Relationship between nutritional status and pressure-ulcer development among critically ill patients

2021 ◽  
Vol 18 (2) ◽  
pp. 84
Author(s):  
DohaSalah Elnamory ◽  
ManalSayed Ismaeil ◽  
Hanaa AliAhmed Elfeky
Keyword(s):  
Nutritional Status ◽  
Critically Ill ◽  
Pressure Ulcer ◽  
Critically Ill Patients ◽  
Pressure Ulcer Development

Principles and prevention of pressure sores in the ICU

2016 ◽  
Author(s):  
Laura Crawford ◽  
Ruth Kleinpell
Keyword(s):  
Risk Assessment ◽  
Critically Ill ◽  
Pressure Ulcer ◽  
Critically Ill Patients ◽  
Pressure Ulcers ◽  
Critically Ill Patient ◽  
Advisory Panel ◽  
Pressure Sores ◽  
Pressure Ulcer Development ◽  
Preventative Interventions

A pressure ulcer, defined by the National Pressure Advisory Panel and European Pressure Ulcer Advisory Panels as localized injury to the skin or tissue as the result of pressure or pressure in combination with shear, can be an adverse complication of a hospital stay, especially for acute and critically-ill patients. Factors that can contribute to pressure ulcer development include the intensity and duration of pressure, tissue tolerance, shear, and friction. Common anatomical sites for pressure ulcers development are over bony prominences. The National Pressure Advisory Panel and European Pressure Ulcer Advisory Panels define pressure ulcers in six stages according to the degree of tissue damage present in the wound. A risk assessment should be performed to identify the vulnerability of pressure ulcer development and provide guidance for the implementation of preventative interventions. For the critically-ill patient, several specific measures are advocated for preventing pressure ulcers.

Influencing Factors of Pressure Ulcer in Critically Ill Patients

2018 ◽  
Vol 28 (5) ◽  
pp. 25
Author(s):  
Li WANG ◽  
Qianting CAI ◽  
Ping CHEN
Keyword(s):  
Critically Ill ◽  
Influencing Factors ◽  
Pressure Ulcer ◽  
Critically Ill Patients

Nutritional status plays a crucial role in the mortality of critically ill patients with acute renal failure

2017 ◽  
Vol 66 (2) ◽  
pp. 309-318 ◽  
Author(s):  
Haiyan Zhang ◽  
Xiaodong Zhang ◽  
Lei Dong
Keyword(s):  
Renal Failure ◽  
Acute Renal Failure ◽  
Intensive Care ◽  
Nutritional Status ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Medical Information ◽  
Statistical Significance ◽  
Nutrition Intervention ◽  
Icu Discharge

We aimed to clarify associations between nutritional status and mortality in patients with acute renal failure. De-identified data were obtained from the Medical Information Mart for Intensive Care III database comprising more than 40,000 critical care patients treated at Beth Israel Deaconess Medical Centerbetween 2001 and 2012. Weight loss and body mass index criteria were used to define malnutrition. Data of 193 critically ill patients with acute renal failure were analyzed, including demographics, nutrition intervention, laboratory results, and disease severity. Main outcomes were in-hospital and 1-year mortality. The 1-year mortality was significantly higher in those with malnutrition than in those without malnutrition (50.0% vs 29.3%, p=0.010), but differences in in-hospital survival were not significant (p=0.255). Significant differences in mortality were found between those with malnutrition and without starting at the 52nd day after intensive care unit (ICU) discharge (p=0.036). No significant differences were found between men and women with malnutrition in in-hospital mortality (p=0.949) and 1-year mortality (p=0.051). Male patients requiring intervention with blood products/colloid supplements had greater risk of 1-year mortality, but without statistical significance. Nutritional status is a predictive factor for mortality among critically ill patients with acute renal failure, particularly 1-year mortality after ICU discharge.

scholarly journals The Association between Nutritional Status and In-Hospital Mortality of COVID-19 in Critically-Ill Patients in the ICU

Nutrients ◽  
2021 ◽  
Vol 13 (10) ◽  
pp. 3302
Author(s):  
Michał Czapla ◽  
Raúl Juárez-Vela ◽  
Vicente Gea-Caballero ◽  
Stanisław Zieliński ◽  
Marzena Zielińska
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Nutritional Status ◽  
Hospital Mortality ◽  
Critically Ill ◽  
Critically Ill Patients ◽  
Invasive Mechanical Ventilation ◽  
Nutritional Risk ◽  
Risk Of Death ◽  
The Impact

Background: Coronavirus disease 2019 (COVID-19) has become one of the leading causes of death worldwide. The impact of poor nutritional status on increased mortality and prolonged ICU (intensive care unit) stay in critically ill patients is well-documented. This study aims to assess how nutritional status and BMI (body mass index) affected in-hospital mortality in critically ill COVID-19 patients Methods: We conducted a retrospective study and analysed medical records of 286 COVID-19 patients admitted to the intensive care unit of the University Clinical Hospital in Wroclaw (Poland). Results: A total of 286 patients were analysed. In the sample group, 8% of patients who died had a BMI within the normal range, 46% were overweight, and 46% were obese. There was a statistically significantly higher death rate in men (73%) and those with BMIs between 25.0–29.9 (p = 0.011). Nonsurvivors had a statistically significantly higher HF (Heart Failure) rate (p = 0.037) and HT (hypertension) rate (p < 0.001). Furthermore, nonsurvivors were statistically significantly older (p < 0.001). The risk of death was higher in overweight patients (HR = 2.13; p = 0.038). Mortality was influenced by higher scores in parameters such as age (HR = 1.03; p = 0.001), NRS2002 (nutritional risk score, HR = 1.18; p = 0.019), PCT (procalcitonin, HR = 1.10; p < 0.001) and potassium level (HR = 1.40; p = 0.023). Conclusions: Being overweight in critically ill COVID-19 patients requiring invasive mechanical ventilation increases their risk of death significantly. Additional factors indicating a higher risk of death include the patient’s age, high PCT, potassium levels, and NRS ≥ 3 measured at the time of admission to the ICU.

MULTIDISCIPLINARY SKIN CARE ROUNDS HAVE THE POTENTIAL TO DECREASE DERMAL PRESSURE ULCER (DPU) RATES IN CRITICALLY ILL PATIENTS.

2005 ◽  
Vol 33 ◽  
pp. A26
Author(s):  
Brenda Hixon-Vermillion ◽  
Karen Havreberg ◽  
Deb Greene ◽  
Christy Stegemiller ◽  
Jennifer Leasure ◽  
...  
Keyword(s):  
Critically Ill ◽  
Pressure Ulcer ◽  
Critically Ill Patients ◽  
Skin Care
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