J Korean Crit Care Nurs.  2023 Jun;16(2):28-41. 10.34250/jkccn.2023.16.2.28.

The Characteristics and Risk Factors of Medical Device Related Pressure Injury in Intensive Care Unit Patients

• Jo MH
• Choi HR

• KMID: 2543522
• DOI: http://doi.org/10.34250/jkccn.2023.16.2.28

Abstract

Purpose
: This study aimed to investigate the characteristics and risk factors associated with pressure injuries related to medical devices among patients admitted to the intensive care unit (ICU). Method : A retrospective study analyzed data from 462 ICU patients. Statistical analyses, including independent t-tests, Fisher’s exact tests, and logistic regression were performed to analyze the data.
Results
: Among the 154 subjects, there were a total of 198 medical device–related pressure injuries (MDRPI). Stage 2 and deep tissue pressure injuries were the most frequent. MDRPI occurred most frequently on the face, with nasogastric tubes being its leading cause, followed by endotracheal tubes. The risk factors for MDRPI included male sex (odds ratio [OR]=1.78, 95% confidence interval [CI]=1.12-2.83), department at the time of ICU admission (OR=4.29, 95% CI=2.01-9.15), post-surgery ICU admission (OR=0.43, 95% CI=0.25-0.73), application of extracorporeal membrane oxygenation machines (OR=2.72, 95% CI=1.06-6.95), number of medical devices (OR=1.16, 95% CI=1.05-1.30), inotropic drug administration (OR=2.33, 95% CI=1.19-4.60), and sedative use (OR=2.53, 95% CI=1.17-5.45).
Conclusion
: These results enable the determination of the characteristics and risk factors associated with MDRPI. It is crucial to acknowledge the risk factors for MDRPI in ICU patients and establish a prevention strategy.

Keyword

Intensive care unit, Medical devices, Pressure ulcer, Risk factors, Patients; 중환자실, 의료기기, 욕창, 위험요인, 환자