Analysis of Occurrence Characteristics and Influencing Factors of Out-of-Hospital Induced Stress Injury in Patients with Community-Acquired Pneumonia in Respiratory Intensive Care Unit

Overview

Journal Iran J Public Health

Date 2022 Jul 22

PMID 35865052

Authors

Changmin Zhang

Jinliang Ma

Junping Hao

Affiliations

Soon will be listed here.

Abstract

Background: We aimed to evaluate the characteristics of a stress injury in community-acquired pneumonia (CAP) patients in the respiratory intensive care unit (RICU) and analyze the risk factors, to provide evidence for clinical prevention and treatment.

Methods: This retrospective study was conducted in RICU at Qilu Hospital of Shandong University, China. We selected 85 patients with traumatic CAP who were brought in from January 2019 to December 2020 as the case group and 167 patients without traumatic CAP hospitalized in the same period as the control group. Multivariate binary Logistic regression analysis was used to explore the influencing factors.

Results: The incidence rate of a stress injury in 252 patients was 33.73%. The most affected region found in these patients was the sacrococcygeal region (24.26%). Most of the patients were presented in stage one (49.50%). Factors associated with a stress-induced injury in RICU, CAP patients were CURB-65 combined with cerebrovascular disease, fever combined with heart disease and albumin was found as an independent risk factor.

Conclusion: Attempts to improve stress injury in CAP patients through setting measurable process of care standards are to be encouraged. An approach including the patient's clothes and bedding should be changed frequently, nutrition should be managed and the skin of the patient should be kept clean and dry. The occurrence of stress can further be reduced by the use of protective tools and the timely participation of the family members in patient management.

References

Harvey M, Cave G . Influence of tissue pressure on central venous pressure/peripheral venous pressure correlation: An experimental report. World J Emerg Med. 2014; 2(2):93-8. PMC: 4129693. DOI: 10.5847/wjem.j.1920-8642.2011.02.003. View

Sullivan S, Bopp M, Weaver D, Sullivan D . Innovations in Calculating Precise Nutrient Intake of Hospitalized Patients. Nutrients. 2016; 8(7). PMC: 4963888. DOI: 10.3390/nu8070412. View

Wolak M, Bojanowska E, Staszewska T, Piera L, Szymanski J, Drobnik J . Histamine augments collagen content via H1 receptor stimulation in cultures of myofibroblasts taken from wound granulation tissue. Mol Cell Biochem. 2020; 476(2):1083-1092. PMC: 7873016. DOI: 10.1007/s11010-020-03974-6. View

Garcia-Sanchez F, Martinez-Vizcaino V, Rodriguez-Martin B . Patients' and Caregivers' Conceptualisations of Pressure Ulcers and the Process of Decision-Making in the Context of Home Care. Int J Environ Res Public Health. 2019; 16(15). PMC: 6696391. DOI: 10.3390/ijerph16152719. View

Alderden J, Drake K, Wilson A, Dimas J, Cummins M, Yap T . Hospital acquired pressure injury prediction in surgical critical care patients. BMC Med Inform Decis Mak. 2021; 21(1):12. PMC: 7789639. DOI: 10.1186/s12911-020-01371-z. View

Di Lecce V, Carpagnano G, Pierucci P, Quaranta V, Barratta F, Zito A . Baseline characteristics and outcomes of COVID-19 patients admitted to a Respiratory Intensive Care Unit (RICU) in Southern Italy. Multidiscip Respir Med. 2020; 15(1):704. PMC: 7662452. DOI: 10.4081/mrm.2020.704. View

Citty S, Cowan L, Wingfield Z, Stechmiller J . Optimizing Nutrition Care for Pressure Injuries in Hospitalized Patients. Adv Wound Care (New Rochelle). 2019; 8(7):309-322. PMC: 6906754. DOI: 10.1089/wound.2018.0925. View

Ebi W, Hirko G, Mijena D . Nurses' knowledge to pressure ulcer prevention in public hospitals in Wollega: a cross-sectional study design. BMC Nurs. 2019; 18:20. PMC: 6528293. DOI: 10.1186/s12912-019-0346-y. View

Zuercher P, Moret C, Dziewas R, Schefold J . Dysphagia in the intensive care unit: epidemiology, mechanisms, and clinical management. Crit Care. 2019; 23(1):103. PMC: 6438038. DOI: 10.1186/s13054-019-2400-2. View

10.

Labeau S, Afonso E, Benbenishty J, Blackwood B, Boulanger C, Brett S . Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study. Intensive Care Med. 2020; 47(2):160-169. PMC: 7880913. DOI: 10.1007/s00134-020-06234-9. View

11.

Jiang Q, Li X, Qu X, Liu Y, Zhang L, Su C . The incidence, risk factors and characteristics of pressure ulcers in hospitalized patients in China. Int J Clin Exp Pathol. 2014; 7(5):2587-94. PMC: 4069923. View

12.

Bueno de Camargo W, Pereira R, Tanita M, Heko L, Grion I, Festti J . The Effect of Support Surfaces on the Incidence of Pressure Injuries in Critically Ill Patients: A Randomized Clinical Trial. Crit Care Res Pract. 2019; 2018:3712067. PMC: 6312579. DOI: 10.1155/2018/3712067. View

13.

Zhang Z, Yong Y, Tan W, Shen L, Ng H, Fong K . Prognostic factors for mortality due to pneumonia among adults from different age groups in Singapore and mortality predictions based on PSI and CURB-65. Singapore Med J. 2017; 59(4):190-198. PMC: 5915635. DOI: 10.11622/smedj.2017079. View