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The role of using a special support surface in heel pressure ulcers appearance in intensive care unit patients

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Eirini Karabekiou, Olga Kadda, Christina Marvaki, Christina Routsi
Eirini Karabekiou, Olga Kadda, Christina Marvaki, Christina Routsi

Abstract


Introduction: Intensive Care Unit (ICU) patients suffer complications such as the development of pressure ulcers. Aim: The purpose of this study was to investigate the relationship between the use of special designed heel protector and the frequency and severity of heel pressure ulcers occurrence in ICU patients. Material and Method: The studied sample consisted of 40 patients hospitalized in ICU of a general hospital in Attica. Hospital Acquired Skin Injury (HASI) and Cubin Jackson (Score Cubin-Jackson) were used and data analysis was performed by the statistical package SPSS 19. Results: 62,5% of the studied sample were men, with mean age 59±17.7 years and length of hospital stay 21.4±18 days. The preventive intervention applied in the present study was effective, as no patient develop pressure ulcers. However, the incidence of tissue lesions at the unstressed edge did not appear to be influenced by factors such as patient age (p = 0.586), gender (p = 0.674 F = 0.180), total blood protein levels (p = 0.732 ), albumin levels (0.185) and hematocrit (p = 0.669). Conclusions: In those patients that the pressure ulcers heel protectors were applied no one develops pressure ulcers during their stay in ICU. On the contrary, in those patients

Keywords


Pressure ulcers; supportive surfaces; heels

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References


Lima Serrano M, González Méndez MI, Carrasco Cebollero FM, Lima Rodríguez JS. Risk factors for pressure ulcer development in Intensive Care Units: A systematic review. Med Intensiva 2017;41(6):339-346.

National Pressure Ulcer Advisory Panel National Pressure Ulcer Advisory Panel .EPUA Panel - Prevention of Pressure Ulcers: Quick Reference Guide, 2009.

He M, Tang A, Ge X, Zheng J. Pressure Ulcers in the Intensive Care Unit: An Analysis of Skin Barrier Risk Factors. Adv Skin Wound Care 2016;29(11):493-498.

Tayyib N, Coyer F, Effectiveness of Pressure Ulcer Prevention Strategies for Adult Patients in Intensive Care Units: A Systematic Review. Worldviews Evid Based Nurs 2016;13(6):432-444.

Azoulay E, Timsit JF, Sprung CL, Soares M, Rusinová K, Lafabrie A, et al .Prevalence and Factors of Intensive Care Unit Conflicts. The Conflicus Study. Am J Respir Crit Care Med 2009;180(9):853-60.

Suriadi, Sanada H, Sugama J, Thigpen B, Subuh M. Development of a new risk assessment scale for predicting pressure ulcers in an intensive care unit. Nurs Crit Care 2008;13(1):34-43.

de Laat EH, Schoonhoven L, Pickkers P, Verbeek AL, van Achterberg T. Epidemiology, risk and prevention of pressure ulcers in critically ill patients: a literature review. Journal of Wound Care 2006; 15(6): 269‐275.

Santamaria N, Liu W, Gerdtz M, Sage S, McCann J, Freeman A, et al. The cost-benefit of using soft silicone multilayered foam dressings to prevent sacral and heel pressure ulcers in trauma and critically ill patients: a within-trial analysis of the Border Trial. Int Wound J 2015;12(3):344-50.

Bots TC, Apotheker BF. The prevention of heel pressure ulcers using a hydropolymer dressing in surgical patients. J Wound Care 2004;13(9):375-8. 10. Nakagami G, Sanada H, Konya C, Kitagawa A, Tadaka E, Tabata K. Comparison of two pressure ulcer preventive dressings for reducing shear force on the heel. J Wound Ostomy Continence Nurs 2006;33(3):267-72.

Cheneworth C. Hagglund K. Valmassoi B. Brannon, C. Portrait of Practice: Healing Heel Ulcers. Adv Wound Care 1994;7(2):44-8.

Shahin ES, Dassen T, Halfens RJ. Pressure ulcer prevalence in intensive

care patients: a cross-sectional study. J Eval Clin Pract 2008;14(4):563-8.

Lyman, V.(2009).Successful Heel Pressure Ulcer Prevention Program in a Longterm Care Setting. J Eval Clin Pract 2008;14(4):563-8.

Gilcreast DM, Warren JB, Yoder LH, Clark JJ, Wilson JA, Mays MZ. Research comparing three heel ulcer-prevention devices. J Wound Ostomy Continence Nurs 2005;32(2):112-20.

Demarré L, Van Lancker A, Van Hecke A, Verhaeghe S, Grypdonck M, Lemey J, et al. The cost of prevention and treatment of pressure ulcers: A systematic review. Int J Nurs Stud 2015;52(11):1754-74.

Allman RM, Goode PS, Burst N, Bartolucci AA, Thomas DR.Pressure Ulcers, Hospital Complications, and Disease Severity: Impact on Hospital Costs and Length of Stay. Adv Wound Care 1999;12(1):22-30. 17. Bennett G, Dealey C, Posnett J. Cost of Pressure Ulcers in UK. Age Ageing 2004;33(3):230-5.


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