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PRESSURE ULCER FORMATION IN PATIENTS WITH A DIAGNOSIS OF COVID-19 IN THE INTENSIVE CARE UNIT AND AFFECTING FACTORS

EDA ÇİFTCİ KARAN, SONGÜL YILDIRIM, DEMET YURTSEVER

Comprehensive Medicine - 2023;15(1):50-57

Istanbul University-Cerrahpaşa, Institute of Graduate Studies, Surgical Nursing Doctorate Program, Istanbul, Türkiye

 

INTRODUCTION: The objective of the study was to determine the incidence of pressure ulcers and the affecting factors in patients hospitalized in the intensive care unit with a diagnosis of COVID-19. METHODS: This retrospective descriptive research was designed as a correlational study. In the study, the data of 145 patients hospitalized with a diagnosis of COVID-19 in the 36-bed Third Level Anesthesia and Reanimation Intensive Care Unit of a public hospital in Istanbul between March 11, 2020, and June 08, 2020, were evaluated. Results: It was determined that the mean age of the patients was 63.37±16.85 years and 60% of them were male. Pressure injuries were detected in 14 (9.7%) of the patients. It was determined that 86 (59.3%) people were at high Braden risk, the mean sedation time was 8.06 ± 8.96 days, 103 (76.3%) were fed enterally, and 116 (80%) had an additional disease other than COVID-19. As a result, the number of hospitalization days, non-invasive, intubated, and sedation days were found to be significantly higher in patients with pressure ulcers compared to those without pressure sores (p<0.05). DISCUSSION AND CONCLUSION: As a result of the study, it was found that hospitalization days, non-invasive days, number of days intubated, and sedation days were significantly higher in patients with pressure injuries compared to those without pressure injuries, and albumin and hemoglobin values were significantly lower in patients with pressure injuries compared to those without pressure injuries.