Prevalence of skin pressure injury in critical care patients in the UK: results of a single-day point prevalence evaluation in adult critically ill patients. Issue 11 (23rd November 2022)

• Record Type: Journal Article
• Authors: Rubulotta, Francesca; Brett, Stephen; Boulanger, Carole; Blackwood, Bronagh; Deschepper, Mieke; Labeau, Sonia O; Blot, Stijn
• Other Names: author non-byline.; Infirmary Aberdeen Royal author non-byline.; Morren Faye author non-byline.; Young Charlotte author non-byline.; Vaughan-Jones Nicola author non-byline.; Harris Stephanie author non-byline.; Burns Karen author non-byline.; Georgiev Carmel author non-byline.; Shayamano Rosina author non-byline.; Kerslake Ian author non-byline.; Creber Peter author non-byline.; Vochin Ana author non-byline.; O'Brien Catherine author non-byline.; Caddell Paul author non-byline.; Hagan Samantha author non-byline.; Hughes Mandy author non-byline.; Torlinski Tomasz author non-byline.; Sherwin James author non-byline.; Kannan Santhana author non-byline.; Markham Amber author non-byline.; Lebon Richard author non-byline.; Cupitt Jason author non-byline.; Cranshaw Julius author non-byline.; White Nigel author non-byline.; Marriott Victoria author non-byline.; Milner Wendy author non-byline.; Groba Casiano Barrera author non-byline.; Azoia Joao author non-byline.; Polgarova Petra author non-byline.; George Shaly author non-byline.; Kapoor Ritoo author non-byline.; Lynch Ceri author non-byline.; Fox Nathalie author non-byline.; Cranmer Karen author non-byline.; Fox Natalie author non-byline.; Llewellym Thomas author non-byline.; Matthews Kelly author non-byline.; Maltby Louise author non-byline.; Boulton Karen author non-byline.; Jarman Rachel author non-byline.; Baxter Karen author non-byline.; Raj Ashok Sundai author non-byline.; Moghal Arif author non-byline.; White Joanne author non-byline.; Barrowcliffe Suzanne author non-byline.; Pulletz Mark author non-byline.; Ganeshalingam Vaarisan author non-byline.; Baruah Rosaleen author non-byline.; Boulanger Carole author non-byline.; Baker Helen author non-byline.; Woods Justin author non-byline.; Poe Ei Poe author non-byline.; Ogbeide Vongayi author non-byline.; Hayden Paul author non-byline.; Matthews Kelly author non-byline.; Hughes Jennifer author non-byline.; Balasubramanian Madhu author non-byline.; Salberg Armorel author non-byline.; Saha Rajnish author non-byline.; Holmquist Dagmar author non-byline.; Young Charlotte author non-byline.; Derbyshire Claire author non-byline.; Smith Neil author non-byline.; Stones Elizabeth author non-byline.; Ademokun Jane author non-byline.; Popescu Monica author non-byline.; Legorburo Maria Schofield author non-byline.; North Samantha author non-byline.; Brett Carole author non-byline.; Jaundoo Helen author non-byline.; Craig Jayne author non-byline.; Whiteley Simon author non-byline.; Howcroft Clare author non-byline.; Wilby Liz author non-byline.; Delve Peter author non-byline.; Shaw David author non-byline.; Williams Karen author non-byline.; Welters Ingeborg D author non-byline.; McMullen Jane author non-byline.; Brett Stephen author non-byline.; Flores Leah author non-byline.; Rubulotta Francesca author non-byline.; Templeton Mae author non-byline.; Adams John author non-byline.; Smith Catherine author non-byline.; Prowle John author non-byline.; Byers Heather author non-byline.; McDonnell Andrea author non-byline.; Rose Bernd Oliver author non-byline.; Reece-Anthony Rosie author non-byline.; Mendes Luis author non-byline.; Vizcaychipi Marcela author non-byline.; Bull Rhian author non-byline.; Lacaden Grace author non-byline.; Santiago Eleanor author non-byline.; Delgado Carlos Castro author non-byline.; Farnell-Ward Sarah author non-byline.; Thorpe Elaine author non-byline.; Somerville Justine author non-byline.; Williams Anne author non-byline.; Cummings Donna author non-byline.; Derrick Helen author non-byline.; Brumwell Sarah author non-byline.; Randell Claire author non-byline.; McCann Nicola author non-byline.; Aves Emma author non-byline.; Berry Gillian author non-byline.; Szakmany Tamas author non-byline.; Gunter Una author non-byline.; Pulak Paul author non-byline.; Sarkar Nikki author non-byline.; Wright Kerry author non-byline.; Gomes Vitor author non-byline.; Jones Jo author non-byline.; Palfrey Ruth author non-byline.; Camsooksai Julie author non-byline.; Lewis Abby author non-byline.; Eneas Antony author non-byline.; Tridente Ascanio author non-byline.; Barr Louise author non-byline.; Jovaisa Tomas author non-byline.; Thomas Beverley author non-byline.; Parkin Emma author non-byline.; Horner Daniel author non-byline.; Frey Christian author non-byline.; Bench Suzanne author non-byline.; Baumber Rachel author non-byline.; Broadhurst Phil author non-byline.; Jackson Matthew author non-byline.; Williams Lynne author non-byline.; Clark Michele author non-byline.; Paddle Jonathan author non-byline.; Bean Sarah author non-byline.; Buckley Sarah author non-byline.; Palfreeman Christopher author non-byline.; Liu Sophie author non-byline.; Allison Nicola author non-byline.; Parsons Penny author non-byline.; Houghton Victoria author non-byline.; Turner Sarah Jane author non-byline.; Higgins David author non-byline.; Bielskute Egidija author non-byline.; Horrigan Nicola author non-byline.; Jacob Reni author non-byline.; Habgood Karen author non-byline.; Zaki Ahmed author non-byline.; Collins Amy author non-byline.; Lord Jenny author non-byline.; Ramiro Charalice author non-byline.; Kubisz-Pudelko Agnieszka author non-byline.; Kotze Michelle author non-byline.; Williams Helen author non-byline.; Ibao Jowena author non-byline.; Trueman-Dawkins Treiza author non-byline.; Attwood Ben author non-byline.;
• Is Part Of: BMJ open. Volume 12:Issue 11(2022)
• Publication Date: 2022-11-23
• Subjects: Adult intensive & critical care -- AUDIT -- PREVENTIVE MEDICINE -- Adult anaesthesia; Medicine -- Research -- Periodicals; 610.72
• DOI: 10.1136/bmjopen-2021-057010
• Languages: English
• ISSNs: 2044-6055

Abstract

Abstract : Objectives: Hospital-acquired pressure injuries (PIs) are a source of morbidity and mortality, and many are potentially preventable. Design: This study prospectively evaluated the prevalence and the associated factors of PIs in adult critical care patients admitted to intensive care units (ICU) in the UK. Setting: This service evaluation was part of a larger, international, single-day point prevalence study of PIs in adult ICU patients. Training was provided to healthcare givers using an electronic platform to ensure standardised recognition and staging of PIs across all sites. Participants: The characteristics of the ICUs were recorded before the survey; deidentified patient data were collected using a case report form and uploaded onto a secure online platform. Primary and secondary outcome measures: Factors associated with ICU-acquired PIs in the UK were analysed descriptively and using mixed multiple logistic regression analysis. Results: Data from 1312 adult patients admitted to 94 UK ICUs were collected. The proportion of individuals with at least one PI was 16% (211 out of 1312 patients), of whom 8.8% (n=115/1312) acquired one or more PIs in the ICU and 7.3% (n=96/1312) prior to ICU admission. The total number of PIs was 311, of which 148 (47.6%) were acquired in the ICU. The location of majority of these PIs was the sacral area, followed by the heels. Braden score and prior length of ICU stay were associated with PI development. Conclusions: The prevalence and the stage of severity of PIs were generally low in adult critically ill patients admitted to participating UK ICUs during the study period. However, PIs are a problem in an important minority of patients. Lower Braden score and longer length of ICU stay were associated with the development of injuries; most ICUs assess risk using tools which do not account for this. Trial registration number: NCT03270345 .