Pressure ulcer in critical patients affected by Covid-19: prone position protocol            /              Lesão por pressão em pacientes críticos acometidos pela Covid-19: protocolo de prona

Bruna Lima; Karina de Freitas  Santos; Cristine Rosa Sepúlveda  Oliveira

doi:10.9789/2175-5361.rpcfo.v15.12061

Authors

Bruna Lima Unidade de Pronto-Atendimento Juscelino Kubitschek https://orcid.org/0009-0002-3512-6247
Karina de Freitas Santos Santa Casa de Misericórdia de Belo Horizonte https://orcid.org/0000-0002-9898-9069
Cristine Rosa Sepúlveda Oliveira Hospital Vila da Serra https://orcid.org/0000-0003-4348-786X

DOI:

https://doi.org/10.9789/2175-5361.rpcfo.v15.12061

Keywords:

Coronavirus, Pressure ulcer, Prone position, Intensive care units, Critical care

Abstract

Objective: to evaluate the incidence of pressure injury, by location, the risk of development by the Braden scale and the use of protectors, in critical patients in a prone protocol with Covid-19, in a hospital in Belo Horizonte. Method: this is an observational, quantitative, descriptive and prospective study. Data were collected through electronic medical records, in the MV system, and in the AGEIS Nutrition system, during the period between April 12 and August 13, 2021. Results: in the total of 251 analyzed medical records of adult patients, it was evidenced 42.2% had pressure injuries, the most frequent location being zygomatic with 50.9%. Most patients used multilayer foam (92%) and 51.4% of patients were at high risk of injury. Conclusion: the incidence of pressure injuries was 42.2%. The presence of comorbidities and the high risk on the Braden scale may have contributed to the considerable percentage.

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Author Biographies

Bruna Lima, Unidade de Pronto-Atendimento Juscelino Kubitschek

Nurse working in an emergency unit Juscelino Kubitschek, specialist in intensive care at Santa Casa de Misericórdia de Belo Horizonte (2022). Graduate in Nursing from the Faculty of Medical Sciences of Minas Gerais (2020). Technical training in Chemistry by the institution Funec unit Centec (2012). Experience with research in the health area as a reviewer of scientific articles, working mainly on the following topics: patient care team, nursing care, patient safety, critical care and primary health care.

Karina de Freitas Santos, Santa Casa de Misericórdia de Belo Horizonte

Nurse Bachelor of Nursing from the Federal University of Minas Gerais (2017). Specialist by the Multiprofessional Residency in Intensive Care by the Santa Casa BH Group (2019). Specialist by the Postgraduate Program in Stomatherapy at the School of Nursing of the Federal University of Minas Gerais (2021). Nurse at the Cutaneous Integrity Service of the Santa Casa Group in Belo Horizonte. Member of the Santa Casa BH Nutritional Support Committee. Member of the Santa Casa BH Patient Safety Team. Nursing experience; Emphasis on Intensive Care and clinical reasoning in the treatment of patients with acute, chronic and complex wounds. Ostomies, incontinent (urinary and anal), fistulas, catheters and drains. https://orcid.org/0000-0002-9898-9069

Cristine Rosa Sepúlveda Oliveira, Hospital Vila da Serra

Intensive care nurse at Hospital Vila da Serra. She holds a degree in Nursing from the UNA University Center (2018). Specialist in Intensive Care at SANTA CASA DE MISERICORDIA DE BELO HORIZONTE (2022). She has experience in the field of Nursing, with an emphasis on Adult and Elderly Health Nursing.

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