PMID- 26932918
OWN - NLM
STAT- MEDLINE
DCOM- 20170111
LR  - 20170112
IS  - 1937-710X (Electronic)
IS  - 1062-3264 (Linking)
VI  - 25
IP  - 2
DP  - 2016 Mar
TI  - A Model of Pressure, Oxygenation, and Perfusion Risk Factors for Pressure Ulcers 
      in the Intensive Care Unit.
PG  - 156-64
LID - 10.4037/ajcc2016840 [doi]
AB  - BACKGROUND: Although most intensive care patients are at risk for pressure
      ulcers, not all experience such ulcers. OBJECTIVE: To examine a model of
      variables related to extrinsic and intrinsic pressure on skin and underlying
      tissues, oxygenation, perfusion, and baseline comorbid conditions to identify
      risk factors associated with pressure ulcers in critically ill adults. METHOD: A 
      retrospective chart review was conducted on patients identified by weekly rounds 
      from January 2010 through October 2010 to determine the prevalence of pressure
      ulcers. Variables were analyzed via bivariate analysis and logistic regression
      for unit-acquired pressure ulcers. RESULTS: Data on 345 patients with 436
      intensive care admissions were reviewed. Variables were significant in each model
      category at P < .05. In the regression analysis of first admission only (n =
      306), the model was significant (P < .001) and yielded correct classification of 
      86.3% of patients. For all intensive care admissions (n = 391), the model was
      significant (P < .001) and yielded correct classification of 83.9% of patients.
      In both models, 4 of the same variables were significant: any transport off the
      unit, number of days to bed change, systolic blood pressure less than 90 mm Hg,
      and use of more than 1 vasopressor. History of pulmonary disease and presence of 
      a feeding tube were also significant in regression analyses. CONCLUSIONS: Several
      variables within the model of pressure, oxygenation, and perfusion were
      significantly associated with development of pressure ulcers.
CI  - (c)2016 American Association of Critical-Care Nurses.
FAU - Bly, Deborah
AU  - Bly D
AD  - Deborah Bly is a staff nurse in the medical intensive care unit, Marilyn Schallom
      is a clinical nurse specialist and research scientist in the Department of
      Research for Patient Care Services, Carrie Sona is a clinical nurse specialist in
      the surgical intensive care unit, and Dean Klinkenberg is lead statistical
      analyst in the Department of Research for Patient Care Services, Barnes-Jewish
      Hospital at Washington University, St Louis, Missouri. dcb9106@bjc.org.
FAU - Schallom, Marilyn
AU  - Schallom M
AD  - Deborah Bly is a staff nurse in the medical intensive care unit, Marilyn Schallom
      is a clinical nurse specialist and research scientist in the Department of
      Research for Patient Care Services, Carrie Sona is a clinical nurse specialist in
      the surgical intensive care unit, and Dean Klinkenberg is lead statistical
      analyst in the Department of Research for Patient Care Services, Barnes-Jewish
      Hospital at Washington University, St Louis, Missouri.
FAU - Sona, Carrie
AU  - Sona C
AD  - Deborah Bly is a staff nurse in the medical intensive care unit, Marilyn Schallom
      is a clinical nurse specialist and research scientist in the Department of
      Research for Patient Care Services, Carrie Sona is a clinical nurse specialist in
      the surgical intensive care unit, and Dean Klinkenberg is lead statistical
      analyst in the Department of Research for Patient Care Services, Barnes-Jewish
      Hospital at Washington University, St Louis, Missouri.
FAU - Klinkenberg, Dean
AU  - Klinkenberg D
AD  - Deborah Bly is a staff nurse in the medical intensive care unit, Marilyn Schallom
      is a clinical nurse specialist and research scientist in the Department of
      Research for Patient Care Services, Carrie Sona is a clinical nurse specialist in
      the surgical intensive care unit, and Dean Klinkenberg is lead statistical
      analyst in the Department of Research for Patient Care Services, Barnes-Jewish
      Hospital at Washington University, St Louis, Missouri.
LA  - eng
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
PL  - United States
TA  - Am J Crit Care
JT  - American journal of critical care : an official publication, American Association
      of Critical-Care Nurses
JID - 9211547
RN  - S88TT14065 (Oxygen)
SB  - IM
SB  - N
MH  - Blood Pressure
MH  - Critical Care/*methods
MH  - Critical Illness
MH  - Female
MH  - *Hemodynamics
MH  - Humans
MH  - Inpatients/statistics & numerical data
MH  - Intensive Care Units
MH  - Male
MH  - Middle Aged
MH  - *Models, Theoretical
MH  - Oxygen/*metabolism
MH  - Pressure Ulcer/*metabolism/*prevention & control
MH  - Retrospective Studies
MH  - Risk Assessment/methods/statistics & numerical data
MH  - Risk Factors
EDAT- 2016/03/05 06:00
MHDA- 2017/01/12 06:00
CRDT- 2016/03/03 06:00
PHST- 2016/03/03 06:00 [entrez]
PHST- 2016/03/05 06:00 [pubmed]
PHST- 2017/01/12 06:00 [medline]
AID - 25/2/156 [pii]
AID - 10.4037/ajcc2016840 [doi]
PST - ppublish
SO  - Am J Crit Care. 2016 Mar;25(2):156-64. doi: 10.4037/ajcc2016840.