Research Article
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Year 2022, Volume: 5 Issue: 1, 227 - 233, 17.01.2022
https://doi.org/10.32322/jhsm.1011537

Abstract

Supporting Institution

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References

  • National Pressure Injury Advisory Panel (NPIAP). Medical Device Related Pressure Injury (MDRPI) Prevention--What's the Evidence? 2018. Available from: https://npiap.com/store/ViewProduct.aspx?id=14128515 Acess date: 30 October 2021.
  • Martel T, Orgill DP. Medical device-related pressure ınjuries during the COVID-19 pandemic. J Wound Ostomy Continence Nurs 2020; 47: 430-4.
  • National Pressure Ulcer Advisory Panel (NPUAP). European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance 2014: Prevention and treatment of pressure ulcers: Quick reference guide. 2014. Available from: https://www.npuap.org/wp-content/uploads/2014/08/Updated-10-16-14-Quick-Reference-Guide-DIGITAL-NPUAP-EPUAP-PPPIA-16Oct2014.pdf Access date: 10 October 2021.
  • Bryant RA, Nix DP. Developing and maintaining a pressure ulcer prevention program. In: Acute and Chronic Wounds: Current Management Concepts. 4rd ed. St Louis, MO: Elsevier; 2012; 137-53.
  • Haugen V. Prevention of pressure ulcers due to medical devices. Perspect 2015; 1-11.
  • Black JM., Kalowes P. Medical device-related pressure ulcers. Chronic Wound Care Management and Research 2016; 3: 91-9.
  • The Joint Commission, Division of Healthcare Improvement. Quick safety, managing medical device-related pressure injuries. 2018. Available from: https://www.jointcommission.org/ resources /new-and-multimedia/newsletters/newsletters/quick-safety/quick-safety-43-managing-medical-devicerelated-pressure-injuries. Access date: 18 January 2021.
  • Ramondetta A, Ribero S, Costi S, Dapavo P. Pression-induced facial ulcers by pron position for COVID-19 mechanical ventilation. Dermatol Ther 2020; 33.
  • Petrilli CM, Jones SA, Yang J, et al. Factors associated with hospital admission and critical illness among 5279 people with coronavirus disease 2019 in New York City: Prospective cohort study. BMJ 2020; 369.
  • European Pressure Ulcer Advisory Panel (EPUAP). COVID 19 and pressure ulcer prevention forum public group. COVID 19 and Pressure Ulcer Prevention Forum. 2020. Available from: https://www.facebook.com/groups/3285977198294372. Access date: 18 June 2021.
  • Wound Ostomy and Continence Nursing Society (WOCN). COVID-19 resources, 2020. Available from: https://www.wocn.org/page/COVID19. Access date: 18 June 2021.
  • Cuddigan J. National Pressure Injury Advisory Panel. NPIAP COVID-19 resources, 2020. Available from: https://npiap.com/news/499328/NPIAP-COVID-19-Resources-.htm. Access date: 18 June 2021.
  • Raoof S, Nava S, Carpati C, Hill NS. How I do it: high flow, non-invasive ventilation and awake (non-intubation) proning in COVID-19 patients with respiratory failure. Chest 2020; 158: 1992-2002.
  • Singh C, Tay J, Shoqirat N. Skin and mucosal damage in patients diagnosed with COVID-19: A case report. J Wound Ostomy Continence Nurs 2020; 47: 435-8.
  • Pınar R, Oğuz S. Norton ve Braden bası yarası değerlendirme ölçeklerinin yatağa bağımlı aynı hasta grubunda güvenirlik ve geçerliğinin sınanması: uluslararası katılımlı VI. Ulusal Hemşirelik Kongresi, Kongre Kitabı, Ankara, 1998; 172-5.
  • Bergstrom N, Braden BJ, Laguzza A, Holman V. The Braden scale for predicting pressure sore risk. Nursing Research 1987; 36: 205-10.
  • National Pressure Ulcer Advisory Panel. (NPUAP). Pressure Injury Stages. 2016. Available from: http://www.npuap.org/resources/educational-and-clinical-resources/npuap-pressure-injury-stages/ Access date: 04 April 2021.
  • Sleiwah A, Nair G, Mughal M, Lancaster K, Ahmad I. Perioral pressure ulcers in patients with COVID-19 requiring invasive mechanical ventilation. Eur J Plast Surg 2020; 1-6.
  • Öztürk Durmaz Ş, Sümer Coşkun A, Yalçın AN. Clinical and prognostic evaluation of patients admitted to the COVID-19 pandemic unit of the emergency department. J Health Sci Med 2021; 4: 835-9.
  • Şahin Özdemirel T, Akkurt ES, Ertan Ö, Gökler ME, Akıncı Özyürek B. Complications with moderate-to-severe COVID-19 during hospital admissions in patients with pneumonia. J Health Sci Med 2021; 4: 766-71.
  • Gürün E, Akdulum İ, Akyüz M. Revealing the dilemma in COVID-19 pneumonia: use of the prone thorax CT imaging in differentiation of opacificities due to dependent zone and pneumonic consolidation. Anatolian Curr Med J 2021; 3: 78-80.
  • Kayser SA, VanGilder CA, Ayello EA, Lachenbruch C. Prevalence and analysis of medical device-related pressure ınjuries: Results from the ınternational pressure ulcer prevalence survey. Advances in Skin & Wound Care 2018; 31: 276-85.
  • Arnold-Long M, Ayer M, Borchert K. Medical device-related pressure ınjuries in long-term acute care hospital setting. J Wound Ostomy Continence Nurs 2017; 44: 325-30.
  • Jackson D, Sarki AM, Betteridge R, Brooke J. Medical device-related pressure ulcers: A systematic review and meta-analysis. Int J Nurs Stud 2019; 92: 109-20.
  • Erbay Ö, Ceylan İ, Kelebek Girgin N. A Neglected area: medical device related pressure injuries. Turkiye Klinikleri J Anest Reanim 2019; 17: 96-102.
  • Ibarra G, Rivera A, Fernandez-Ibarburu B, Lorca-García C, Garcia-Ruano A. Pron position pressure sores in the COVID-19 pandemic: The Madrid experience. J Plast Reconstr Aesthet Surg 2020; 26: 1748-6815
  • Yang X, Yu Y, Xu J, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med 2020; 8: 475-81.
  • Gefen A, Ousey K. Update to device-related pressure ulcers: SECURE prevention. COVID-19, face masks and skin damage. J Wound Care 2020; 29: 245-59.
  • Aydın N. COVID-19 ve palyatif bakım. J Med Palliat Care 2021; 2: 54-7.

Medical device related pressure injuries in COVID-19 patients followed up in an intensive care unit

Year 2022, Volume: 5 Issue: 1, 227 - 233, 17.01.2022
https://doi.org/10.32322/jhsm.1011537

Abstract

Aim: The aim of this study is to determine the prevalence of medical device-related pressure injuries in COVID-19 patients.
Material and Method: This study was conducted with a cross-sectional and retrospective design. The data of 436 patients who were followed up and treated in the Anesthesia and Reanimation Intensive Care Unit with the diagnosis of COVID-19 disease between 11.03.2020- 31.02.2021 in a Training and Research Hospital in İstanbul were included in the study. The sample of the study consisted of 32 patients out of 436 patients who met the sampling criteria. The data obtained by retrospective reviewing of the patient records were analyzed through the "Patient Information Form" and "Pressure Injury Stage" forms.
Results: Medical device-related pressure injury developed in 32 (7.3%) of 436 patients examined in the study on the specified dates. 90.6% of these patients were male, and the average age was 67.5. 43.7% had comorbid diseases. According to the Braden Risk Assessment Scale, 25% of these patients had medium and 71.8% high risk. Medical devices that cause pressure injury were continuous positive airway pressure mask (n=13), intubation tube (n=7), nasogastric tube (n=5), nasal cannula (n=3), gel pads (n=3), and oxygen mask (n=1).
Conclusion: In this study, the potential factors in the study that may have led to the incidence of medical device-related pressure injury specific to COVID-19 disease include the rapid increase in the need for respiratory support, ischemia caused by this infection, and the use of prone position.

Project Number

Yok

References

  • National Pressure Injury Advisory Panel (NPIAP). Medical Device Related Pressure Injury (MDRPI) Prevention--What's the Evidence? 2018. Available from: https://npiap.com/store/ViewProduct.aspx?id=14128515 Acess date: 30 October 2021.
  • Martel T, Orgill DP. Medical device-related pressure ınjuries during the COVID-19 pandemic. J Wound Ostomy Continence Nurs 2020; 47: 430-4.
  • National Pressure Ulcer Advisory Panel (NPUAP). European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance 2014: Prevention and treatment of pressure ulcers: Quick reference guide. 2014. Available from: https://www.npuap.org/wp-content/uploads/2014/08/Updated-10-16-14-Quick-Reference-Guide-DIGITAL-NPUAP-EPUAP-PPPIA-16Oct2014.pdf Access date: 10 October 2021.
  • Bryant RA, Nix DP. Developing and maintaining a pressure ulcer prevention program. In: Acute and Chronic Wounds: Current Management Concepts. 4rd ed. St Louis, MO: Elsevier; 2012; 137-53.
  • Haugen V. Prevention of pressure ulcers due to medical devices. Perspect 2015; 1-11.
  • Black JM., Kalowes P. Medical device-related pressure ulcers. Chronic Wound Care Management and Research 2016; 3: 91-9.
  • The Joint Commission, Division of Healthcare Improvement. Quick safety, managing medical device-related pressure injuries. 2018. Available from: https://www.jointcommission.org/ resources /new-and-multimedia/newsletters/newsletters/quick-safety/quick-safety-43-managing-medical-devicerelated-pressure-injuries. Access date: 18 January 2021.
  • Ramondetta A, Ribero S, Costi S, Dapavo P. Pression-induced facial ulcers by pron position for COVID-19 mechanical ventilation. Dermatol Ther 2020; 33.
  • Petrilli CM, Jones SA, Yang J, et al. Factors associated with hospital admission and critical illness among 5279 people with coronavirus disease 2019 in New York City: Prospective cohort study. BMJ 2020; 369.
  • European Pressure Ulcer Advisory Panel (EPUAP). COVID 19 and pressure ulcer prevention forum public group. COVID 19 and Pressure Ulcer Prevention Forum. 2020. Available from: https://www.facebook.com/groups/3285977198294372. Access date: 18 June 2021.
  • Wound Ostomy and Continence Nursing Society (WOCN). COVID-19 resources, 2020. Available from: https://www.wocn.org/page/COVID19. Access date: 18 June 2021.
  • Cuddigan J. National Pressure Injury Advisory Panel. NPIAP COVID-19 resources, 2020. Available from: https://npiap.com/news/499328/NPIAP-COVID-19-Resources-.htm. Access date: 18 June 2021.
  • Raoof S, Nava S, Carpati C, Hill NS. How I do it: high flow, non-invasive ventilation and awake (non-intubation) proning in COVID-19 patients with respiratory failure. Chest 2020; 158: 1992-2002.
  • Singh C, Tay J, Shoqirat N. Skin and mucosal damage in patients diagnosed with COVID-19: A case report. J Wound Ostomy Continence Nurs 2020; 47: 435-8.
  • Pınar R, Oğuz S. Norton ve Braden bası yarası değerlendirme ölçeklerinin yatağa bağımlı aynı hasta grubunda güvenirlik ve geçerliğinin sınanması: uluslararası katılımlı VI. Ulusal Hemşirelik Kongresi, Kongre Kitabı, Ankara, 1998; 172-5.
  • Bergstrom N, Braden BJ, Laguzza A, Holman V. The Braden scale for predicting pressure sore risk. Nursing Research 1987; 36: 205-10.
  • National Pressure Ulcer Advisory Panel. (NPUAP). Pressure Injury Stages. 2016. Available from: http://www.npuap.org/resources/educational-and-clinical-resources/npuap-pressure-injury-stages/ Access date: 04 April 2021.
  • Sleiwah A, Nair G, Mughal M, Lancaster K, Ahmad I. Perioral pressure ulcers in patients with COVID-19 requiring invasive mechanical ventilation. Eur J Plast Surg 2020; 1-6.
  • Öztürk Durmaz Ş, Sümer Coşkun A, Yalçın AN. Clinical and prognostic evaluation of patients admitted to the COVID-19 pandemic unit of the emergency department. J Health Sci Med 2021; 4: 835-9.
  • Şahin Özdemirel T, Akkurt ES, Ertan Ö, Gökler ME, Akıncı Özyürek B. Complications with moderate-to-severe COVID-19 during hospital admissions in patients with pneumonia. J Health Sci Med 2021; 4: 766-71.
  • Gürün E, Akdulum İ, Akyüz M. Revealing the dilemma in COVID-19 pneumonia: use of the prone thorax CT imaging in differentiation of opacificities due to dependent zone and pneumonic consolidation. Anatolian Curr Med J 2021; 3: 78-80.
  • Kayser SA, VanGilder CA, Ayello EA, Lachenbruch C. Prevalence and analysis of medical device-related pressure ınjuries: Results from the ınternational pressure ulcer prevalence survey. Advances in Skin & Wound Care 2018; 31: 276-85.
  • Arnold-Long M, Ayer M, Borchert K. Medical device-related pressure ınjuries in long-term acute care hospital setting. J Wound Ostomy Continence Nurs 2017; 44: 325-30.
  • Jackson D, Sarki AM, Betteridge R, Brooke J. Medical device-related pressure ulcers: A systematic review and meta-analysis. Int J Nurs Stud 2019; 92: 109-20.
  • Erbay Ö, Ceylan İ, Kelebek Girgin N. A Neglected area: medical device related pressure injuries. Turkiye Klinikleri J Anest Reanim 2019; 17: 96-102.
  • Ibarra G, Rivera A, Fernandez-Ibarburu B, Lorca-García C, Garcia-Ruano A. Pron position pressure sores in the COVID-19 pandemic: The Madrid experience. J Plast Reconstr Aesthet Surg 2020; 26: 1748-6815
  • Yang X, Yu Y, Xu J, et al. Clinical course and outcomes of critically ill patients with SARS-CoV-2 pneumonia in Wuhan, China: a single-centered, retrospective, observational study. Lancet Respir Med 2020; 8: 475-81.
  • Gefen A, Ousey K. Update to device-related pressure ulcers: SECURE prevention. COVID-19, face masks and skin damage. J Wound Care 2020; 29: 245-59.
  • Aydın N. COVID-19 ve palyatif bakım. J Med Palliat Care 2021; 2: 54-7.
There are 29 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Article
Authors

Tuna Ertürk 0000-0002-6092-3291

Elif Lale Pakdil 0000-0002-8100-1245

Nilüfer Ertürk 0000-0001-9364-6932

Merdiye Şendir 0000-0002-8243-1669

Demet İnangil 0000-0002-5389-5691

İlayda Türkoğlu 0000-0001-5063-7382

Berna Dincer 0000-0001-7284-7495

Hatice Erdoğan 0000-0001-6376-0267

Füsun Afşar 0000-0002-4421-3089

Aysin Ersoy 0000-0002-1575-1603

Project Number Yok
Publication Date January 17, 2022
Published in Issue Year 2022 Volume: 5 Issue: 1

Cite

AMA Ertürk T, Pakdil EL, Ertürk N, Şendir M, İnangil D, Türkoğlu İ, Dincer B, Erdoğan H, Afşar F, Ersoy A. Medical device related pressure injuries in COVID-19 patients followed up in an intensive care unit. J Health Sci Med / JHSM. January 2022;5(1):227-233. doi:10.32322/jhsm.1011537

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