurrence and severity of developed dependency-related injuries. The secondary objective was to determine whether there were prognostic factors associated with the occurrence and severity of developed dependency-related injuries during the SARS-CoV-2 pandemic. Material and methods: A retrospective, single-centre, case-control study was conducted to compare SARS-CoV-2 patients who developed dependency-related injuries after the first 48 h after admission with a control group made up of SARS-CoV-2 patients without dependency-related injuries. The cases of the 1987 patients diagnosed with SARS-CoV-2 infection during the study period were reviewed. Data from 94 patients who developed dependency-related injuries and from 190 patients who did not develop them during hospital admission were analysed. Results: High baseline dependency levels, prolonged hospital stays, and low oxygen saturation levels on arrival in emergency department triage were associated with the occurrence of dependency-related injuries among patients diagnosed with SARS-CoV-2 infection. Conclusions: SARS-CoV-2 infection can lead to complications such as dependency-related injuries. Although there are several non-modifiable variables associated with the occurrence of dependency-related injuries in these patients, it is essential to conduct further research and introduce consensus guidelines to reduce their incidence and prevalence.
引用
收藏
页码:478 / 483
页数:6
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