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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
Intensive Care Medicine, Volume 47, No. 2, Year 2021
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Description
Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score < 19, ICU stay > 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat. © 2020, The Author(s).
Available Materials
https://efashare.b-cdn.net/share/pmc/articles/PMC7880913/bin/134_2020_6234_MOESM1_ESM.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC7880913/bin/134_2020_6234_MOESM2_ESM.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC7880913/bin/134_2020_6234_MOESM3_ESM.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC7880913/bin/134_2020_6234_MOESM4_ESM.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC7880913/bin/134_2020_6234_MOESM5_ESM.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC7880913/bin/134_2020_6234_MOESM6_ESM.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC7880913/bin/134_2020_6234_MOESM7_ESM.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC7880913/bin/134_2020_6234_MOESM8_ESM.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC7880913/bin/134_2020_6234_MOESM9_ESM.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC7880913/bin/134_2020_6234_MOESM10_ESM.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC7880913/bin/134_2020_6234_MOESM11_ESM.pdf
https://efashare.b-cdn.net/share/pmc/articles/PMC7880913/bin/134_2020_6234_MOESM12_ESM.pdf
Authors & Co-Authors
Labeau, Sonia O.
Belgium, Ghent
Hogeschool Gent
Belgium, Ghent
Universiteit Gent
Afonso, Elsa Da Palma
Belgium, Ghent
Universiteit Gent
United Kingdom, Cambridge
Rosie Hospital
Benbenishty, Julie Sarah
Israel, Jerusalem
Hadassah University Medical Centre
Blackwood, Bronagh M.
United Kingdom, Belfast
Queen's University Belfast
Boulanger, Carole
United Kingdom, Exeter
Royal Devon and Exeter Nhs Foundation Trust
Brett, Stephen J.
United Kingdom, London
Imperial College London
Calvino Günther, Silvia
France, Grenoble
Centre Hospitalier Universitaire de Grenoble
Chaboyer, Wendy Pearl
Australia, Brisbane
Griffith University
Coyer, Fiona M.
Australia, Brisbane
Royal Brisbane and Women's Hospital
United Kingdom, Huddersfield
University of Huddersfield
Deschepper, Mieke
Belgium, Ghent
Universitair Ziekenhuis Gent
François, Guy M.
Belgium, Brussels
European Society of Intensive Care Medicine
Honoré, Patrick M.
Belgium, Brussels
Centre Hospitalier Universitaire Brugmann, Brussels
Janković, Radmilo J.
Serbia, Nis
University of Niš
Khanna, Ashish K.
United States, Winston Salem
Wake Forest University School of Medicine
United States, Cleveland
Outcomes Research Consortium
Llaurado-Serra, M.
Spain, Barcelona
Universitat Internacional de Catalunya
Lin, Frances Fengzhi
Australia, Brisbane
Griffith University
Australia, Sippy Downs
University of the Sunshine Coast
Rose, Louise
United Kingdom, London
King's College London
Canada, Toronto
Sunnybrook Health Sciences Centre
Canada, Toronto
University of Toronto
Canada, Toronto
Toronto East Health Network
Rubulotta, Francesca M.
United Kingdom, London
Imperial College London
Saager, Leif
Germany, Gottingen
Universitätsmedizin Göttingen
United States, Ann Arbor
University of Michigan, Ann Arbor
Williams, Gerald F.
United Arab Emirates, Abu Dhabi
Al Mafraq Hospital
Australia, Brisbane
Griffith University
Blot, Stijn I.
Belgium, Ghent
Hogeschool Gent
Belgium, Ghent
Universiteit Gent
Muzha, Dritan
Unknown Affiliation
Ribas, Antonio Margarit
Unknown Affiliation
Lipovesty, Fernando
Unknown Affiliation
Loudet, Cecilia
Unknown Affiliation
Eller, Philipp
Unknown Affiliation
Mostafa, Nafseen
Unknown Affiliation
Honorè, Patrick M.
Unknown Affiliation
Telleria, Vanesa Mercado
Unknown Affiliation
Smajić, Jasmina Jakupović
Unknown Affiliation
Nogueira, Paula Cristina
Unknown Affiliation
Nafees, Khalid Mahmood Khan
Unknown Affiliation
Hentchoya, Romuald
Unknown Affiliation
Soledad, Javiera
Unknown Affiliation
Cárdenas, Yenny Rocío
Unknown Affiliation
Reyes, Amylkar Garay
Unknown Affiliation
Šuštić, Alan
Unknown Affiliation
Mpouzika, Meropi D.A.
Unknown Affiliation
Vymazal, Tamas
Unknown Affiliation
Jensen, Hanne Irene
Unknown Affiliation
Aguirre-Bermeo, Hernán
Unknown Affiliation
Maddison, Liivi
Unknown Affiliation
Valta, Maija P.
Unknown Affiliation
Bloos, Frank
Unknown Affiliation
Adipa, Faustina Excel
Unknown Affiliation
Koulouras, Vasilios P.
Unknown Affiliation
Enamorado, Judy
Unknown Affiliation
Ágoston, Zsuzsann
Unknown Affiliation
Birgisdóttir, Hrönn
Unknown Affiliation
Gupta, Amit Das
Unknown Affiliation
Gurjar, Mohan
Unknown Affiliation
Kilapong, Bram
Unknown Affiliation
Hashemian, Seyed Mohammad Reza
Unknown Affiliation
Martín-Loeches, Ignacio
Unknown Affiliation
Cortegiani, Andrea
Unknown Affiliation
Fletcher, Kelly
Unknown Affiliation
Hayashi, Yoshiro
Unknown Affiliation
Waweru-Siika, Wangari
Unknown Affiliation
Abidi, Khalid
Unknown Affiliation
Hadri, Burhan
Unknown Affiliation
Dolgusevs, Mihails
Unknown Affiliation
Abillama, Fayez François
Unknown Affiliation
Jovaiša, Tomas
Unknown Affiliation
Thix, Cyril A.
Unknown Affiliation
Elhadi, Muhammed K.
Unknown Affiliation
Mat Nor, Mohd Basri
Unknown Affiliation
Ratnam, Shanti
Unknown Affiliation
Mazlan, Mohd Zulfakar
Unknown Affiliation
Maiyalagan, Sundaresan
Unknown Affiliation
Sanchez-Hurtado, Luis A.
Unknown Affiliation
Belîi, A.
Unknown Affiliation
Naranpurev, Mendsaikhan
Unknown Affiliation
Gautam, Prabha L.
Unknown Affiliation
De Lange, Dylan W.
Unknown Affiliation
Parke, Rachael L.
Unknown Affiliation
Ilesanmi, Rose Ekama
Unknown Affiliation
Shosholcheva, Mirjana
Unknown Affiliation
Petosic, Antonija
Unknown Affiliation
Lind, Ranveig
Unknown Affiliation
Ffarcsi, Madiha Hashmi
Unknown Affiliation
Bogarin, Javier
Unknown Affiliation
Hernandez, Aaron Mark R.
Unknown Affiliation
Mikaszewska-Sokolewicz, Małgorzata Anna
Unknown Affiliation
Sousa, Bruno
Unknown Affiliation
Tomescu, D. Rodica
Unknown Affiliation
Sǎndesc, Dorel
Unknown Affiliation
Twagirumugabe, Théogène
Unknown Affiliation
Gusarov, Vitaly
Unknown Affiliation
Ebaid, Maie
Unknown Affiliation
Slobodianiuk, Gari
Unknown Affiliation
Martonová, Andrea
Unknown Affiliation
Knafelj, Rihard
Unknown Affiliation
Mer, Mervyn
Unknown Affiliation
Maseda, Emilio
Unknown Affiliation
Panka, Bernardo Amisa
Unknown Affiliation
Schefold, Joerg C.
Unknown Affiliation
Joelsson-Alm, Eva
Unknown Affiliation
Trongtrakul, Konlawij
Unknown Affiliation
Merritt-Charles, Lorna
Unknown Affiliation
Besbes-Ouanes, Lamia
Unknown Affiliation
von der Osten, Ingrid T.
Unknown Affiliation
Cani, Alma
Unknown Affiliation
Alves, Paulo Jorge Pereira
Unknown Affiliation
Saúl, Pablo Alejandro
Unknown Affiliation
Setten, Mariano G.
Unknown Affiliation
Fernández, Rubén Oscar
Unknown Affiliation
Smith, Julie C.
Unknown Affiliation
Reynolds, Claire
Unknown Affiliation
Tabah, Alexis
Unknown Affiliation
Barakat-Johnson, Michelle
Unknown Affiliation
Douschan, Philipp
Unknown Affiliation
Von-Lewinski, Dirk
Unknown Affiliation
Schmutz, René
Unknown Affiliation
van Regenmortel, Niels
Unknown Affiliation
Swinnen, Walter
Unknown Affiliation
Biston, Patrick
Unknown Affiliation
Dugernier, Thierry L.
Unknown Affiliation
Bagshaw, Sean M.
Unknown Affiliation
Smith, Orla M.
Unknown Affiliation
Rojas-Suarez, J. Antonio
Unknown Affiliation
Chapeta, Edwin
Unknown Affiliation
Matas, Marijana
Unknown Affiliation
Goranovič, Tatjana
Unknown Affiliation
Bestle, Morten Heiberg
Unknown Affiliation
Mentec, Hervé
Unknown Affiliation
Plantefève, Gaëtan J.
Unknown Affiliation
Besch, Guillaume
Unknown Affiliation
Pili-Floury, Sébastien
Unknown Affiliation
Des Déserts, Marc Danguy
Unknown Affiliation
Giacardi, Christophe
Unknown Affiliation
Bruel, Cédric
Unknown Affiliation
Philippart, François
Unknown Affiliation
Montravers, Philippe
Unknown Affiliation
Atchade, Enora
Unknown Affiliation
Timsit, Jean Franc¸ois
Unknown Affiliation
Fartoukh, Muriel Sarah
Unknown Affiliation
Beuret, Pascal
Unknown Affiliation
De Montmollin, E.
Unknown Affiliation
Jaschinski, Ulrich
Unknown Affiliation
Kindgen-Milles, Detlef
Unknown Affiliation
Meybohm, Patrick
Unknown Affiliation
Simon, Philipp
Unknown Affiliation
Schaller, Stefan J.
Unknown Affiliation
Kusi-Appiah, Anita Chrysolyte
Unknown Affiliation
Yakubu, Yakubu H.
Unknown Affiliation
Gkiokas, Georgios A.
Unknown Affiliation
Kondili, Eumorfia
Unknown Affiliation
Shah, Bhagyesh Ashwinkumar
Unknown Affiliation
Agarwal, Sonika
Unknown Affiliation
Mangal, Kishore
Unknown Affiliation
Baronia, Arvind Kumar
Unknown Affiliation
Zand, Farid
Unknown Affiliation
Mahmoodpor, Ata
Unknown Affiliation
Marsh, Brian J.
Unknown Affiliation
Bruni, Andrea
Unknown Affiliation
Garofalo, Eugenio
Unknown Affiliation
Maggiore, Salvatore Maurizio
Unknown Affiliation
Spadaro, S.
Unknown Affiliation
Iozzo, Pasquale
Unknown Affiliation
Guarracino, Fabio
Unknown Affiliation
Rocco, Monica
Unknown Affiliation
Alampi, D.
Unknown Affiliation
De Rosa, Silvia
Unknown Affiliation
Shime, Nobuaki
Unknown Affiliation
Hashimoto, Satoru
Unknown Affiliation
Sakuramoto, Hideaki
Unknown Affiliation
Waweru-Siika, Wangari
Unknown Affiliation
Tole, Eunice
Unknown Affiliation
Correia, Malcolm C.
Unknown Affiliation
Jeon, Kyeongman
Unknown Affiliation
Baftiu, Nehat
Unknown Affiliation
Merheb, Marie T.
Unknown Affiliation
Khaled, Ala
Unknown Affiliation
Elhadi, Ahmed
Unknown Affiliation
Khaled, Taha
Unknown Affiliation
Soula, Enas
Unknown Affiliation
Ghula, Mohamed
Unknown Affiliation
Vosylius, Saulius
Unknown Affiliation
Nor, Mohd Basri Mat
Unknown Affiliation
Statistics
Citations: 128
Authors: 179
Affiliations: 26
Identifiers
Doi:
10.1007/s00134-020-06234-9
ISSN:
03424642
Research Areas
Health System And Policy
Violence And Injury
Study Design
Cross Sectional Study
Cohort Study
Case-Control Study
Study Approach
Quantitative
Participants Gender
Male