Korean J Adult Nurs.  2015 Jun;27(3):347-357. 10.7475/kjan.2015.27.3.347.

Pressure Ulcer Prevalence and Risk Factors at the Time of Intensive Care Unit Admission

• Kwak HR
• Kang J

• KMID: 2298124
• DOI: http://doi.org/10.7475/kjan.2015.27.3.347

Abstract

PURPOSE
This study was conducted to assess the prevalence rate of, and the risk factors for pressure ulcers in critical patients at the time of intensive care unit (ICU) admission.
METHODS
We reviewed the electronic medical records of 2,107 patients who were admitted to the intensive care units in D university hospital between January 1 and December 31, 2012. The collected date were analyzed by chi2-test, t-test, and multi-variate logistic regression with forward stepwise selection using the SPSS program version 21.
RESULTS
The prevalence rate of pressure ulcers at the ICU admission was 23.7%. Risk factors significantly affecting pressure ulcers carrying were the age of 80 years or older (OR=3.70, 95% CI: 1.80~7.60), body weight less than 50 kg (OR=2.82, 95% CI: 1.74~4.56), sedated consciousness (OR=6.10, 95% CI: 3.57~10.40), use of ventilator (OR=1.60, 95% CI: 1.02~2.49), use of vasopressors (OR=1.53, 95% CI: 1.09~2.14), ICU admission via operation room (OR=0.49, 95% CI: 0.29~0.85), and hospital admission from nursing homes (OR=13.65, 95% CI: 3.02~61.72).
CONCLUSION
The findings of this study suggested that the prevention efforts for pressure ulcers should be given in prior to ICU admission. Further research is necessary for developing nursing interventions for preventing pressure ulcers in the pre-ICU stage.

MeSH Terms

Body Weight
Consciousness
Electronic Health Records
Humans
Intensive Care Units*
Logistic Models
Nursing
Nursing Homes
Patient Admission
Pressure Ulcer*
Prevalence*
Risk Factors*
Ventilators, Mechanical

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