Prevalence of skin pressure injury in critical care patients in the UK: results of a single-day point prevalence evaluation in adult critically ill patients.

Journal article


Rubulotta F, Brett S, Boulanger C, Blackwood B, Deschepper M, Labeau SO, Blot S, UK Collaborating Site Investigators, DecubICUs study team and the European Society of Intensive Care Medicine Trials’ Group UK Collaborators and Bench, S. (2022). Prevalence of skin pressure injury in critical care patients in the UK: results of a single-day point prevalence evaluation in adult critically ill patients. BMJ Open. 12 (11), p. e057010. https://doi.org/10.1136/bmjopen-2021-057010
AuthorsRubulotta F, Brett S, Boulanger C, Blackwood B, Deschepper M, Labeau SO, Blot S, UK Collaborating Site Investigators, DecubICUs study team and the European Society of Intensive Care Medicine Trials’ Group UK Collaborators and Bench, S.
Abstract

Objectives Hospital-acquired pressure injuries (PIs) are a source of morbidity and mortality, and many are potentially preventable.

Design This study prospectively evaluated the prevalence and the associated factors of PIs in adult critical care patients admitted to intensive care units (ICU) in the UK.

Setting This service evaluation was part of a larger, international, single-day point prevalence study of PIs in adult ICU patients. Training was provided to healthcare givers using an electronic platform to ensure standardised recognition and staging of PIs across all sites.

Participants The characteristics of the ICUs were recorded before the survey; deidentified patient data were collected using a case report form and uploaded onto a secure online platform.

Primary and secondary outcome measures Factors associated with ICU-acquired PIs in the UK were analysed descriptively and using mixed multiple logistic regression analysis.

Results Data from 1312 adult patients admitted to 94 UK ICUs were collected. The proportion of individuals with at least one PI was 16% (211 out of 1312 patients), of whom 8.8% (n=115/1312) acquired one or more PIs in the ICU and 7.3% (n=96/1312) prior to ICU admission. The total number of PIs was 311, of which 148 (47.6%) were acquired in the ICU. The location of majority of these PIs was the sacral area, followed by the heels. Braden score and prior length of ICU stay were associated with PI development.

Conclusions The prevalence and the stage of severity of PIs were generally low in adult critically ill patients admitted to participating UK ICUs during the study period. However, PIs are a problem in an important minority of patients. Lower Braden score and longer length of ICU stay were associated with the development of injuries; most ICUs assess risk using tools which do not account for this.

Year2022
JournalBMJ Open
Journal citation12 (11), p. e057010
PublisherBMJ
ISSN2044-6055
Digital Object Identifier (DOI)https://doi.org/10.1136/bmjopen-2021-057010
Web address (URL)http://europepmc.org/abstract/med/36418122
Publication dates
Online23 Nov 2022
Publication process dates
Accepted30 Oct 2022
Deposited09 Dec 2022
Publisher's version
License
File Access Level
Open
Permalink -

https://openresearch.lsbu.ac.uk/item/92w99

Download files


Publisher's version
e057010.full.pdf
License: CC BY-NC 4.0
File access level: Open

  • 49
    total views
  • 32
    total downloads
  • 4
    views this month
  • 7
    downloads this month

Export as

Related outputs

Implementing a discharge process for patients undergoing elective surgery: Rapid review
Bench, S., Cardoso Teixeira, M., Khouri, M. and Martinez, E. (2023). Implementing a discharge process for patients undergoing elective surgery: Rapid review. International Journal of Orthopaedic and Trauma Nursing. 48, p. 101001. https://doi.org/10.1016/j.ijotn.2023.101001
Non-pharmacological interventions for self-management of fatigue in adults: an umbrella review of potential interventions to support patients recovering from critical illness
Brown, S.E., Shah, A., Czuber-Dochan, W., Bench, S. and Stayt, L. (2023). Non-pharmacological interventions for self-management of fatigue in adults: an umbrella review of potential interventions to support patients recovering from critical illness . Journal of Critical Care. 75, p. 154279. https://doi.org/10.1016/j.jcrc.2023.154279
Overcoming the challenges of recruiting and interviewing research participants following critical illness due to Covid-19.
James, A., Thomas, N. and Bench, S. (2023). Overcoming the challenges of recruiting and interviewing research participants following critical illness due to Covid-19. Nurse Researcher. https://doi.org/10.7748/nr.2023.e1854
Nurses' perceptions of point of care testing in critical care: A cross‐sectional survey
Bench, S. and Lennox, S. (2022). Nurses' perceptions of point of care testing in critical care: A cross‐sectional survey. Nursing in Critical Care. 29 (1), pp. 99-106. https://doi.org/10.1111/nicc.12869
Failure Mode and Effects Analysis (FMEA) at the preanalytical phase for POCT blood gas analysis: proposal for a shared proactive risk analysis model.
Van Hoof V, Bench S, Soto AB, Luppa PP, Malpass A, Schilling UM, Rooney KD, Stretton A and Tintu AN (2022). Failure Mode and Effects Analysis (FMEA) at the preanalytical phase for POCT blood gas analysis: proposal for a shared proactive risk analysis model. Clinical chemistry and laboratory medicine. 60 (8). https://doi.org/10.1515/cclm-2022-0319
Learning from COVID-19: Cross-sectional e-survey of critical care nurses' satisfaction and experiences of their role in the pandemic response across the United Kingdom.
Stayt LC, Bench S, Credland N and Plowright C (2022). Learning from COVID-19: Cross-sectional e-survey of critical care nurses' satisfaction and experiences of their role in the pandemic response across the United Kingdom. Nursing in Critical Care. https://doi.org/10.1111/nicc.12850
Patients’ perspectives of recovery after COVID-19 critical illness; an interview study
Bench, S., Cherry, H., Hodson, M., James, A., McGuinness, N., Parker, G. and Thomas, N. (2022). Patients’ perspectives of recovery after COVID-19 critical illness; an interview study. Nursing in Critical Care. https://doi.org/10.1111/nicc.12867
Research behind a webcam: an exploration of virtual interviewing with children and young people.
Bichard, E., McKeever, S., Wray, J. and Bench, S. (2022). Research behind a webcam: an exploration of virtual interviewing with children and young people. Nurse Researcher. 30 (4), pp. 39-46. https://doi.org/10.7748/nr.2022.e1857
‘Doing the best we can’: Registered Nurses' experiences and perceptions of patient safety in intensive care during COVID-19
Stayt, L.C., Merriman, C., Bench, S., Price, A.M., Vollam, S., Walthall, H., Credland, N., Gerber, K. and Calovski, V. (2022). ‘Doing the best we can’: Registered Nurses' experiences and perceptions of patient safety in intensive care during COVID-19. Journal of Advanced Nursing. 78 (10), pp. 3371-3384. https://doi.org/10.1111/jan.15419
Recovery, rehabilitation and follow-up services following critical illness: an updated UK national cross-sectional survey and progress report.
Connolly B, Milton-Cole R, Adams C, Battle C, McPeake J, Quasim T, Silversides J, Slack A, Waldmann C, Wilson E, Meyer J, Faculty of Intensive Care Medicine Life After Critical Illness Working Group and Bench, S. (2021). Recovery, rehabilitation and follow-up services following critical illness: an updated UK national cross-sectional survey and progress report. BMJ Open. 11, p. e052214. https://doi.org/10.1136/bmjopen-2021-052214
Education provision for patients following a spinal cord injury
Rodger, S and Bench, S. (2019). Education provision for patients following a spinal cord injury. British Journal of Nursing. 28 (6), pp. 377-381. https://doi.org/10.12968/bjon.2019.28.6.377
A rapid review of educational preparedness of advanced clinical practitioners.
Dover N, Lee GA, Raleigh M, Baker EJ, Starodub R, Bench S and Garry B (2019). A rapid review of educational preparedness of advanced clinical practitioners. Journal of Advanced Nursing. https://doi.org/10.1111/jan.14105
Orthopaedic nurses' engagement in clinical research; an exploration of ideas, facilitators and challenges.
Bench S, Dowie-Baker JA and Fish P (2019). Orthopaedic nurses' engagement in clinical research; an exploration of ideas, facilitators and challenges. International Journal of Orthopaedic and Trauma Nursing. 35, p. 100699. https://doi.org/10.1016/j.ijotn.2019.04.002
Use of a Virtual Reality device for basic life support training; prototype testing and an exploration of users' views and experience
Bench, S., Winter, C. and Francis, G (2019). Use of a Virtual Reality device for basic life support training; prototype testing and an exploration of users' views and experience. Simulation in Healthcare. 14 (5), pp. 287-292. https://doi.org/10.1097/SIH.0000000000000387