Publication
Differential diagnosis in pressure ulcers and medical devices
| dc.contributor.author | Alves, P. | |
| dc.contributor.author | Eberhardt, T. | |
| dc.contributor.author | Soares, R. | |
| dc.contributor.author | Pinto, M. | |
| dc.contributor.author | Pinto, C. | |
| dc.contributor.author | Vales, L. | |
| dc.contributor.author | Morais, J. | |
| dc.contributor.author | Oliveira, I. | |
| dc.date.accessioned | 2018-11-08T16:58:37Z | |
| dc.date.available | 2018-11-08T16:58:37Z | |
| dc.date.issued | 2017 | |
| dc.description.abstract | Background: Pressure ulcers (PU) are considered to an adverse event and constitute a constant challenge for all health professionals and institutions. Aim: Study the prevalence and incidence of PU in a intensive care unit (ICU) and the difficulties of classification and characterization of the lesions in critical ill patients. .Materials and methods: Retrospective cohort analysis of electronic health record database from adult patients admitted to a ICU during 2012/1013. Barriers/difficulty's to classification of PUs 'were also studied in the nursing staff. Results: Epidemiologic sample study included 600 participants, and differential diagnoses study 27 nurses. The episodes in the study period (n = 600), 98 'were identified with at least one PU present during hospitalization period, corresponding to a prevalence rate of 16.3%. The remaining 502 had no PU recording at entry or during hospitalization, 98 patients who were identified with PU, 40.8% presented it upon admission, and 59.2% developed ulceration in the service after 24 hours of admission (n = 58), which resulted in an incidence rate of 11.4%. The categorization of the PU ulcers identified in the present study, the most prevalent was category II (36,1%), followed by IV (35,4%), then I (13.1%) and III (10.8%). Regarding barriers of the differential diagnosis, 77.7% reported difficulty in evaluating PU in patients with peripheral arterial disease; 92.5% referred difficulty in evaluating Category I in dark skin; 81.5% referred subjectivity in the characterization in the mucosa; 40.7% reported difficulty PU associated to medical devices; 96.3% considered essential training as a way to reduce subjectivity. Conclusion: Extra attention needs to be taken to prevent PU in ICU. The incidence of PU is higher if associated with a medical device, Staff must adopt multiple strategies to prevent it. More education and sharing experiences is needed to reduce the subjectivity of differential diagnosis in PU. | pt_PT |
| dc.description.version | info:eu-repo/semantics/publishedVersion | pt_PT |
| dc.identifier.citation | Alves, P., Eberhardt, T., Soares, R., Pinto, M., Pinto, C., Vales, L., Morais, J., Oliveira, I. (2017). Differential diagnosis in pressure ulcers and medical devices. Ceska a Slovenska Neurologie a Neurochirurgie, 80(Supp.1), S29-S35 | pt_PT |
| dc.identifier.doi | 10.14735/amcsnn2017S29 | pt_PT |
| dc.identifier.eid | 85035024777 | |
| dc.identifier.eissn | 1802-4041 | |
| dc.identifier.issn | 1210-7859 | |
| dc.identifier.uri | http://hdl.handle.net/10400.14/26029 | |
| dc.identifier.wos | 000416140800006 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.publisher | Czech Medical Association | |
| dc.subject | Incidence | |
| dc.subject | Prevalence | |
| dc.subject | Nursing assessment | |
| dc.subject | Intensive care | |
| dc.subject | Portugal | |
| dc.subject | Pressure ulcer | |
| dc.subject | Risk assessment | |
| dc.title | Differential diagnosis in pressure ulcers and medical devices | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| oaire.citation.endPage | S35 | |
| oaire.citation.startPage | S29 | |
| oaire.citation.title | Ceska a Slovenska Neurologie a Neurochirurgie | pt_PT |
| oaire.citation.volume | 80 | |
| person.familyName | Alves | |
| person.familyName | Eberhardt | |
| person.givenName | Paulo | |
| person.givenName | Thaís Dresch | |
| person.identifier.ciencia-id | 1216-FE56-6E85 | |
| person.identifier.orcid | 0000-0002-6348-3316 | |
| person.identifier.orcid | 0000-0003-0138-2066 | |
| person.identifier.rid | A-7101-2018 | |
| person.identifier.scopus-author-id | 56825613600 | |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |
| relation.isAuthorOfPublication | 09ae1927-4272-4ccb-87bf-9a49061799f3 | |
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| relation.isAuthorOfPublication.latestForDiscovery | 09ae1927-4272-4ccb-87bf-9a49061799f3 |