Risk factors related to pressure injury in COVID-19 patients in intensive care unit: integrative review
DOI:
https://doi.org/10.33448/rsd-v12i8.42885Keywords:
Risk factors; Pressure injury; COVID-19.Abstract
Objective: To identify the main risk factors that are related to the development of PI in COVID-19 patients in the ICU. Method: This is an integrative review study with a qualitative and quantitative approach, carried out between February 14, 2023 and March 1, 2023, using the following databases: VHL, LILACS, MEDLINE, SciELO, PUBMED and CINAHL, of the last 5 years. Results and Discussion: The search resulted in 904 publications, after filtering based on the inclusion and exclusion criteria, reading the titles, abstracts and full articles, the sample consisted of 10 articles. The sample size included a population of 4087 patients diagnosed with COVID-19 and who had PI. The greater predominance of PI in the study was among males (n=2140), compared to females (n=1647), with the sacral region being most affected with 34%, followed by the nasal region with 21% and the gluteal region with 16 %. People aged over 60 years and previous comorbidities were identified as risk factors. In addition to the use of hospital devices, pronation, long hospitalization, use of vasopressors, sedatives and anesthetics, two other factors include hypoalbuminemia and hemoglobin. Final Considerations: COVID-19 patients being treated in the ICU generally presented a combination of intrinsic and extrinsic factors for the onset of PI. The present study serves as a subsidy for health professionals, both for prevention and decisions on conduct and provision of quality care and risk reduction for the patient.
References
Alderden, J., Kennerly, S. M., Cox, J., & Yap, T. L. (2022). Pressure Injury Risk Assessment and Prevention in Patients With COVID-19 in the Intensive Care Unit. AACN advanced critical care, 33(2), 173–185.
Alderden, J., Kennerly, S. M., Wilson, A., Dimas, J., McFarland, C., Yap, D. Y., Zhao, L., & Yap, T. L. (2022). Explainable Artificial Intelligence for Predicting Hospital-Acquired Pressure Injuries in COVID-19-Positive Critical Care Patients. Computers, informatics, nursing: CIN, 40(10), 659–665.
Amini, M., Mansouri, F., Vafaee, K., Janbakhsh, A., Mahdavikian, S., Moradi, Y., & Fallahi, M. (2022). Factors affecting the incidence and prevalence of pressure ulcers in COVID-19 patients admitted with a Braden scale below 14 in the intensive care unit: Retrospective cohort study. International wound journal, 19(8), 2039–2054.
Andrade da Silva, G., & Otta, E. (2014). Revisão sistemática e meta-análise de estudos observacionais em Psicologia. Revista Costarricense de Psicología, 33(2), 137-153.
Barja-Martínez, E., García-González, S., Jiménez-García, E., Thuissard-Vasallo, I. J., Arias-Rivera, S., & Blanco-Abril, S. (2023). Prone positioning in COVID-19 patients with acute respiratory distress syndrome and invasive mechanical ventilation. Enfermería Intensiva (English ed.), 34(2), 70-79.
Binda, F., Galazzi, A., Marelli, F., Gambazza, S., Villa, L., Vinci, E., Adamini, I., & Laquintana, D. (2021). Complicações do posicionamento prono em pacientes com COVID-19: Um estudo transversal. Enfermagem em terapia intensiva, 67, 103088.
Challoner, T., Vesel, T., Dosanjh, A., & Kok, K. (2022). O risco de úlceras de pressão em uma população COVID proned. O cirurgião: jornal dos Royal Colleges of Surgeons de Edimburgo e Irlanda, 20(4), e144–e148.
De Sousa, L. M. M., Marques-Vieira, C. M. A., Severino, S. S. P., & Antunes, A. V. (2017). A metodologia de revisão integrativa da literatura em enfermagem. Revista investigação em enfermagem, 21(2), 17-26.
Ercole, F. F., Melo, L. S. D., & Alcoforado, C. L. G. C. (2014). Revisão integrativa versus revisão sistemática. Reme: Revista Mineira de Enfermagem, 18(1), 09-11.
Ibarra, G., Rivera, A., Fernandez-Ibarburu, B., Lorca-García, C., & Garcia-Ruano, A. (2021). Pressão de posição prona na pandemia de COVID-19: A experiência de Madri. Jornal de cirurgia plástica, reconstrutiva e estética: JPRAS, 74(9), 2141–2148.
Melo, C. M., Bueno, A. L. G., Rossetto, T. L., Almeida, B. G., Moretto, L. B., & Diniz, M. B. C. (2023). Pressure Injury in Intensive Care Unit: prevalence and associated factors in patients with COVID-19. Revista gaucha de enfermagem, 44, e20210345.
Montgomery, A. P., Patrician, P. A., Hall, A., Miltner, R. S., Enogela, E. M., & Polancich, S. (2022). Modeling Patient Risk for Hospital-Acquired Pressure Injuries During COVID-19: A Retrospective Study. Journal of nursing care quality, 37(2), 162–167.
Povoas Costa, L., Silva Barcellos Caetano, D., Silva dos Santos, J., & Silva Solano Ramos dos Santos, P. (2022). Risk factors for pressure injury in patients with covid-19 in intensive care unit / Fatores de Risco para Lesão Por Pressão em Pacientes com COVID-19 em Unidade de Terapia Intensiva Revista De Pesquisa Cuidado é Fundamental Online, 14, e–11787.
Ramírez-Marín HA, Soto-Mota A, Alanis-Mendizabal J, Escobar-Valderrama JM, Domínguez-Cherit JG. Pressure ulcers from prone positioning in COVID-19 patients: Developing clinical indicators in evidence-based practice: A retrospective study. Our Dermatol Online. 2022;13(2):120-125. REME rev. min. enferm ; 18(1): 09-11, jan.-mar. 2014.
Robayna-Delgado, M. D. C., Arroyo-López, M. D. C., Martín-Meana, C., Chinea-Rodríguez, C. D., González-Herrero, V., Jiménez-Sosa, A., & González-Darias, J. M. (2022). Incidencia por lesiones por presión en pacientes con y sin COVID-19, ingresados en una Unidad de Cuidados Intensivos. Ene, 16(1).
Shearer, S. C., Parsa, K. M., Newark, A., Peesay, T., Walsh, A. R., Fernandez, S., Gao, W. Z., & Pierce, M. L. (2021). Facial Pressure Injuries from Prone Positioning in the COVID-19 Era. The Laryngoscope, 131(7), E2139–E2142.
Sianes-Gallén, M., Pujol-García, A. M., Rus García, M., Partera Luque, C., López Postigo, M., Call Mañosa, S., Camposo Montesino, M. C., Ibáñez Touriño, B., Ribas Obon, E., Segura Rodríguez, T., Cores Fuentes, P., Tamame Sanantonio, M., & Jornet-Gibert, M. (2021). Pressure injuries during the SARS-CoV-2 pandemic: A retrospective, case-control study. Journal of tissue viability, 30(4), 478–483.
Togluk Yiğitoğlu, E., & Aydoğan, S. (2023). Determination of medical device-related pressure injury in COVID-19 patients: A prospective descriptive study. Journal of tissue viability, 32(1), 74–78.
Wu, F., Zhou, Y., Wang, Z., Xie, M., Shi, Z., Tang, Z., Li, X., Li, X., Lei, C., Li, Y., Ni, Z., Hu, Y., Liu, X., Yin, W., Cheng, L., Ye, F., Peng, J., Huang, L., Tian, J., Zhang, L., … Medical Treatment Expert Group for COPD and COVID-19 (2020). Clinical characteristics of COVID-19 infection in chronic obstructive pulmonary disease: a multicenter, retrospective, observational study. Journal of thoracic disease, 12(5), 1811–1823.
Yu, N., Li, Z., Long, X., Huang, J., Cao, W., Zhang, Y., Yang, Y., Liu, Z., Liu, Z., Zhang, S., & Wang, X. (2021). Pressure injury: A non-negligible comorbidity for critical Covid-19 patients. Journal of plastic, reconstructive & aesthetic surgery: JPRAS, 74(3), 644–710.
Zanchetta, F. C., Perissoto, S., Pedrosa, R. B. D. S., Gasparino, R. C., Silva, V. A. D., Kumakura, A. R. D. S. O., & Lima, M. H. M. (2022). Incidência de lesão por pressão em posição prona durante a pandemia de COVID-19: um estudo de coorte. Online braz. j. nurs. (Online), e20226569-e20226569.
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Copyright (c) 2023 Lucas Santana de Oliveira; Adriana da Silva Melo; Luana Ferreira Campos; Lorenna Emília Sena Lopes; Rosane Milet Passos Teixeira; Carla Viviane Freitas de Jesus; Arthur Cesar de Melo Tavares
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