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Suspected deep tissue injury profile: a pilot study.

Abstract：

PURPOSE:To enhance the learner's competence with knowledge of the results of research examining suspected deep tissue injury profiles. TARGET AUDIENCE:This continuing education activity is intended for physicians and nurses with an interest in skin and wound care. OBJECTIVES:After participating in this educational activity, the participant should be better able to: OBJECTIVE:: The purpose of this study was to examine (1) the incidence of potential precipitating events of suspected deep tissue injuries (SDTIs) identified over a 7-day period prior to cutaneous manifestation, (2) physiological variables related to the formation of SDTIs, and (3) the time since precipitating events and the occurrence of the SDTI. DESIGN:A descriptive exploratory study. A retrospective chart review was conducted. SETTING:A 348-bed community Magnet-redesignated hospital, Baptist Health Lexington Kentucky PARTICPANTS:: Eighty-five participants with SDTIs identified between January 2008 and March 2010. MAIN OUTCOME MEASURES:Precipitating events evaluated were tissue perfusion, surgery, transfers, mobility, and falls. Physiological variables included anticoagulation, albumin/prealbumin, hemoglobin, partial thromboplastin time, and hemoglobin A1c. Timeline differences between precipitating events and SDTI were measured. MAIN RESULTS:Precipitating events identified from most to least frequent were transfers = 67 (78.8%), tissue perfusion = 36 (42.5%), surgery = 33 (40.2%), mobility = 26 (30.9%), and falls = 14 (16.9%). Of the 85 charts reviewed, 69 of the charts met the criteria for timeline difference between precipitating event and SDTI manifestation. The range of days for precipitating events prior to SDTI manifestation was 1 to 5 days, an average of 2.41 (SD, 1.04) years. Meaningful physiological variables noted were anticoagulation 52 (61.2%), anemia (hemoglobin 6-9 g/dL) 53 (67.1%), and hemoglobin A1c less than 7.5 mmol/L 29 (74.4%). CONCLUSIONS:This exploratory pilot study evaluating patients with SDTI revealed the most common precipitating event was transfers. In addition, the physiological variables that appeared to contribute to the development of SDTIs were anticoagulation and anemia. The range of days for precipitating events prior to SDTI manifestation was 1 to 5 days, an average of 2.41 (SD, 1.04) days.

journal_name

Adv Skin Wound Care

journal_title

Advances in skin & wound care

authors

Honaker J,Brockopp D,Moe K

doi

10.1097/01.ASW.0000443267.25288.87

subject

Has Abstract

pub_date

2014-03-01 00:00:00

pages

133-40; quiz 141-2

issue

eissn

1527-7941

issn

1538-8654

pii

00129334-201403000-00010

journal_volume

pub_type

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Suspected deep tissue injury profile: a pilot study.