| Protecting fragile skin: nursing interventions to decrease development of pressure ulcers in pediatric intensive care. | |
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MedLine Citation:
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PMID: 21196569 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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BACKGROUND: The reported incidence of pressure ulcers in critically ill infants and children is 18% to 27%. Patients at risk for pressure ulcers and nursing interventions to prevent the development of the ulcers have not been established. OBJECTIVES: To determine the incidence of pressure ulcers in critically ill children, to compare the characteristics of patients in whom pressure ulcers do and do not develop, and to identify prevention strategies associated with less frequent development of pressure ulcers. METHODS: Characteristics of 5346 patients in pediatric intensive care units in whom pressure ulcers did and did not develop were compared. Multiple logistic regression was used to determine which prevention strategies were associated with less frequent development of pressure ulcers. RESULTS: The overall incidence of pressure ulcers was 10.2%. Patients at greatest risk were those who were more than 2 years old; who were in the intensive care unit 4 days or longer; or who required mechanical ventilation, noninvasive ventilation, or extracorporeal membrane oxygenation. Strategies associated with less frequent development of pressure ulcers included use of specialty beds, egg crates, foam overlays, gel pads, dry-weave diapers, urinary catheters, disposable under-pads, body lotion, nutrition consultations, change in body position every 2 to 4 hours, blanket rolls, foam wedges, pillows, and draw sheets. CONCLUSIONS: The overall incidence of pressure ulcers among critically ill infants and children is greater than 10%. Nursing interventions play an important role in the prevention of pressure ulcers. |
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Authors:
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Christine A Schindler; Theresa A Mikhailov; Evelyn M Kuhn; Jean Christopher; Pat Conway; Debra Ridling; Annette M Scott; Vickie S Simpson |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't |
Journal Detail:
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Title: American journal of critical care : an official publication, American Association of Critical-Care Nurses Volume: 20 ISSN: 1937-710X ISO Abbreviation: Am. J. Crit. Care Publication Date: 2011 Jan |
Date Detail:
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Created Date: 2011-01-03 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9211547 Medline TA: Am J Crit Care Country: United States |
Other Details:
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Languages: eng Pagination: 26-34; quiz 35 Citation Subset: IM; N |
Affiliation:
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Department of Pediatrics, Medical College of Wisconsin, Children's Hospital and Health System, Milwaukee, 53201-1997, USA. cschindl@mcw.edu |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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