Prevalence and Analysis of Medical Device-Related Pressure Injuries: Results from the International Pressure Ulcer Prevalence Survey
- 31 May 2018
- journal article
- research article
- Published by Ovid Technologies (Wolters Kluwer Health) in Advances in Skin & Wound Care
- Vol. 31 (6), 276-285
- https://doi.org/10.1097/01.ASW.0000532475.11971.aa
Abstract
OBJECTIVE: To examine the prevalence and characteristics of medical deviceYrelated 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.Keywords
This publication has 24 references indexed in Scilit:
- A prospective window into medical device‐related pressure ulcers in intensive careInternational Wound Journal, 2013
- Prevention of Tracheostomy-related Pressure Ulcers in ChildrenPEDIATRICS, 2012
- Medical device related pressure ulcers in hospitalized patientsInternational Wound Journal, 2010
- Incidence and risk factors of pressure ulcers in seven neonatal intensive care units in Japan: a multisite prospective cohort studyInternational Wound Journal, 2010
- The Demographics of Suspected Deep Tissue Injury in the United StatesAdvances in Skin & Wound Care, 2010
- Body Mass Index, Weight, and Pressure Ulcer PrevalenceJournal of Nursing Care Quality, 2009
- Factors Predicting Cervical Collar-Related Decubitus Ulceration in Major Trauma PatientsSpine, 2007
- PRESSURE ULCERS IN AMERICA: Prevalence, Incidence, and Implications for the FutureAdvances in Skin & Wound Care, 2001
- Insult after InjuryOrthopaedic Nursing, 1998
- Multisite Pressure Ulcer Prevalence SurveyAdvances in Skin & Wound Care, 1990