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Nutrición Hospitalaria
On-line version ISSN 1699-5198Print version ISSN 0212-1611
Abstract
COSTA, Ana Carolina Oliveira; PINHO, Cláudia Porto Sabino; SANTOS, Alyne Dayana Almeida dos and NASCIMENTO, Alexsandra Camila Santos do. Pressure ulcer: incidence and demographic, clinical and nutrition factors associated in intensive care unit patients. Nutr. Hosp. [online]. 2015, vol.32, n.5, pp.2242-2252. ISSN 1699-5198. https://dx.doi.org/10.3305/nh.2015.32.5.9646.
Pressure ulcer (PU) is a lesion in the skin and/or underlying tissue, usually over bony prominences caused by pressure and / or shear associated. Although preventable, is still very prevalent, and pointed out that multiple factors are involved in its etiology. Objective: to identify the incidence of pressure ulcers, clinical and nutritional factors associated in patients admitted to the Intensive Care Unity (ICU) of a university hospital. Methods: a prospective, observational study, with patients admitted to an ICU from June to November 2014. The UP was determined by inspection body three times a week during the morning bath, based on the characteristics established by the National Pressure Ulcer Advisory Panel, 2014. We collected demographic, clinical, biochemical and nutritional. The Braden Scale was used to verify individuals at risk of PU development. Results: the sample consisted of 51 patients with a mean age of 57.7 (≤16.4) years. There was an incidence of UP 52.9%, and the factors associated with its development were: use of vasoactive drugs (p = 0.029), length of hospital stay > 10 days (p ≤0.001) and absence of anemia (p = 0.011). Conclusion: the high incidence of UP highlights the vulnerability of patients in intensive care. Although characterized by being a multifactorial condition only the use of vasoactive drugs, length of hospital stay and the absence of anemia were associated with the appearance of refs. Nutritional and clinical factors often related to trauma were not associated with their development.
Keywords : Pressure ulcer; Intensive care units; Epidemiologic factors; Nutritional status.
