Using Pressure Mapping to Optimize Hospital-Acquired Pressure Injury Prevention Strategies in the Burn Intensive Care Unit.

Journal of Burn Care & Research : Official Publication of the American Burn Association
Pooja S YesantharaoJulie Caffrey

Abstract

Although prior studies have demonstrated the utility of real-time pressure mapping devices in preventing pressure ulcers, there has been little investigation of their efficacy in burn intensive care unit (BICU) patients, who are at especially high risk for these hospital-acquired injuries. This study retrospectively reviewed clinical records of BICU patients to investigate the utility of pressure mapping data in determining the incidence, predictors, and associated costs of hospital-acquired pressure injuries (HAPIs). Of 122 patients, 57 (47%) were studied prior to implementation of pressure mapping and 65 (53%) were studied after implementation. The HAPI rate was 18% prior to implementation of pressure monitoring, which declined to 8% postimplementation (chi square: P = .10). HAPIs were less likely to be stage 3 or worse in the postimplementation cohort (P < .0001). On multivariable-adjusted regression accounting for known predictors of HAPIs in burn patients, having had at least 12 hours of sustained pressure loading in one area significantly increased odds of developing a pressure injury in that area (odds ratio 1.3, 95% CI 1.0-1.5, P = .04). Patients who developed HAPIs were significantly more likely to have had unsuccessfu...Continue Reading

References

Dec 8, 2010·Wound Repair and Regeneration : Official Publication of the Wound Healing Society [and] the European Tissue Repair Society·Shayna E RichMona Baumgarten
Sep 12, 2012·Journal of Burn Care & Research : Official Publication of the American Burn Association·Giavonni M LewisNicole S Gibran
Nov 29, 2016·Critical Care Nursing Quarterly·Julia WarnerJacqueline Collavo
Apr 7, 2017·International Journal of Nursing Studies·Jenny AlderdenJoAnne Whitney
Nov 28, 2018·Burns : Journal of the International Society for Burn Injuries·Lyndsay DeeterNicole S Gibran
Jun 20, 2019·Journal of Clinical Nursing·Sharon LatimerBrigid M Gillespie

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