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INCIDENCE OF PRESSURE INJURY IN A LEVEL III STROKE UNIT OF A DEVELOPING COUNTRY

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ESOC-2019

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Abstract

Background & Aim: Pressure injury (PI) is a common complication in bedridden patients and has a great impact on the individual’s prognosis. The aim was to verify the incidence of PI in patients hospitalized in a Brazilian Stroke Unit (SU). Methods: Prospective study with consecutive patients hospitalized at SU from January/2017 to December/2018. The PI presence was evaluated daily according to skin integrity, hyperemia and patient’s nutritional status by the responsible nurse. Fugulin scale (FS) was used to verify the patient’s dependence degree according to nursing care. The incidence was calculated using the formula: number of new PI cases/number of patients at risk for developing PI x 100. Results: In the period, 650 patients were hospitalized, of which 532 had developing PI risk according to FS. The length of stay was 6.88±3.8 days. In this period, no patient developed PI. The 0% incidence rate of PI in the SU reflects the success of the prevention work to the appearance of PI of the multidisciplinary team, mainly, of nursing. Regarding specific prevention care, we can mention: the placement of pyramidal mattress and cushion for all patients over 60 years or with some paretic member; change of position every 2 or 3 hours and multiprofessional team intensive treatment, with protocols of early and adequate care of physiotherapy, speech therapy and occupational therapy, in addition to nutritional intervention according to recent guidelines. Conclusion: We conclude that well-designed multidisciplinary prevention work can significantly reduce the incidence rate of pressure injury in a stroke unit.

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© Copyright 2020 Morressier GmbH.
All rights reserved.