Open AccessRisk factors for heel pressure injury in cardiovascular intensive care unit patients
Author(s) -
Lee Hyeon Jeong,
Han Min Young,
Hwang Jung Hwa,
Park Kang Ju,
Shin Kyung Min,
Kim Eun Sil,
Lee Hyea Jung,
Lim Arum,
Han Eun Jin,
Park Ju Yeon,
Jang Yeon Soo
Publication year - 2022
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/iwj.13711
Subject(s) - medicine , heel , intensive care unit , extracorporeal membrane oxygenation , medical record , retrospective cohort study , blood pressure , intensive care , pressure injury , emergency medicine , anesthesia , surgery , intensive care medicine , anatomy
Abstract This study analyzed the risk factors for heel pressure injury in cardiovascular intensive care unit patients with the aim of laying the groundwork for preventive nursing interventions. We conducted a retrospective case‐control study of 92 patients who were admitted to the cardiovascular surgical or medical intensive care unit of a university hospital in South Korea between January and December 2017. Of these patients, 31 and 61 were included to the heel pressure injury group and the non‐heel pressure injury group, respectively. Data on their demographic, disease‐related, and intensive care unit treatment characteristics, as well as the degree of pressure injury, were collected from the hospital's electronic medical records using a standardized form. Cardiac surgery ( P < .001), operation time ( P = .001), use of a mechanical ventilator ( P < .001), use of vasoconstrictors ( P < .001), use of sedative drugs ( P < .001), and extracorporeal membrane oxygenation treatment ( P < .001) were identified as significant risk factors for heel pressure injury. A total of 22 patients (71%) from the heel pressure injury group developed deep tissue injury, and 16 patients (51.6%) who received extracorporeal membrane oxygenation treatment developed heel pressure injury.