Risk factors for pressure injury in critically ill polytraumatized patients: A systematic review
DOI:
https://doi.org/10.36489/saudecoletiva.2022v12i82p11766-11781Keywords:
Multiple Trauma, Risk factors, Pressure Injury, Critical Care, Nursing careAbstract
Objective: To identify, in the literature, risk factors related to the development of pressure injuries in critically ill polytraumatized patients. Method: Systematic literature review. The PICO strategy was used to define the research question. The collected studies were selected by 3 independent researchers using the Rayyan QCRI platform, with the eligibility criteria being published in Portuguese, English and Spanish and available electronically. Results: The sample consisted of 3 articles that met the objective. The risk factor common to the three studies was hypoxia, possibly due to hypovolemia or the need for mechanical ventilation. Immobility, the use of vasoactive substances, changes in temperature and the patient's nutritional condition were also evidenced factors related to pressure injuries in these patients. Conclusion: The increased risk of pressure injury in this population should be further explored to define effective care strategies to prevent this complication.
References
National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers/injuries clinical practice guideline [Internet]. 2019 [cited 2022 Jun 20]. Available from: https://www.biosanas.com.br/uploads/outros/artigos_cientificos/127/956e02196892d7140b9bb3cdf116d13b.pdf
Pachá HHP, Faria JIL, Oliveira KA de, Beccaria LM. Pressure Ulcer in Intensive Care Units: a case-control study. Rev Bras Enferm [Internet]. 2018 Dec;71(6):3027–34. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672018000603027&lng=en&tlng=en
Padula WV, Pronovost PJ, Makic MBF, Wald HL, Moran D, Mishra MK, et al. Value of hospital resources for effective pressure injury prevention: a cost-effectiveness analysis. BMJ Qual Saf [Internet]. 2019 Feb;28(2):132–41. Available from: https://qualitysafety.bmj.com/lookup/doi/10.1136/bmjqs-2017-007505
Brasil. Relatório da Avaliação Nacional das Práticas de Segurança do Paciente em Serviços de Saúde [Internet]. Brasília - DF; 2022 [cited 2022 Jun 20]. Available from: https://www.gov.br/anvisa/pt-br/centraisdeconteudo/publicacoes/servicosdesaude/publicacoes/relatorio-da-avaliacao-nacional-das-praticas-de-seguranca-do-paciente-2021
Teixeira AKS, Nascimento T da S, Sousa ITL de, Sampaio LRL, Pinheiro ARM. Incidência de lesões por pressão em Unidade de Terapia Intensiva em hospital com acreditação. Rev Estima [Internet]. 2017 Sep;15(2):152–60. Available from: http://www.revistaestima.com.br/index.php/estima/article/view/545
González-Méndez MI, Lima-Serrano M, Martín-Castaño C, Alonso-Araujo I, Lima-Rodríguez JS. Incidence and risk factors associated with the development of pressure ulcers in an intensive care unit. J Clin Nurs [Internet]. 2018 Mar;27(5–6):1028–37. Available from: https://onlinelibrary.wiley.com/doi/10.1111/jocn.14091
Galetto SG da S, Nascimento ERP do, Hermida PMV, Malfussi LBH de. Medical Device-Related Pressure Injuries: an integrative literature review. Rev Bras Enferm [Internet]. 2019 Apr;72(2):505–12. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000200505&tlng=en
Cartaya JAE, Payamps RAC, Acosta JRP, Fernández ZR. Algunas consideraciones en torno a la atención del paciente politraumatizado. Rev Cuba Med Mil [Internet]. 2017 [cited 2022 Jun 20];46(2):177–89. Available from: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0138-65572017000200008&lng=es&nrm=iso
James SL, Abate D, Abate KH, Abay SM, Abbafati C, Abbasi N, et al. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet [Internet]. 2018 Nov;392(10159):1789–858. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0140673618322797
Lentsck MH, Sato APS, Mathias TA de F. Epidemiological overview – 18 years of ICU hospitalization due to trauma in Brazil. Rev Saude Publica [Internet]. 2019 Sep 27;53:83. Available from: http://www.revistas.usp.br/rsp/article/view/162707
Silva DRA, Bezerra SMG, Costa JP, Luz MHBA, Lopes VCA, Nogueira LT. Pressure ulcer dressings in critical patients: a cost analysis. Rev da Esc Enferm da USP [Internet]. 2017;51. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0080-62342017000100428&lng=en&tlng=en
Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev [Internet]. 2016 Dec 5;5(1):210. Available from: http://systematicreviewsjournal.biomedcentral.com/articles/10.1186/s13643-016-0384-4
Moher D, Liberati A, Tetzlaff J, Altman DG, PRISMA Group. Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Med [Internet]. 2009 Jul 21 [cited 2018 Dec 27];6(7):e1000097. Available from: http://www.ncbi.nlm.nih.gov/pubmed/19621072
Oxford Centre for Evidence-Based Medicine. Levels of Evidence [Internet]. Oxford; 2011 [cited 2022 Jun 27]. Available from: https://www.cebm.net/wp-content/uploads/2014/06/CEBM-Levels-of-Evidence-2.1.pdf
The Joanna Briggs Institute.. JBI Manual for Evidence Synthesis [Internet]. Aromataris E, Munn Z, editors. JBI; 2020 [cited 2022 jun 22]. Available from: https://wiki.jbi.global/display/MANUAL
Reed DA, Beckman TJ, Wright SM, Levine RB, Kern DE, Cook DA. Predictive Validity Evidence for Medical Education Research Study Quality Instrument Scores: Quality of Submissions to JGIM’s Medical Education Special Issue. J Gen Intern Med [Internet]. 2008 Jul 10;23(7):903–7. Available from: http://link.springer.com/10.1007/s11606-008-0664-3
Fontaine G, Cossette S, Maheu-Cadotte MA, Mailhot T, Heppell S, Roussy C, et al. Behavior change counseling training programs for nurses and nursing students: A systematic descriptive review. Nurse Educ Today [Internet]. 2019 Nov;82:37–50. Available from: https://linkinghub.elsevier.com/retrieve/pii/S0260691719305775
Bry KE, Buescher D, Sandrik M. Never Say Never. J Wound, Ostomy Cont Nurs [Internet]. 2012 May;39(3):274–81. Available from: https://journals.lww.com/00152192-201205000-00009
Higgins J, Casey S, Taylor E, Wilson R, Halcomb P. Comparing the Braden and Jackson/Cubbin Pressure Injury Risk Scales in Trauma-Surgery ICU Patients. Crit Care Nurse [Internet]. 2020 Dec 1;40(6):52–61. Available from: https://aacnjournals.org/ccnonline/article/40/6/52/31230/Comparing-the-Braden-and-JacksonCubbin-Pressure
López MCB. Relación del apache II con el desarrollo de úlcera por presión en pacientes críticos por trauma. Rev Cubana Enferm. 2015 [citado 22 Jun 2022];30(2). Disponible em: http://www.revenfermeria.sld.cu/index.php/enf/article/view/622
Mendonça PK, Loureiro MDR, Frota OP, Souza AS de. Prevenção de lesão por pressão: ações prescritas por enfermeiros de centros de terapia intensiva. Texto Context - Enferm [Internet]. 2018;27(4). Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0104-07072018000400310&tlng=pt
Ramos RP. How can anemia negatively influence gas exchange? J Bras Pneumol [Internet]. 2017 Feb;43(1):1–2. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1806-37132017000100001&lng=en&tlng=en
Praça WR, Brandão Matos MC, Magro MC da S, Hermann PR de S. Perfil epidemiológico e clínico de vítimas de trauma em um hospital do Distrito Federal, Brasil. Rev Prevenção Infecção e Saúde [Internet]. 2017 Sep 4;3(1):1. Available from: http://www.ojs.ufpi.br/index.php/nupcis/article/view/6219
Carcinoni M, Caliri MHL, Nascimento MS do. Ocorrência de úlcera de pressão em indivíduos com lesão traumática da medula espinhal. Rev Min Enferm [Internet]. 2005 [cited 2022 Jun 22];9(1):24–34. Available from: https://cdn.publisher.gn1.link/reme.org.br/pdf/v9n1a05.pdf
Ham WH, Schoonhoven L, Schuurmans MJ, Leenen LP. Pressure ulcers in trauma patients with suspected spine injury: a prospective cohort study with emphasis on device-related pressure ulcers. Int Wound J [Internet]. 2017 Feb;14(1):104–11. Available from: https://onlinelibrary.wiley.com/doi/10.1111/iwj.12568
Silva ML, Oliveira SHS, Diniz ERS, Costa MML, Farias MCAD, Soares MJGO. Medical conditions and risk associated with pressure ulcers. Int Arch Med [Internet]. 2016;9(48):1–6. Available from: http://imed.pub/ojs/index.php/iam/article/view/1514
Jesus MAP, Pires PS, Biondo CS, Matos RM. Incidência de lesão por pressão em pacientes internados e fatores de risco associados. Rev Baiana Enfermagem [Internet]. 2020 Oct 5;34. Available from: https://portalseer.ufba.br/index.php/enfermagem/article/view/36587
Dutra HS, Reis VN dos. Desenhos de estudos experimentais e quase-experimentais: definições e desafios na pesquisa em enfermagem. Rev enferm UFPE line. 2016;10(6):2230–41.
Cant RP, Levett-Jones T, James A. Do Simulation Studies Measure up? A Simulation Study Quality Review. Clin Simul Nurs [Internet]. 2018 Aug;21:23–39. Available from: https://linkinghub.elsevier.com/retrieve/pii/S1876139918300707
