Autori: Yu-Ching Chuang
Ustanova zaposlenja: TAIWAN
Ključne riječi: critical care, pressure ulcer,pediatric,quality control
Kongres/Simpozij: ”5. Međunarodni kongres HDMSARIST-a” i ”8. Međunarodni kongres WFCCN-a”
Mjesto i vrijeme održavanja: Šibenik, 12.-15. travnja 2012. godine
Background:
New technology improves the survival rate; however, it takes new challenges on
clinical care issue.
Purpose: To identify factors lead to pressure ulcer in ECMO- supported children
in pediatric intensive care unit.
Method: A retrospective medical chart review was used to collect 26 children
supported by ECMO in PICU from June 1ST 2010 to June 31nd 2011. The
characteristics of patients with ECMO- supported developed pressure ulcer were
compared with those did not.
Results: Of the 26 children supported by ECMO, the incidence rate of pressure
ulcer was 34.6%. Children were developed ulcers in average 15 days after ECMO
implantation. Occipital of the head and neck site fixed by ECMO circuit were
the most frequent areas for ulcer. Age, gender did not affect to pressure
ulcer. TISS score on admission day, the nutrition status and infusion of
inotropic agents were not significant to pressure ulcer. However, patients with
longer ECMO implantation (32.7days vs. 5.6days, p=0.004), dermatitis (p= 0.004)
and sternum open (p=0.034) during ECMO support period were risk factors to
pressure ulcer development in children.
Conclusion: Identification of characteristics and risk factors associated with
pressure ulcers in children were different from adult patients in intensive
care unit. Children with longer ECMO-supported days, dermatitis were more
easily tend to pressure ulcer. The result contributes for nurses in PICU to
early recognize risk factors and take aggressive prevention.