Day 1 :
- Epidemiology and Public Health | Public Health Pharmacy | Epidemiology and Medicine | Epidemiology and Cancers | Genetic Epidemiology | Public Health Nutrition
Session Introduction
Mostafa Shokati Ahmadabad
Shahid Sadoughi University of Medical Sciences, Iran
Title: Incidence of pressure ulcer in patients who were admitted to open heart cardiac surgery intensive care unit
Biography:
Mostafa Shokati has his expertise in cardiac critical care. His contextual perspective is useful for cardiac care. He has many years of experience in research, evaluation, teaching and administration both in hospital and education institutions. The phenomenological background in his research is obvious.
Abstract:
Statement of the Problem: Cardiac surgery patients are at high risk of pressure ulcers. Pressure ulcers are one of the most common types of complex wound that represents a significant health concern as they are associated with distress to the patient, increased strain on nursing resources, increased hospitalization, increased morbidity and mortality rates, and negative impact on the patients' quality of life. In the present study, we determined the incidence of pressure ulcer in patients who were admitted to open heart cardiac surgery intensive care unit and related risk factors.
Methodology & Theoretical Orientation: With using convenience sampling all the eligible patients who were admitted to Boali cardiac surgery during June to August 2015 were invited to participate in this study. Patients’ skins were assessed using pressure ulcer staging system developed by National Pressure Ulcer Advisory Panel (NPUAP) and Braden scale before operation, after operation (in time of cardiac intensive care unit admission) and one times per day to patients discharge for sign of pressure ulcer development.
Findings: During 3 months, 70 patients who were eligible were admitted to cardiac intensive care unit. From all, in 32 patient’s pressure ulcer was seen. From those, 41.4% were in stage I and 4.3% were in stage II. Mean score of Braden score in time of ICU admission was 11.1±2.3 and 15.1±2.3 in patients with and without pressure ulcer development. Factors such as lower Braden Scale score, diabetes, hypertension, NPO time after surgery, mean time of surgery, mean time of need to mechanical ventilation after surgery ,low ejection fraction and lower level of hemoglobin after surgery increased the risk of pressure ulcer development significantly.
Conclusion & Significance: Our findings indicate that patients who were admitted to open heart cardiac surgery intensive care unit are at high risk of pressure ulcer development. Medical and care-giving teams in the cardiac intensive care unit need further education about risk factors of pressure ulcer development to prevent this.