Medical Device-Related Pressure Injuries in Long-term Acute Care Hospital Setting.

J Wound Ostomy Continence Nurs

Mary Arnold-Long, DNP, APRN, CRRN, CWOCN-AP, ACNS-BC, Roper Hospital, Charleston, South Carolina. Melissa Ayer, MS, RN, CRRN, CWOCN, CFCN, Inpatient WOC Nurse, North Shore Medical Center, Lynn, Massachusetts. Kathleen Borchert, MS, RN, ACNS-BC, CWOCN, CFCN, University of Minnesota, Minneapolis.

Published: November 2017

AI Article Synopsis

  • The study investigated the occurrence of medical device-related pressure injuries (MDRPIs) in three long-term acute care hospitals (LTACHs) over one year.
  • Data was collected from 304 adult patients, revealing a high MDRPI incidence rate of 47%, with respiratory devices often being the main cause of these injuries.
  • The findings highlight the need for increased monitoring and preventive strategies to address the high rate of MDRPIs, which surpasses previous literature reports.

Article Abstract

Purpose: The purpose of this study was to examine the epidemiology of medical device-related pressure injuries (MDRPIs) in 3 long-term acute care hospitals (LTACHs).

Design: Retrospective descriptive study.

Subjects And Setting: The sample comprised 304 adult inpatients at 3 geographically diverse LTACHs: Spaulding Hospital for Continued Medical Care, Drake Center, and Bethesda Hospital. The facilities are located in the Northeastern, Southeastern, and Midwestern United States.

Methods: Hospital-acquired pressure injury (HAPI) data and MDRPI data were collected and reported for the 3 LTACHs from July 1, 2009, to June 30, 2010. Data were collected by the wound nurses at 2 of the facilities on a daily or weekly basis and quarterly at the remaining site.

Results: One hundred forty-two MDRPIs occurred during data collection, representing an occurrence rate of (47%). The proportion of MDRPIs and HAPIs at each of the LTACHs was 38%, 50%, and 47%, respectively. The most commonly reported medical devices causing pressure injury were respiratory devices, splints and braces, and tubing.

Conclusions: The MDRPI rate identified in the LTACH setting was higher than rates reported in the literature. This study's findings confirm the importance of monitoring MDRPIs in order to implement appropriate prevention strategies.

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Source
http://dx.doi.org/10.1097/WON.0000000000000347DOI Listing

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