Document Detail

Risk factors associated with pressure ulcers in the pediatric intensive care unit.
MedLine Citation:
PMID:  15851859     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To identify risk factors that are associated with the development of pressure ulcers in children admitted to the pediatric intensive care unit (PICU). DESIGN: Case control study with no interventions held in a 30-bed PICU of Texas Children's Hospital, Houston. SETTING AND SUBJECTS: The study included 59 patients who developed pressure ulcers in the PICU and 59 patients who were critically ill who did not develop pressure ulcers during the same time period. INSTRUMENTS: Risk assessment data collection tool and Braden scale. METHODS: A comparison was done to identify risk factors between 2 groups of pediatric patients with and without pressure ulcers. A 45-indicator assessment tool was used. Physical assessment including staging of pressure ulcers was performed. RESULTS: Risk factors associated with pressure ulcers include edema (P = .0016), length of stay > 96 hours (P = .001), increasing positive end expiratory pressure (P = .002), not turning the patient or use of a specialty bed in the turning mode (P = .0001), and weight loss (P < .0001). CONCLUSIONS: The presence of edema, increasing length of stay, patients on increasing positive-end expiratory pressure, not turning the patient, use of a specialty bed in the turning mode, and weight loss are associated with the increased risk of development of pressure ulcers in patients in the PICU.
Shannon McCord; Virginia McElvain; Ramesh Sachdeva; Pat Schwartz; Larry S Jefferson
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society / WOCN     Volume:  31     ISSN:  1071-5754     ISO Abbreviation:  J Wound Ostomy Continence Nurs     Publication Date:    2004 Jul-Aug
Date Detail:
Created Date:  2005-04-26     Completed Date:  2005-06-02     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  9435679     Medline TA:  J Wound Ostomy Continence Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  179-83     Citation Subset:  N    
Texas Children's Hospital, Houston, TX, USA.
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MeSH Terms
Case-Control Studies
Child, Preschool
Infant, Newborn
Intensive Care Units, Pediatric*
Nursing Assessment
Pressure Ulcer / etiology*,  nursing,  prevention & control
Risk Assessment / methods*
Risk Factors

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