Prevalence and incidence of pressure injuries in pediatric hospitals in the city of Sao Paulo, SP, Brazil

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dc.contributor.author de Souza Pellegrino, Donata Maria [UNIFESP]
dc.contributor.author Ferreira Chacon, Julieta Maria [UNIFESP]
dc.contributor.author Blanes, Leila [UNIFESP]
dc.contributor.author Ferreira, Lydia Masako [UNIFESP]
dc.date.accessioned 2020-09-01T13:21:21Z
dc.date.available 2020-09-01T13:21:21Z
dc.date.issued 2017
dc.identifier http://dx.doi.org/10.1016/j.jtv.2017.07.001
dc.identifier.citation Journal Of Tissue Viability. Oxford, v. 26, n. 4, p. 241-245, 2017.
dc.identifier.issn 0965-206X
dc.identifier.uri https://repositorio.unifesp.br/handle/11600/58218
dc.description.abstract Objective: To identify the incidence and prevalence of pressure injuries (Pls) in children admitted to hospitals in the city of Sao Paulo, and assess the association between sociodemographic and clinical characteristics with hospital-acquired pressure injuries (HAPIs). Materials and methods: A total of 543 children were evaluated, and their sociodemographic and clinical data were recorded. Student's t, Wilcoxon, chi-square, and Fisher's exact tests were used to assess associations between risk factors and the occurrence of HAPIs. The proportion comparison test was used to assess the difference between the prevalence assessments performed at 2 different time points. Results: The mean prevalence was 7.1% and the mean incidence was 21.8%. Stage 1 Pls totaled 55% of the occurrences, followed by deep tissue injury, stage 2 Pls, and unstageable Pls. Twenty-five percent of Pls were associated with the use of medical devices. The sociodemographic characteristics significantly associated with HAPIs were white skin color and the absence of a parent or guardian as the patient's companion, whereas the clinical characteristics most significantly associated with HAPIs were hospitalization time greater than 30 days, enteral nutrition pathway, a chronic illness of the central nervous system, vasomotor medication, and mechanical ventilation (p < 0.05). Conclusion: The prevalence of Pls among pediatric patients admitted to hospitals in Sao Paulo was similar to, and the incidence was higher than the reported international rates. Patients not accompanied by a parent, hospitalized for longer periods and in critical condition were those most affected by Pls. (C) 2017 Tissue Viability Society. Published by Elsevier Ltd. All rights reserved. en
dc.format.extent 241-245
dc.language.iso eng
dc.publisher Elsevier Sci Ltd
dc.relation.ispartof Journal Of Tissue Viability
dc.rights Acesso restrito
dc.subject Pressure injury en
dc.subject Child en
dc.subject Adolescent en
dc.subject Pediatrics en
dc.subject Incidence en
dc.subject Prevalence en
dc.title Prevalence and incidence of pressure injuries in pediatric hospitals in the city of Sao Paulo, SP, Brazil en
dc.type Artigo
dc.description.affiliation Fed Univ Sao Paulo UNIFESP, Translat Surg, Rua Napoleao de Barros 715,4th Floor, BR-04024002 Sao Paulo, Brazil
dc.description.affiliation Univ Fed Sao Paulo, Div Plast Surg, Rua Napoleao de Burros 715,4th Floor, BR-04024002 Sao Paulo, Brazil
dc.description.affiliationUnifesp Fed Univ Sao Paulo UNIFESP, Translat Surg, Rua Napoleao de Barros 715,4th Floor, BR-04024002 Sao Paulo, Brazil
dc.description.affiliationUnifesp Univ Fed Sao Paulo, Div Plast Surg, Rua Napoleao de Burros 715,4th Floor, BR-04024002 Sao Paulo, Brazil
dc.identifier.doi 10.1016/j.jtv.2017.07.001
dc.description.source Web of Science
dc.identifier.wos WOS:000417665200003
dc.coverage Oxford
dc.citation.volume 26
dc.citation.issue 4



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