Evaluation of pressure ulcer development and risk factors in COVID-19 patients followed in the ICU

Authors : Ozlemoner ÖNER, Mehmet Çağatay GÜRKÖK, Mehmet Nuri YAKAR, Begüm ERGAN, Erdem YAKA, Necati GÖKMEN

Pages : 288-295

Doi:10.47582/jompac.1316995

View : 31 | Download : 55

Publication Date : 2023-08-30

Article Type : Research Paper

Abstract :Aims: In this study it was aimed to evaluate the causes of pressure ulcer development in COVID-19 patients followed in the intensive care unit insert ignore into journalissuearticles values(ICU);. Methods: Demographic data, comorbidities, laboratory parameters, treatment modalities and mortality rates of the patients were reviewed retrospectively from hospital records. In addition, Acute Physiology and Chronic Health Assessment insert ignore into journalissuearticles values(APACHE II);, Sequential Organ Failure Assessment insert ignore into journalissuearticles values(SOFA);, and modified NUTRIC scores were calculated. Braden scale was used for pressure ulcer evaluation. Results: Eighty COVID-19 patients were included in the study. Pressure ulcers insert ignore into journalissuearticles values(PU); were detected in 29 insert ignore into journalissuearticles values(36.25%); of the cases, and no pressure ulcer was detected in 51 insert ignore into journalissuearticles values(63.75%); cases. 54 insert ignore into journalissuearticles values(69.7%); of the patients were male, 26 insert ignore into journalissuearticles values(32.5%); were female, and the mean age was 69 insert ignore into journalissuearticles values(61-77);. The cases were divided into two groups according to the development of pressure ulcers. The APACHE II score was 24 insert ignore into journalissuearticles values(17-29); in the PU group and 18 insert ignore into journalissuearticles values(12-23); in the non-PU group insert ignore into journalissuearticles values(p=0.01);, the mNUTRIC score was 4 insert ignore into journalissuearticles values(3-5); in the PU group and 3 insert ignore into journalissuearticles values(2-4); in the non-PU group.); insert ignore into journalissuearticles values(p=0.023);, the Braden scale calculated at admission to the ICU was 11insert ignore into journalissuearticles values(10-13); in the PU group and 14insert ignore into journalissuearticles values(12-15); insert ignore into journalissuearticles values(p<0.001); in the non-PU group. A Braden scale score of <13 was found to be 22 insert ignore into journalissuearticles values(75.9); in the PU group and 14 insert ignore into journalissuearticles values(27.5); in the non-PU group, and 36 insert ignore into journalissuearticles values(45); patients in total insert ignore into journalissuearticles values(p<0.001);. Conclusion: The Braden Scale can be used in COVID-19 patients, since they are first admitted to the ICU, both for scoring the wound and predicting the insert ignore into journalissuearticles values(making a); prognosis quickly.
Keywords : COVID 19, Basınç yarası, Yoğun bakım ünitesi, Braden Ölçeği, Mortalite