| Title: |
Related factors to semi-recumbent position compliance and pressure ulcers in patients with invasive mechanical ventilation: An observational study (CAPCRI study) |
| Authors: |
Mireia Llaurado-Serra; Marta Ulldemolins; Joan Fernandez-Ballart; Rosa Guell-Baro; Teresa Valentí-Trulls; Neus Calpe-Damians; Angels Piñol-Tena; Mercedes Pi-Guerrero; Cristina Paños-Espinosa; Alberto Sandiumenge; María F. Jimenez-Herrera; CAPCRI Study Group |
| Contributors: |
SEPSIS, INFLAMACIÓN Y SEGURIDAD; Grup de Recerca en Infermeria Avançada; Alimentació, Nutrició, Creixement i Salut Mental; Ciències Mèdiques Bàsiques; Infermeria; Universitat Rovira i Virgili |
| Source: |
International Journal of Nursing Studies ; https://www.sciencedirect.com/science/article/abs/pii/S0020748916300724 ; 10.1016/j.ijnurstu.2016.06.002 |
| Publication Year: |
2016 |
| Collection: |
Universitat Rovira i Virgili: Repositori institucional URV |
| Subject Terms: |
Úlceres; Úlceres -- Tractament; Patient positioning; ventilator-associated pneumonia; Infermeria; Infermería |
| Subject Geographic: |
Anglès |
| Time: |
0020-7489 |
| Description: |
Filiació URV: SI ; Background Semi-recumbent position is recommended to prevent ventilator-associated pneumonia. Its implementation, however, is below optimal. Objectives We aimed to assess real semi-recumbent position compliance and the degree of head-of-bed elevation in Spanish intensive care units, along with factors determining compliance and head-of-bed elevation and their relationship with the development of pressure ulcers. Finally, we investigated the impact that might have the diagnosis of pressure ulcers in the attitude toward head-of-bed elevation. Methods We performed a prospective, multicenter, observational study in 6 intensive care units. Inclusion criteria were patients ≥18 years old and expected to remain under mechanical ventilator for ≥48 h. Exclusion criteria were patients with contraindications for semi-recumbent position from admission, mechanical ventilation during the previous 7 days and prehospital intubation. Head-of-bed elevation was measured 3 times/day for a maximum of 28 days using the BOSCH GLM80® device. The variables collected related to patient admission, risk of pressure ulcers and the measurements themselves. Bivariate and multivariate analyses were carried out using multiple binary logistic regression and linear regression as appropriate. Statistical significance was set at p < 0.05. All analyses were performed with IBM SPSS for Windows Version 20.0. Results 276 patients were included (6894 measurements). 45.9% of the measurements were |
| Document Type: |
article in journal/newspaper |
| File Description: |
464 kb |
| Language: |
unknown |
| Relation: |
http://hdl.handle.net/20.500.11797/PC1794 |
| Availability: |
https://hdl.handle.net/20.500.11797/PC1794 |
| Rights: |
openAccess |
| Accession Number: |
edsbas.2EC72F0B |
| Database: |
BASE |