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Kayser SA, VanGilder CA, Ayello EA, Lachenbruch C, et al.
Advances in skin & wound care. Date of publication 2018 Jun 1;volume 31(6):276-285.
1. Adv Skin Wound Care. 2018 Jun;31(6):276-285. doi: 10.1097/01.ASW.0000532475.11971.aa. Prevalence and Analysis of Medical Device-Related Pressure Injuries: Results from the International Pressure Ulcer Prevalence Survey. Kayser SA(1), VanGilder CA, Ayello EA, Lachenbruch C. Author information: (1)Susan A. Kayser, PhD, is a Data Scientist, Hill-Rom, Batesville, Indiana; Catherine A. VanGilder, MBA, BS, MT, CCRA, is Senior Manager, Global Clinical Research, Chicago, Illinois; Elizabeth A. Ayello, PhD, RN, CWON, ETN, MAPWCA, FAAN, is Faculty, Excelsior College School of Nursing, Albany, New York; President, Ayello Harris & Associates, Inc, Copake, New York; and Clinical Editor, Advances in Skin & Wound Care, Philadelphia, Pennsylvania; and Charlie Lachenbruch, PhD, is Chief Scientist, Research and Development, Hill-Rom, Batesville, Indiana. Acknowledgments: The authors would like to express deep gratitude to the staff and facilities who participate in the International Pressure Ulcer Prevalence survey. Your daily focus on pressure injury prevention efforts has achieved significant improvement in care. This aggregate report of the data from your efforts is made possible only by your participation. Dr Kayser, Dr Lachenbruch, and Ms VanGilder disclose that they are employees of Hill-Rom. The authors have disclosed no other financial relationships related to this article. Submitted October 17, 2017; accepted in revised form March 6, 2018. OBJECTIVE: To examine the prevalence and characteristics of medical device-related pressure injuries (MDR PIs) in a large, generalizable database. METHODS: This study is a retrospective analysis of the 2016 International Pressure Ulcer Prevalence data. Data were limited to US and Canadian facilities. Facilities included acute care, long-term care, rehabilitation, long-term acute care hospitals, and hospice. Analysis included 102,865 adult patients; 99,876 had complete data and were the focus of the analysis and are reported in the results below. RESULTS: The overall PI prevalence was 7.2% (n = 7189), and the facility-acquired prevalence was 3.1% (n = 3113). The prevalence of MDR PIs was 0.60% (n = 601), which included both mucosal and nonmucosal MDR PIs. In this study, 75% of MDR PIs were facility acquired, whereas non-MDR PIs were most commonly present on admission. Facility-acquired MDR PIs formed 3 days faster than facility-acquired non-MDR PIs (12 vs 15 days; P < .05). By stage, most MDR PIs were superficial (58% were Stage 1 or 2), 15% were deep-tissue PIs, and 22% were full-thickness PIs (Stage 3 or 4 or unstageable). The most common anatomic locations for MDR PIs were the ears (29%) and the feet (12%). The most common devices associated with MDR PIs were nasal oxygen tubes, 26%; other, 19%; cast/splints, 12%; and continuous positive airway pressure/bilevel positive airway pressure masks, 9%. CONCLUSIONS: Because MDR PIs form faster than non-MDR PIs, timely proactive assessment and prevention measures are critical. Most MDR PIs occurred at the face and head region, and the ears specifically. The most common devices linked with MDR PIs were oxygen tubing and masks, making assessment and prevention efforts critical for patients who require those devices. DOI: 10.1097/01.ASW.0000532475.11971.aa PMCID: PMC5991189 PMID: 29782417 [Indexed for MEDLINE]
Appears in following Topics:
Pressure Ulcers/Injuries - Prevention