Open AccessRisk factors in the development of pressure ulcers in an intensive care unit in Pontianak, Indonesia
Author(s) -
Sanada Hiromi,
Sugama Junko,
Kitagawa Atsuko,
Thigpen Brian,
Kinosita Sachiko,
Murayama Shizuko
Publication year - 2007
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/j.1742-481x.2007.00315.x
Subject(s) - medicine , confidence interval , odds ratio , intensive care unit , blood pressure , prospective cohort study , multivariate analysis , logistic regression , body mass index , risk factor , thermometer , cohort study , surgery , physical therapy , quantum mechanics , physics
Abstract The purpose of this study was to identify risk factors associated with the presence of pressure ulcer development in adult patients at an intensive care unit hospital in Indonesia. The prospective cohort design was conducted in this study. A total of 105 patients participated and a pressure ulcer developed in 35 patients. The initial analysis identified several variables as significant risk factors for pressure ulcer development (interface pressure, fecal incontinence, skin moisture, diastolic blood pressure, smoking and body temperature). However, when entered into a final multivariate analysis, four factors, interface pressure [odds ratio (OR) 17·6, 95% confidence interval (CI) 4·1, 74·3], skin moisture (OR 8·2, 95% CI 2·2, 30·9), smoking (12·7, 95% CI 2·8, 56·7) and body temperature (OR 102·0, 95% CI 7·7, 98·8) were found to be significant. The results suggest that interface pressure measured using a multipad pressure evaluator, skin moisture measured by a moisture checker, thermometer for body temperature and smoking status are adequate instruments for the prediction of pressure ulcer development.