Incidencia de lesiones relacionadas con la dependencia en una población de pacientes críticos
- Alba Roca-Biosca
- Rubio Rico, Lourdes
- Molina Fernández, Inmaculada de
- Tuset Garijo, María Gemma
- Colodrero Díaz, E.
- García Fernández, Francisco Pedro
ISSN: 1130-8621
Año de publicación: 2016
Volumen: 26
Número: 5
Páginas: 307-311
Tipo: Artículo
Otras publicaciones en: Enfermería clínica
Resumen
Aim To determine the incidence of various types of dependence-related lesions (DRL) on a population of critically ill patients. Method Descriptive, longitudinal and prospective study in an Intensive Care Unit from January 2014 to January 2015. Adult patients who did not present DRL at the moment of admission were included. Those with brain death and/or stay at the unit for more than two days were excluded. Patients were studied till they developed DRL, were exitus, discharged or stayed for more than 14 days. Each patient was evaluated daily till DRL did develop or was excluded from the study. If DRL did develop it was photographed and related data were recorded. The comparison between quantitative variables of normal distribution was done with the t de Student. The Mann-Whitney U was used to compare the other variables. Qualitative variables were compared through Pearson's chi square. In both cases p≤.05 was considered significant. Results 295 patients were included, 27.45% of them developed DRL. The density of incidence was 41 DRL/1,000 days at risk. 50.62% of DRL were categorized as PU. 17.28% were moisture injuries, 13.58% were due to friction and the rest were combined injuries. The risk according to EMINA and Braden scale was significantly different in the group of patients with lesions compared to the group without them. Conclusions Not all injuries were caused by pressure. Specific prevention strategies based on different causal mechanisms are required.
Referencias bibliográficas
- 1 Soldevilla Agreda JJ, Torra i Bou JE, Verdú Soriano J, López Casanova P. 3.rd National survey of the prevalence of pressure ulcers in Spain, 2009: Epidemiology and defining variables in lesions and patients. Gerokomos [serial on the Internet]. 2011; 22:77-90 [citado 8 Mar 2015]. Disponible en: http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1134-928X2011000200005&lng=es.
- 2 Pancorbo-Hidalgo, P.L., Torra i Bou, J.E., García-Fernández, F.P., Verdú Soriano, J., Soldevilla Agreda, J.J., Epidemiología de las úlceras por presión en España 2013: 4.°. Estudio Nacional de Prevalencia. Gerokomos. 29 (2014), 162–170.
- 3 Incidentes y eventos adversos en medicina intensiva. Seguridad y riesgo en el enfermo crítico. SYREC 2007. Informe, mayo 2009. Madrid: Ministerio de Sanidad, Política Social e Igualdad; 2010.
- 4 Braden, B.J., Bergstrom, N., Predictive validity of the Braden scale for pressure sore risk in a nursing home population. Res Nurs Health 17 (1994), 459–470.
- 5 Garcia-Fernandez, F.P., Agreda, J.J., Verdú, J., Pancorbo-Hidalgo, P.L., A new theoretical model for the development of pressure ulcers and other dependence-related lesions. J Nurs Scholarsh 46 (2014), 28–38.
- 6 García-Fernández FP,Soldevilla Ágreda JJ,Pancorbo-Hidalgo, PL,Verdú Soriano J, López-Casanova P, Rodríguez-Palma M. Clasificación-categorización de las lesiones relacionadas con la dependencia. Serie Documentos Técnicos GNEAUPP n∘ II. Grupo Nacional para el Estudio y Asesoramiento en Úlceras por Presión y Heridas Crónicas. 2.a ed. Logroño: GNEAUPP; 2014 [citado 14 Abr 2016]. Disponible en: http://gneaupp.info/wp-content/uploads/2014/12/clasificacion-categorizacion-de-las-lesiones-relacionadas-con-la-dependencia-segunda-edicion.pdf.
- 7 National Pressure Ulcer Advisory Panel (NPUAP). [citado 2 Sep 2015]. Disponible en: http://www.npuap.org/.
- 8 Fuentelsaz Gallego, C., Validación de la escala EMINA© un instrumento de valoración del riesgo de desarrollar úlceras por presión en pacientes hospitalizados. Enfermería Clínica 11 (2001), 97–103.
- 9 Roca-Biosca, A., García-Fernández, F.P., Chacón-Garcés, S., Rubio-Rico, L., de Molina- Fernández, M.I., Anguera-Saperas, et al. Identificación y clasificación de las lesiones relacionadas con la dependencia: de la teoría a la práctica clínica. Gerokomos. 26 (2015), 58–62.
- 10 Torra i Bou, J.E., Rodríguez Palma, M., Soldevilla Agreda, J.J., García Fernández, F.P., Sarabia Lavín, R., Zabala Blanco, J., et al. Redefinición del concepto y del abordaje de las lesiones por humedad: Una propuesta conceptual y metodológica para mejorar el cuidado de las lesiones cutáneas asociadas a la humedad (LESCAH). Gerokomos. 24 (2013), 90–94.