Decubitus Ulcer | ScienceGate

Background. Delirium is a common condition in geriatric patients. One of the trigger factors for this condition is an infection, such as COVID-19 infection. Elderly with COVID-19 show atypical symptoms such as delirium. Elderly patients with COVID-19 who present with delirium, either as a primary symptom or showing symptoms or signs, have a poor prognosis. This study were aimed to presents covid-19 elderly patient with comorbid delirium. Case presentation. A 77-year-old woman with disorientation for one day came to Emergency Department with her family. She had no history of headaches, blurred vision, or seizures. However, she had a fever, did not want to eat for three days, and had a purulent decubitus ulcer. The patient was diagnosed with acute delirium syndrome, confirmed COVID-19 with sepsis, malnutrition, hypercoagulation, grade III decubitus ulcer, suspected dementia, immobilization, total dependence. The patient admitted to the isolation ward. The patient had meropenem 500 mg every 12 hours, anticoagulants and favipiravir according to the dose and parenteral nutrition. Conclusion. Patients with COVID-19 who present with delirium, either as a primary symptom or presenting symptoms or signs, have a worse outcome. Delirium relationship with comorbid factors can increase mortality and morbidity in the elderly with COVID-19.

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Efektivitas Alih Baring Tiap 2 Jam Terhadap Pencegahan Ulkus Dekubitus pada Pasien Pasca Stroke dengan Tirah Baring Lama di Bangsal Saraf RSUD Arifin Achmad Pekanbaru

Jurnal Ilmu Kedokteran ◽

10.26891/jik.v4i2.2010.133-140 ◽

2017 ◽

Vol 4 (2) ◽

pp. 133

Author(s):

Bevi Dewi Citra ◽

Hermes C. Sitompul ◽

Tuti Restuastuti

Keyword(s):

Intervention Study ◽

Preventive Intervention ◽

Decubitus Ulcer ◽

Medical Rehabilitation ◽

Neurological Deficits ◽

Stroke Patients ◽

Cross Sectional ◽

Post Stroke ◽

Rehabilitation Programs ◽

Significant Difference

Neurological deficits on stroke patients can caused immobility. Decubitus ulcer is one of immobilty’s complication.Two hours repositioning is one of medical rehabilitation programs in decubitus prevention. The aim of this study is todescribe effectiveness of two hours repositioning to prevent decubitus ulcer, especially on post-stroke patients. Thisstudy was a preventive intervention study with cross-sectional approach. Sample consists of 32 patients. Group Iconsists of 16 patients with repositioning intervention. On the otherhand, group II consists of 16 patients withoutrepositioning intervention. Then, this two groups were compared and were looked for the effectiveness. from thisstudy, we knew that prevalence of decubitus ulcer on post-stroke patients are 19.4% with the effectiveness of two hoursrepositioning is 87.5%. There was significant difference between these two groups to prevent decubitus. it occurred ongeriatric patients with percentage of 75%. Its Proportion for female: male are 2:1. It is commonly occurred on firstweek hospitalization, especially grade 2 (33.3%). It is mostly located on sacrum (100%).

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Improved wound healing in pressure-induced decubitus ulcer with controlled release of basic fibroblast growth factor

Journal of Alloys and Compounds ◽

10.1016/j.jallcom.2007.05.020 ◽

2008 ◽

Vol 459 (1-2) ◽

pp. 508-514 ◽

Cited By ~ 5

Author(s):

Wei Jiang ◽

Hailun Wang ◽

Faguang Jin ◽

Chunyan Yu ◽

Dongling Chu ◽

...

Keyword(s):

Wound Healing ◽

Controlled Release ◽

Growth Factor ◽

Fibroblast Growth Factor ◽

Basic Fibroblast Growth Factor ◽

Decubitus Ulcer ◽

Fibroblast Growth

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Neonatal and Pediatric Pressure Injuries Secondary to Limb Splinting for Intravascular Access: Case Series and Literature Review

Journal of the Association for Vascular Access ◽

10.1016/j.java.2018.04.001 ◽

2018 ◽

Vol 23 (2) ◽

pp. 108-116 ◽

Cited By ~ 1

Author(s):

Kyrie A. Sweeney ◽

Kate Cogill ◽

Katrina Davis ◽

Jacqueline I. Jauncey-Cooke

Keyword(s):

Literature Review ◽

Case Series ◽

Decubitus Ulcer ◽

Evidence Base ◽

Infants And Children ◽

Cochrane Library ◽

Decubitus Ulcers ◽

Paediatric Hospital ◽

Pressure Injury ◽

The Cochrane Library

Abstract Aim: This review aims to present a case series on pressure injury (PI) formation secondary to limb-splinting for preservation of peripheral intravascular catheter (PIVC) access in neonatal and pediatric patients. A literature review was undertaken to analyze the existing knowledge base on this phenomenon. Background: Medical devices and attachments are considered a risk factor for PI development in neonates, infants, and children. Three cases of PI formation caused by contact with limb boards used to preserve PIVC access were identified in an Australian tertiary pediatric facility during 2016. Methods: A literature search was conducted during December 2017 using the Cumulative Index of Nursing and Allied Health, Excerpta Medica database, MEDLINE, PubMed, and the Cochrane Library. Keywords used were pressure injury(ies), pressure ulcer, pressure ulcers, decubitus ulcer, and decubitus ulcers. Articles were excluded if published before 2006, patients were adolescents or adults, and if injuries were not caused by PIVC-associated limb-splinting. Patients included in the case series were identified through screening of admissions in one ward of a tertiary paediatric hospital. Results: Five low-quality studies were included in the literature review. Three children were included in the case series. Each child acquired a PI subsequent to limb-splinting and taping adjacent to a PIVC. Hydration, nutritional state, and oxygenation did not appear to contribute to PI development in these cases. Conclusions: There is a gap in the evidence base pertaining to PIVC splinting and its involvement with PI formation in neonates, infants, and children. The existing literature provides low-quality evidence this problem exists; thus, further research is recommended.

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