Sorrorigenní rány, jejich identifikace a průběh péče
| Title in English | Sorrorigens Wounds, Their Identification and Treatment Process |
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| Authors | |
| Year of publication | 2016 |
| Type | Article in Periodical |
| Magazine / Source | Česká a slovenská neurologie a neurochirurgie |
| MU Faculty or unit | |
| Citation | |
| Doi | http://dx.doi.org/10.14735/amcsnn2016S31 |
| Field | Other medical specializations |
| Keywords | iatrogenic sorrorigenic wound; intensive care; nursing; prevention |
| Description | Aim: The aim of this study was to analyse the incidence of iatrogenic and sorrorigenic wounds in patients hospitalised at intensive care units. Material and methods: A 4-month multicentric observational descriptive study. Statistical analyses were performed using IBM SPSS Statistics for Windows, Version 22.0.0.1. In total, eight units in six different university and regional hospitals in South Moravia and Vysocina regions were involved (six anaesthesiology and resuscitation units and two intensive care units). The study involved all patients hospitalised during a four-month period at the participating units. Results: A sorrorigenic wound was identified in 129 of 767 hospitalized patients (46.5% female and 53.5% male). The mean age of patients was 64.1 years (SD 15.5). In total, 169 wounds were observed, the majority of which occured during hospitalisation at a participating unit (62.1%) and were identified by nurses (98.8%). The majority of patients had just one wound (78.3%). Pressure sores were the most frequent (34.9%), followed by excoriations (23.1%) and incontinence-associated dermatitis (12.4%). Extensive bruising (3.0%) and burns (1.8%) were the least frequent. The wounds were documented (96.4%), including photography (79.3%) but only in 30.8% as an adverse event. Conclusion: Iatrogenic and sorrorigenic wounds increase cost of care, prolong hospitalisation even though they are mostly preventable. We verified statistical differences in preventive strategies before and after a wound diagnosis (p = 0.012) as well as associations between the main cause of a wound and its type (p < 0.05; except the inappropriate intervention category). We confirmed the importance of preventive actions. |
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