Kayser et al.,1313. Kayser SA, VanGilder CA, Ayello EA, Lachenbruch C. Prevalence and analysis of Medical Device-Related Pressure Injuries: Results from the International Pressure Ulcer Prevalence Survey. Adv Skin Wound Care. [Internet] 2018 [cited 2019 Jan 17];31(6):276-85. Available from: Available from: https://dx.doi.org/10.1097/01.asw.0000532475.11971.aa
https://dx.doi.org/10.1097/01.asw.000053...
|
Canada |
V |
99,876 ICU patients, long-term care, rehabilitation, long-term acute care hospitals and palliative care centers. |
Prevalence of 601 injuries. Nasal oxygen tubes, splints, non-invasive ventilation, positive pressure masks |
Medical-device-related pressure injuries occur in the face and head region, specifically the ears. Efforts should be ongoing for assessment and prevention in critically ill patients who require these devices. |
Zhao et al.,1414. Zhao H, He Y, Wei Q, Ying Y. Medical Adhesive-Related Skin Injury Prevalence at the Peripherally Inserted Central Catheter Insertion Site: A Cross-sectional, Multiple-Center Study. J Wound Ostomy Continence Nurs. [Internet] 2018 [cited 2019 Jan 17];45(1):22-5. Available from: Available from: https://dx.doi.org/10.1097/won.0000000000000394
https://dx.doi.org/10.1097/won.000000000...
|
China |
V |
697 patients, four tertiary hospitals (three general and one cancer hospital). |
137 fixing stickers. |
The prevalence and the risk factors associated with medical-device-related pressure injuries caused by the skin patch used to fix the peripheral insertion central catheter provided epidemiology and identification of the high-risk population, as well as improved care and patient safety. |
Arnold-Long et al.,1515. Arnold-Long M, Ayer M, Borchert K. Medical Device-Related Pressure Injuries in Long-term Acute Care Hospital Setting. J Wound Ostomy Continence Nurs. [Internet] 2017 [cited 2019 Jan 17]; 44(4):325-30. [cited 2019 Jan 17]. Available from: Available from: https://dx.doi.org/10.1097/won.0000000000000347
https://dx.doi.org/10.1097/won.000000000...
|
United States |
VI. |
304 patients in three long-term acute care hospitals. |
142 breathing devices, splints, straps and tubes. |
Injuries caused by devices were discharged from long-term inpatients. |
Otero et al.,1616. Otero D P, Domínguez DV, Fernández LH, Magariño AS, González VJ, Klepzing JV, et al. Preventing facial pressure ulcers in patients under non-invasive mechanical ventilation: a randomised control trial. J Wound Care. [Internet] 2017 [cited 2019 Jan 17];26(3):128-36. Available from: Available from: https://dx.doi.org/10.12968/jowc.2017.26.3.128
https://dx.doi.org/10.12968/jowc.2017.26...
|
Spain |
II. |
152 patients, hospital emergency department. |
74 caused by non-invasive ventilation, nasal mask. |
The incidence of facial injury was significantly lower in the group receiving hyper oxygenated fatty acid solution when compared with direct mask, thin patch and foam patch. |
Barakat-Johnson et al.,1717. Barakat-Johnson M, Barnett C, Wand T, White K. Medical device-related pressure injuries: An exploratory descriptive study in an acute tertiary hospital in Australia. J Tissue Viability. [Internet] 2017 [cited 2019 Jan 17]; 6(4)246-53. Available from: Available from: https://dx.doi.org/10.1016/j.jtv.2017.09.008
https://dx.doi.org/10.1016/j.jtv.2017.09...
|
Australia |
VI. |
179 patients, tertiary referral hospital with acute, subacute care and ICU. |
50, 34 of them in intensive care/with endotracheal tube, CPAP (Continuous Positive Airway Pressure) and nasal parts, nasogastric probe, pulse oximeter |
The most common sites are in the ear due to the endotracheal tube in intensive care unit patients. Additional support, education and monitoring are required for nurses to prevent injury. |
Coyer et al.,1818. Coyer FM, Stotts NA, Blackman VS. A prospective window into medical device related pressure ulcers in intensive care. Int Wound J. [Internet] 2014 [cited 2019 Jan 17];11:656-64. Available from: Available from: https://dx.doi.org/10.1111/iwj.12026
https://dx.doi.org/10.1111/iwj.12026...
|
United States |
IV. |
483 patients, six intensive care units in Australia and the United States. |
20 injuries were followed-up for seven days continuously. Endotracheal devices and nasogastric tube |
They were identified in overweight white men, low risk of organ failure and long stay in the intensive care unit. |
Asti et al.,1919. Asti E, Sironi A, Milito P, Bonavina G, Bonitta G, Bonavina L. Prevalence and risk factors of nasal pressure ulcers related to nasogastric intubation: an observational study. Eur Surg. [Internet] 2017 [cited 2019 Jan 17];49:171-4. Available from: Available from: https://dx.doi.org/10.1007/s10353-017-0476-y
https://dx.doi.org/10.1007/s10353-017-04...
|
Italy |
IV. |
2,131 patients who underwent surgery. |
102 nasogastric probes |
Secondary injuries due to the nasogastric probe in surgical patients, which can cause irreversible sequelae in the patient's nasal wing. |
Ambutas et al.,2020. Ambutas S, Staffileno BA, Fogg L. Reducing nasal pressure ulcers with an alternative taping device. Medsurg Nurs. [Internet] 2014 [cited 2019 Jan 17];23(2):96-100. Available from: Available from: https://europepmc.org/abstract/med/24933786
https://europepmc.org/abstract/med/24933...
|
United States |
III. |
205 patients in the operating room and hospitalization. |
5 injuries using a nasogastric probe-specific fixative and 19 lesions with a conventional fixative |
Comparison between the use of 2 nasogastric probe fixatives, in which the evaluation of the underlying skin and nursing intervention are fundamental for the recognition of a potential injury. |
Schallom et al.,2121. Schallom M, Cracchiolo L, Falker A, Foster J, Hager J, Morehouse T, et al. Pressure ulcer incidence in patients wearing nasal-oral versus full-face noninvasive ventilation masks. Am J Crit Care. [Internet] 2015 [cited 2019 Jan 17]; 24(4):349-56. Available from: Available from: https://dx.doi.org/10.4037/ajcc2015386
https://dx.doi.org/10.4037/ajcc2015386...
|
United States |
IV. |
Two groups of 100 patients who used the nasal-oral mask or the face mask in five ICUs. |
20 pressure injuries in the nasal-oral mask group and two in the face mask group |
The facemask resulted in a smaller number of pressure injuries and was more comfortable for patients, being a good alternative for non-invasive ventilation. |
O’Toole et al.,2222. O’Toole TR, Jacobs N, Hondorp B, Crawford L, Boudreau LR, Jeffe J, et al. Prevention of tracheostomy-related hospital-acquired pressure ulcers. Otolaryngol Head Neck Surg. [Internet] 2017 [cited 2019 Jan 17]; 156(4):642-51. Available from: Available from: https://dx.doi.org/10.1177/0194599816689584
https://dx.doi.org/10.1177/0194599816689...
|
United States |
III. |
155 patients for tracheostomy protection protocol intervention and 183 pre-intervention patients for comparison. |
20 pre-intervention injuries and two post-intervention injuries. Tracheostomy |
The adoption of the preventive care package resulted in a significant reduction in the incidence of the pressure injury related to hospital tracheostomy |
Glasgow et al.,2323. Glasgow D, Millen IS, Nzewi OC, Varadarajaran B. Device-related atypical pressure ulcer after cardiac surgery. J Wound Care. [Internet] 2014 [cited 2019 Jan 17];23(8):383-4, 386-7. Available from: Available from: http://dx.doi.org/10.12968/jowc.2014.23.8.383
http://dx.doi.org/10.12968/jowc.2014.23....
|
United Kingdom |
VII |
One patient, clinical case report after extensive cardiac surgery. |
One injury due to tube fixation at the cervical posterior, stage 4 |
Injuries are reported in nursing journals, but rarely in medical journals, so multidisciplinary care is important for injury prevention and for reducing patient stay length. |
Ham et al.,2424. Ham WH, Schoonhoven L, Schuurmans MJ, Leenen LP. Pressure ulcers in trauma patients with suspected spine injury: a prospective cohort study with emphasis on device-related pressure ulcers. Int Wound J. [Internet] 2016 [cited 2019 Jan 17];14(1):104-11. Available from: Available from: https://dx.doi.org/10.1111/iwj.12568
https://dx.doi.org/10.1111/iwj.12568 ...
|
Netherlands |
IV. |
254 patients at the trauma center. |
88 cervical collars and immobilizers, urinary tubes, endotracheal tube and nasogastric probe |
16 different spots with medical-device-related pressure injuries found; in trauma patients, it is very high |
Ham et al.,2525. Ham HW, Schoonhoven LL, Galer AA, Shortridge-Baggett LL. Cervical collar-related pressure ulcers in trauma patients in intensive care unit. J Trauma Nurs. [Internet] 2014 [cited 2019 Jan 17];21(3):94-102. Available from: Available from: https://dx.doi.org/10.1097/jtn.0000000000000046
https://dx.doi.org/10.1097/jtn.000000000...
|
England |
V |
88 patients, trauma and surgical ICU. |
One injury, stage 4, in the occipital region, resulting from the use of cervical collar |
In this study, the incidence of pressure injury due to the cervical collar was low, but prevention for this device cannot be ruled out. Further research studies should be conducted to obtain data for future effective interventions |
Padula et al.,2626. Padula CA, Paradis H, Goodwin R, Lynch J, Hegerich-Bartula D. Prevention of Medical Device-Related Pressure Injuries Associated with Respiratory Equipment Use in a Critical Care Unit: A Quality Improvement Project. J Wound Ostomy Continence Nurs. [Internet] 2017 [cited 2019 Jan 17]; 44(2):138-41. Available from: Available from: https://dx.doi.org/10.1097/won.0000000000000311
https://dx.doi.org/10.1097/won.000000000...
|
Iceland |
III. |
130 patients in ICU. |
Five injuries in the study intervention period, 12 months |
With incorporation of multiple interventions, including health education, interdisciplinary follow-up and analysis of the main causes for subsequent intervention, are factors that reduce the incidence of medical-device-related pressure injury in the intensive care unit. |
Monarca et al.,2727. Monarca MC, Marteka P, Breda K. Decreasing incidence of medical device-related pressure injuries in a small community hospital a quality improvement project. J Wound Ostomy Continence Nurs. [Internet] 2018 [cited 2019 Jan 17];45(2):137-40. Available from: Available from: https://dx.doi.org/10.1097/won.0000000000000419
https://dx.doi.org/10.1097/won.000000000...
|
United States |
III. |
250 patients, project intervention for 12 months for prevention of PI due to GNS. Midsize Hospital |
42 injuries before the intervention and 33 injuries after the project. |
Health education, development of a scientific evidence-based preventive intervention package, documentation and tracking of pressure injuries combination has resulted in reduced cases |