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Sor­rorigens Wounds, Their Identification and Treatment Proces­s


Authors: A. Pokorná 1;  S. Saibertová 1;  R. Velichová 2;  S.vasmanská 1
Authors‘ workplace: Katedra ošetřovatelství, LF MU, Brno 1;  Institut biostatistiky a analýz, LF MU, Brno 2
Published in: Cesk Slov Neurol N 2016; 79/112(Supplementum1): 31-36
Category: Original Paper
doi: https://doi.org/10.14735/amcsnn2016S31

Overview

Aim:
The aim of this study was to analyse the incidence of iatrogenic and sor rorigenic wounds in patients hospitalised at intensive care units.

Material and methods:
A 4-month multicentric observational descriptive study. Statistical analyses were performed us ing IBM SPSS Statistics for Windows, Version 22.0.0.1. In total, eight units in six diff erent university and regional hospitals in South Moravia and Vysocina regions were involved (six anaesthesiology and resuscitation units and two intensive care units). The study involved all patients hospitalised dur ing a four-month period at the participat ing units.

Results:
A sor rorigenic wound was identified in 129 of 767 hospitalized patients (46.5% female and 53.5% male). The mean age of patients was 64.1 years (SD 15.5). In total, 169 wounds were observed, the majority of which occured dur ing hospitalisation at a participating unit (62.1%) and were identified by nurses (98.8%). The majority of patients had just one wound (78.3%). Pres sure sores were the most frequent (34.9%), fol lowed by excoriations (23.1%) and incontinence-as sociated dermatitis (12.4%). Extensive bruis ing (3.0%) and burns (1.8%) were the least frequent. The wounds were documented (96.4%), includ ing photography (79.3%) but only in 30.8% as an adverse event.

Conclusion:
Iatrogenic and sor rorigenic wounds increase cost of care, prolong hospitalisation even though they are mostly preventable. We verified statistical diff erences in preventive strategies before and after a wound dia gnosis (p = 0.012) as well as associations between the main cause of a wound and its type (p < 0.05; except the inappropriate intervention category). We confi rmed the importance of preventive actions.

Key words:
iatrogenic – sorrorigenic – wound – intensive care – nursing – prevention

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.


Sources

1. Lee TG, Chung S, Chung YK. A retrospective review of iatrogenic skin and soft tis­sue injuries. Arch Plast Surg 2012;39(4):412– 6. doi: 10.5999/ aps.2012.39.4.412.

2. Koutná M, Pokorná A, Ulrych O. Hojení ran v intenzivní péči I. Hojení Ran 2012;6(3):22– 7.

3. Koutná M., Pokorná A. Hojení ran v intenzivní péči IV. Hojení Ran 2013;7(1):3– 10.

4. Mareš J, Pečenková J, Spoustová V. Iatropatogenie a sororigenie aneb jak lze poškozovat člověka. 2. vyd. Praha: Vysoká škola J. A. Komenského 2002.

5. Compromised Wounds in Canada. Canadian Institute for Health information and Statistic 2013. [online]. Avail­able z URL: https:/ / secure.cihi.ca/ free_products/ AiB_Compromised_Wounds_EN.pdf 6.

6. Cheng CE, Kroshinsky D. Iatrogenic skin injury in hospitalized patients. Clin Dermatol 2011;29(6):622– 32. doi: 10.1016/ j.clindermatol.2011.08.006.

7. Moreo K. Understand­ing and overcom­ing the chal­lenges of ef­fective case management for patients with chronic wounds. Case Manager 2005;16(2):62– 3,67. doi: 10.1016/ j.casemgr.2005.01.014.

8. Augustin M, Maier K. Psychosomatic Aspects of Chronic Wounds. Dermatol Psychosom 2003;4:5– 13. doi: 10.1159/ 000070529.

9. Black JM, Edsberg LE, Baharestani MM, et al. Pres­sure ulcers: avoidable or unavoidable? Results of the National Pres­sure Ulcer Advisory Panel Consensus Conference. Ostomy Wound Manag 2011;57(2):24– 37.

10. Edsberg LE, Langemo D, Baharestani MM, et al. Un­avoidable pres­sure injury: state of the science and consensus outcomes. J Wound Ostomy Continence Nurs 2014;41(4):313– 34. doi: 10.1097/ WON.0000000000000050.

11. Nanjo Y, Nakagami G, Kaitani T, et al. Relationship between morphological characteristicsand etiology of pres­sure ulcers in intensive care unit patients. J Wound Ostomy Continence Nurs 2011;38(4):404– 12. doi: 10.1097/ WON.0b013e318220b6bc.

12. Brienza D, Antokal S, Herbe L, et al. A.Friction-induced skin injuries-are they pres­sure ulcers? An updated NPUAP white paper. J Wound Ostomy Continence Nurs 2015;42(1):62– 4. doi: 10.1097/ WON.0000000000000102.

13. Beeckman D, Campbell J, Campbell K. et al. Proceedings of the Global IAD Expert Panel. Incontinence as­sociated dermatitis: mov­ing prevention forward. [online]. Available from URL: www.woundsinternational.com.

14. Krajčíková N, Pokorná A. Problematika dermatitidy při inkontinenci moči a/ nebo stolice. Česká Dermatovenerologie 2016;6(1):57– 60.

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Paediatric neurology Neurosurgery Neurology
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