FOURTEENTH ANNUAL EUROPEAN PRESSURE ULCER ...

Thursday September 1st
Proceedings of the 14th Annual European Pressure Ulcer Meeting
Oporto, Portugal
Characterization of patients with pressure ulcers of the neurological clinical: a path to
prevention
Introduction
Moura, E.C.C. 1* , Vasconcelos, I.C.M 2 , Caliri, M.H.L 3 , Silva, G.R.F 4
1* Federal University of Piauí, Brazil elainecrism@bol.com.br
2 Federal University of Piauí, Brazil
3 University of São Paulo, São Paulo, Brazil
4 Federal University of Piauí, Brazil
Pressure Ulcers (PU) are a common problem of
nursing practice. However, the complexity of risk
factors and accurate assessment of them, numerous
complications associated with these wounds, including
the risk of death, among other problems as the
demand of time and cost of hospitalization, all this
make of the prevention and treatment of the PU a
challenge for health professionals. In this context,
evidence-based practice is indicated for a systematic
care of quality. The objective of this study is raise the
profile of neurological patients with pressure ulcers.
Metodos
This is a documentary study, descriptive and
retrospective realized on the medical records of
neurology clinical, in the period from 2008 to 2009, in a
General Teaching Hospital in Teresina, Piauí, Brazil.
After approval by the ethics committee and research
institutions, the medical records were reviewed and
among the 1175 records identified in that period, 46
met the inclusion criteria: presence of UP registration.
Results
Table 1: Principal data on demographic characteristics
of patients with PU. Teresina (PI), Brazil, 2010.
Variáveis n %
Sex
Male 32 69,57
Female 14 30,43
Age
< 20 2 4,35
20-30 14 30,40
31-40 7 15,22
41-50 5 10,87
51-60 7 15,22
61-70 7 15,22
71-86 4 8,70
Marital Status
Married 24 52,17
Single 20 43,48
Windower 2 4,35
Total 46 100
62
Table 2: Principal data for the characterization of
patients with UP.Teresina (PI), Brazil, 2010.
Variáveis N %
Referred from another hospital
Yes 33 71,74
No 13 28,26
Presence of PU
Hospitalization 30 65,22
Admission 16 34,78
Diagnosis
Spinal cord injury 16 34,78
Brain tumor 7 15,22
Stroke 6 13,04
Cerebral aneurysm 6 13,04
Traumatic brain injury 6 13,04
Hydrocephalus 3 6,52
Syringomyelia and siringobulbia 1 2,17
Guillain-Barre Syndrome 1 2,17
Total 46 100
Discussion
There was a predominance of PU occurrence in young
patients with principal diagnosis the spinal cord injury.
This is because young patients with severe
neurological deficit are susceptible, although 70% of
PU occur in patients older than 65 years [1]. It is
noteworthy the fact that 34.78% of patients being were
admitted with PU and no records of the preventive
actions to PU or application of risk assessment scales.
It is known that early identification and treatment of PU
allow a significant reduction in costs, and prevent its
progress and accelerate the healing process [2]..
Clinical relevance
The knowledge of the profile of the patients with UP
suggests that the results can be improved, it is
important to implement more effective intervention,
with the intention of alerting healthcare professionals
about the importance of prevention strategies and
interventions based on evidence since of the
admission aiming at the safety to the neurological
patient.
References
[1] Bluestein,D; Javaheri, A. Am Fam Physician.,
78(10):1186-94,2008.
[2] Brem, H; Lyder, C. Am J Surg., 188:9-17,2004.
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