TY - JOUR
T1 - Pressure injury prevalence and risk factors in Chinese adult intensive care units
T2 - A multi-centre prospective point prevalence study
AU - Lin, Frances Fengzhi
AU - Liu, Yu
AU - Wu, Zijing
AU - Li, Jing
AU - Ding, Yanming
AU - Li, Chunyan
AU - Jiang, Zhixia
AU - Yang, Jing
AU - Wang, Kefang
AU - Gao, Jie
AU - Li, Xiaohan
AU - Xia, Xinhua
AU - Liu, Hongmei
AU - Li, Xinxia
AU - Chen, Xiaoyan
AU - Yang, Lei
AU - Fang, Xiuhua
AU - Zhao, Ronghua
AU - Chen, Jingfang
AU - Labeau, Sonia
AU - Blot, Stijn
AU - on behalf of the DecubICUs Study China Team, the DecubICUs Study Team, and the European Society of Intensive Care Medicine (ESICM) Trials Group Collaborators
PY - 2022/3
Y1 - 2022/3
N2 - Despite increasing preventive efforts, pressure injury still occurs in intensive care patients. This study was aimed to describe pressure injury prevalence, risk factors, and prevention practices in adult intensive care patients. This was a multi-centre, one-day, prospective point prevalence study in which a total of 198 intensive care units from 21 provinces in China participated. Overall and ICU-acquired prevalence in intensive care patients were 12.26% and 4.31%, respectively. Consistent with earlier reports, almost half of the ICU-acquired pressure injuries were at stage I, one-fourth were at stage 2, and the most common body sites for pressure injuries were sacral and heel region. Risk factors identified were consistent with prior studies. Repositioning was the most commonly used pressure injury prevention strategy, followed by alternating pressure mattresses/overlays, floating heels, and air-filled mattresses/overlays. These reflect a good level of adherence to recommended international pressure injury prevention clinical practice guidelines. The results provide a baseline reference for overall and ICU-acquired prevalence among adult intensive care patients in China. Future research on what contributed to the lower pressure injury incidence in China needs to be conducted to inform healthcare organisations on their future preventive strategies for pressure injury prevention.
AB - Despite increasing preventive efforts, pressure injury still occurs in intensive care patients. This study was aimed to describe pressure injury prevalence, risk factors, and prevention practices in adult intensive care patients. This was a multi-centre, one-day, prospective point prevalence study in which a total of 198 intensive care units from 21 provinces in China participated. Overall and ICU-acquired prevalence in intensive care patients were 12.26% and 4.31%, respectively. Consistent with earlier reports, almost half of the ICU-acquired pressure injuries were at stage I, one-fourth were at stage 2, and the most common body sites for pressure injuries were sacral and heel region. Risk factors identified were consistent with prior studies. Repositioning was the most commonly used pressure injury prevention strategy, followed by alternating pressure mattresses/overlays, floating heels, and air-filled mattresses/overlays. These reflect a good level of adherence to recommended international pressure injury prevention clinical practice guidelines. The results provide a baseline reference for overall and ICU-acquired prevalence among adult intensive care patients in China. Future research on what contributed to the lower pressure injury incidence in China needs to be conducted to inform healthcare organisations on their future preventive strategies for pressure injury prevention.
KW - critical care
KW - pressure injury
KW - prevalence
KW - prevention
KW - risk factors
UR - http://www.scopus.com/inward/record.url?scp=85109152978&partnerID=8YFLogxK
U2 - 10.1111/iwj.13648
DO - 10.1111/iwj.13648
M3 - Article
C2 - 34227228
AN - SCOPUS:85109152978
SN - 1742-4801
VL - 19
SP - 493
EP - 506
JO - International Wound Journal
JF - International Wound Journal
IS - 3
ER -