scholarly journals INCIDENCE AND FACTORS RELATED TO THE APPEARANCE OF PRESSURE INJURIES IN AN INTENSIVE CARE UNIT

2021 ◽  
Author(s):  
Jacqueline Marques Rodrigues ◽  
Kemily Covre Gregório ◽  
Ursula Marcondes Westin ◽  
Danielle Garbuio
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Tertiary Hospital ◽  
Chi Square ◽  
Average Hospital ◽  
Significance Level ◽  
Sacral Region ◽  
Adult Intensive Care Unit ◽  
Pressure Injury ◽  
Student’S T

Objectives: identify the incidence and characterize pressure injuries in an adult intensive care unit regarding the occurrence, locations and risk factors, and verify whether there is an association between these and the appearance of the injuries. Method: observational, cohort, prospective study, developed in an intensive care unit of a tertiary hospital, from October to December 2019. The population consists of adults on the first day of admission to the unit, without pressure injury at admission. Participants were monitored during hospitalization, sociodemographic and clinical variables, and risk assessment of developing a pressure injury, skin assessment and Braden scale were collected daily. Pearson’s chi-square tests and student’s t-test were used to assessing the relationship between variables and injuries. For the analyzes, a significance level (α) of 5% was considered. Results: 40 participants were included, 20% had pressure injuries with a predominance of stages 1 and 2; the main affected sites were the sacral region followed by the calcaneus. The average hospital stay was 23.38 days for the injured group and 5.77 days for the non-injured group; time showed a significant relationship with the appearance of lesions (p = 0.002). Conclusion: it was concluded that the most affected site was the sacral region and grade 1 was the most frequent staging; length of stay was the variable that influenced the appearance of injuries.

scholarly journals Estresse – realidade vivenciada por enfermeiros atuantes em um Centro de Terapia Intensiva [Stress – realities experienced by nurses working in an Intensive Care Unit] [Estrés - realidad vivida por enfermeros que trabajan en una Unidad de Terapia Intensiva]

2018 ◽  
Vol 26 ◽  
pp. e17523
Author(s):  
Armando Dos Santos Trettene ◽  
Rosana Bonete Costa ◽  
Priscila Capelato Prado ◽  
Maria de Lourdes Merighi Tabaquim ◽  
Ana Paula Ribeiro Razera
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Training Time ◽  
Significance Level ◽  
Nursing Stress ◽  
Terapia Intensiva ◽  
Stress Inventory ◽  
Quantitative Descriptive ◽  
Student’S T ◽  
Student’S T Test

Objetivo: investigar o nível de estresse em enfermeiros de um centro de terapia intensiva. Método: estudo descritivo de abordagem quantitativa, cuja amostra foi composta por 26 enfermeiros, com projeto aprovado no Comitê de Ética e Pesquisa por meio do protocolo E-016/10. Os dados foram coletados por meio de dois instrumentos: Inventário de Estresse em Enfermeiros e o questionário sociodemográfico. Para a análise estatística foi utilizado o teste t-student, correlação de pearson e a análise de variância, com nível de significância de 5%. Resultados: observou-se significância entre o maior tempo de atuação na área e maior nível de estresse. Conclusão: o estudo concluiu que o tempo de formação inferior a dez anos com a carreira ainda em ascensão, atrelado a um contexto que possibilita desafios estressantes, pode ter favorecido mecanismos de enfrentamento facilitadores compensatórios, com graus menores de impacto sobre o organismo.ABSTRACTObjective: to investigate the level of stress in nurses of an intensive care unit (ICU). Method: quantitative, descriptive study of a sample of 26 nurses in the ICU of a public hospital. The project was approved by the research ethics committee (Protocol E-016/10). Data were collected through two instruments: the Nursing Stress Inventory and a sociodemographic questionnaire. Statistical analysis included Student’s t-test, Pearson’s correlation and Variance Analysis, to a 5% significance level. Results: a significant association was observed between longer time working in the area and higher stress levels. Conclusion: the training time of less than ten years with a career that is still on the rise, linked to a context that allows stressful challenges, may have favored facilitatory and compensatory coping mechanisms with lower degrees of impact on the organism.RESUMENObjetivo: investigar el nivel de estrés en enfermeros de un Centro de Terapia Intensiva (CTI). Método: estudio descriptivo de enfoque cuantitativo, cuya muestra fue compuesta por 26 enfermeros, siendo su proyecto aprobado en el Comité de Ética en Investigación por medio del protocolo E-016/10. Se recolectaron los datos por medio de dos instrumentos: Inventario de Estrés en Enfermeros y el Cuestionario Sociodemográfico. Para el análisis estadístico, se utilizó el Test T-Student, Correlación de Pearson y el Análisis de Varianza, con un nivel de significancia del 5%. Resultados: se observó significancia entre el mayor tiempo de actuación en el área y mayor nivel de estrés. Conclusión: el estudio concluyó que el tiempo de formación inferior a diez años con la carrera aún en ascenso, junto con un contexto que posibilita desafíos estresantes, pueden haber favorecido mecanismos de enfrentamiento facilitadores compensatorios, con grados más pequeños de impacto sobre el organismo.

scholarly journals Factors associated with readmissions to an adult intensive care unit at a university hospital

Rev Rene ◽  
2020 ◽  
Vol 21 ◽  
pp. e43724
Author(s):  
Daniele Lopes ◽  
Luciana Magnani Fernandes ◽  
Débora Cristina Ignácio Alves ◽  
Nelsi Salete Tonini ◽  
João Lucas Campos de Oliveira
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Hospital Stay ◽  
Medical Records ◽  
University Hospital ◽  
Chi Square ◽  
Adult Intensive Care Unit ◽  
Factors Associated ◽  
Extubation Time ◽  
Chi Square Test

Objective: to verify the rate and factors associated with readmissions in the Intensive Care Unit. Methods: a documentary study, carried out with a sample (n=441) of medical records of adult patients admitted to the Intensive Care Unit of a university hospital. The descriptive and inferential statistical analysis was applied, using Pearson’s correlation, the chi-square test, and the t-student test, at a 5% confidence level. Results: most were men (66.2%), with 52.8±18.5 years of age and hospital stay of 10.2±10.8 days. Of these, 29 (6.5%) were readmitted. Death was similar (p=0.893) between readmitted (31.0%) and not readmitted (29.8%). There was no significant correlation between the readmission outcome and age, Nursing Activities Score and time on mechanical ventilation. By comparison, the hospital stay, and extubation were significantly longer (p<0.05) among those readmitted. Conclusion: the rate of readmission was slightly low. Only extubation time was negatively and significantly correlated with the readmission outcome.

scholarly journals Thrombocytopenia in 737 adult intensive care unit patients: A real-world study of associated factors, drugs, platelet transfusion, and clinical outcome

2020 ◽  
Vol 8 ◽  
pp. 205031212095890
Author(s):  
Man-ka Zhang ◽  
Tian-qi Xu ◽  
Xiao-jing Zhang ◽  
Zhi-guo Rao ◽  
Xiao-xu He ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Bacterial Infection ◽  
Platelet Transfusion ◽  
Severe Thrombocytopenia ◽  
Chi Square ◽  
Adult Intensive Care Unit ◽  
Factors Associated ◽  
Platelet Counts ◽  
Chi Square Test

Objective: We aimed to identify and represent factors associated with thrombocytopenia in intensive care unit, especially the pathogens and drugs related to severe and extremely thrombocytopenia. Then, we aim to compare the mortality of platelet transfusion and non-transfusion in patients with different degrees of thrombocytopenia. Methods: We identified all thrombocytopenic patients in intensive care unit by using platelet-specific values and then extracted electronic health records from our Hospital Information System. Data were statistically analyzed with t test, chi-square test, and logistic regression. Results: We found that infections (32.7%) were the most frequent cause associated with thrombocytopenia, followed by sepsis shock (3.93%) and blood loss (2.99%). Meanwhile, antifungals ( p = 0.002) and bacterial infection ( p = 0.037) were associated with severe and extremely severe thrombocytopenia. Finally, we found that the mortality of platelet transfusion and non-transfusion in patients was statistically significant for patients with platelet counts between 30 and 49/nL (χ2 = 9.719, p = 0.002). Conclusion: Infection and sepsis emerged as two primary factors associated with thrombocytopenia in intensive care unit. Meanwhile, antifungals and bacterial infection were associated with platelet counts less than 49/nL. Finally, platelet transfusion may be associated with reduced mortality in patients with platelet counts between 30 and 49/nL.

Incidence of pressure injury in an adult intensive care unit

2018 ◽  
Vol 16 ◽  
Author(s):  
Andressa Constantin ◽  
Ana Paula Moreira ◽  
João Lucas Oliveira ◽  
Lili Marlene Hofstätter ◽  
Luciana Fernandes
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Adult Intensive Care Unit ◽  
Pressure Injury

scholarly journals SAFETY IN EQUIPMENT AND DRESSING CHANGES FOR CENTRAL VASCULAR CATHETERS: AN OBSERVATIONAL STUDY

2020 ◽  
Vol 29 ◽  
Author(s):  
Eliana Ofelia Llapa-Rodríguez ◽  
Sineide Souza Maia Linhares ◽  
Jéssica Oliveira da Cunha ◽  
David Lopes Neto ◽  
Julian Katrin Albuquerque de Oliveira ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Study Data ◽  
Northeastern Brazil ◽  
Observational Research ◽  
Care Practice ◽  
Chi Square ◽  
Significance Level ◽  
Process Indicators ◽  
Vascular Catheters

ABSTRACT Objective: to evaluate the compliance of the nursing team's care practice in handling the central vascular catheter when changing dressings and equipment in an intensive care unit. Method: a descriptive, prospective, and observational research study. Data collection was conducted from January to March 2016 in an Intensive Care unit of a public hospital in Sergipe, northeastern Brazil. Direct observation of the professionals was conducted using a safe checklist. Descriptive statistics was used to determine the process indicators, and inferential statistics to determine the association between the variables, using the chi-square and Fisher's tests, with a 5% significance level. Results: 534 procedures corresponding to the exchange of equipment and dressings were observed, corresponding to 5,073 actions. As for the change of equipment, 2,136 actions were evaluated, most of them carried out by nursing technicians. Of the eight actions evaluated in each procedure, only two (25%) reached the desired compliance, with a positivity index between 90% and 99%. Regarding the dressing change, 2,937 actions were evaluated, all of which were performed by nurses. Of the eleven evaluated actions, eight (72%) achieved desired compliance, with a positivity index between 80% and 100%. Conclusion: the results analyzed are far from the desired compliances, demonstrating the need to implement strategies to ensure the safety culture during the care provided.

scholarly journals A Descriptive Study of Length of Stay at an Intensive Care Unit

2015 ◽  
Vol 3 (1) ◽  
pp. 29-32
Author(s):  
Kasturi Shukla ◽  
Priyadarshini Chandrashekhar ◽  
Nirmal Kumar ◽  
Pradnya K Devade
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Descriptive Study ◽  
P Value ◽  
Chi Square ◽  
High Dependency ◽  
Chi Square Test ◽  
The Mean ◽  
Student’S T

ABSTRACT Background and aims As intensive care units (ICUs) are very resource intensive, length of stay (LOS) is of prime importance. This study was done to analyze the LOS in different ICUs and analyze it against a set benchmark. Materials and methods This retrospective study was conducted from April to June 2013 on patients admitted during January to March 2013 in the neurosurgery ICU (NICU), medical ICU (MICU), high dependency unit (HDU) and isolation ICU of a large multispecialty hospital in Pune (India). As per the quality manual of the hospital, benchmark LOS was considered as 3.08 days for ICU. Mean and median LOS was analyzed through Student's t and Chi-square test; proportion of short (<2 days) and long stay (>4 days) patients was also computed. Results Out of 835 patients admitted to the NICU, MICU, HDU and Isolation ICU, the overall mean LOS was 3.37 ± 5.54 days which was statistically significant at a p-value <0.001 (t = 17.58, 95% CI 3-3.75). The overall mean LOS was higher than the benchmarked 3.08 days but still within the optimal range of 2 to 4 days. Mean LOS was statistically significant when tested for department-wise variations with a Chi-value of 173.56 (p-value < 0.001, LR = 113.75). Highest mean LOS was observed for isolation ICU and lowest for MICU. 360 (43.1%) were short stay, 141(16.8%) were long stay and remaining were optimal stay patients. Conclusion The mean LOS for the ICUs varied significantly across the type of ICUs which needs to be continuously monitored. Mean LOS variation across ICU type indicates need for separate benchmarks. How to cite this article Shukla K, Chandrashekhar P, Kumar N, Devade PK. A Descriptive Study of Length of Stay at an Intensive Care Unit. Int J Res Foundation Hosp Healthc Adm 2015;3(1):29-32.

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