Pressure Ulcers Represents a Constant Nightmare for Me


Authors: L. Veverková;  K. Krejsová;  M. Reška;  P. Vlček;  J. Žák;  J. Konečný;  M. Páral
Authors‘ workplace: I. chirurgická klinika ;  LF MU a FN u sv. Anny v Brně
Published in: Cesk Slov Neurol N 2017; 80(Supplementum 1): 61-64
Category: Original Paper
doi: 10.14735/amcsnn2017S61

Overview

Aim:
Analysis of patients who had been operated with consequent development of pressure ulcer in 2016 hospitalized at 1st Surgical Clinic (St. Anne’s Hospital).

Methods:
Retrospective analyses of administrative data and specific electronic tool (I-hojeni.cz). Statistical analyses was performed with Pearson chi-square (statistical significance value 0.05).

Results:
From total of 3,807 hospitalized patients most of them (n = 3,301; 85.3%) underwent surgery. Newly developed (hospital acquired) decubitus was detected in 49 patients (25 women and 24 men). The average age of patients was 80.4 years. BMI was on average 25.37, the length of hospitalization reached 26.67 days on average. Average length of the period between admission and surgical intervention was 2.79 days (0to 16 days). One patient had decubitus on 5 spots and 3 patients on 3 spots, i.e. on average one patient within our group had 1.42 decubitus. The most frequent localization on gluteus followed by heels. We identified no statistically significant relation between BMI and development of decubitus (p > 0.05). Occurrence of decubitus was significantly related to patien’ age and length of hospitalization. In case of BMI, we confirmed that development of pressure sore is independent of BMI (p > 0.05). In case of other variables we verified the existence of dependence between the age of patient and development of decubitus (p < 0.05). A group of patients treated for trauma and after chest surgery was analysed in more detail. We have demonstrated statistically significant relation between occurrence of decubitus in the operated patients and the presence of a neurological anamnesis in the patient‘s anamnesis (p = 0.08). Out of our group, three patients died of signs of sepsis.

Conclusion:
Despite of all preventive measures, decubitus occur especially in trauma patients and patients with neurology diagnosis treated by surgical means.

Key words:
decubitus – pressure ulcer – incidence – trauma – inflammatory process in chest

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manu­script met the ICMJE “uniform requirements” for biomedical papers.


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Labels
Paediatric neurology Neurosurgery Neurology

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