Document Detail


Intraoperatively acquired pressure ulcers and perioperative normothermia: a look at relationships.
MedLine Citation:
PMID:  22935254     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
The risk of developing an intraoperatively acquired pressure ulcer (IAPU), which is recognized as a significant complication of deep tissue injury occurrence, is associated with duration of surgery and patient positioning. There is a strong association between hypothermia, tissue viability, and surgical site infections; however, the relationship between hypothermia and pressure ulcers has not been fully explored. We examined the incidence of pressure ulcers in surgical patients and determined that there is a relationship between maintaining perioperative normothermia and a reduction in IAPU development. We used a retrospective, explanatory, nonexperimental design, and we fit a binary logistic model to the data. This study shows that patients at higher risk for developing an IAPU include those who are critically ill, have a low Braden Scale skin assessment score, are thin, and are male with at least a 1° F (1.8° C) drop in temperature. These are important risks for perioperative nurses to take into account during care of surgical patients. More perioperative research is needed to identify ways to reduce risk, provide close assessment of high-risk patients, and implement the identified risk-reduction strategies.
Authors:
Cynthia Fred; Sharon Ford; Doreen Wagner; Lewis Vanbrackle
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  AORN journal     Volume:  96     ISSN:  1878-0369     ISO Abbreviation:  AORN J     Publication Date:  2012 Sep 
Date Detail:
Created Date:  2012-08-31     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0372403     Medline TA:  AORN J     Country:  United States    
Other Details:
Languages:  eng     Pagination:  251-60     Citation Subset:  IM; N    
Copyright Information:
Copyright © 2012 AORN, Inc. Published by Elsevier Inc. All rights reserved.
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