Medical Device-Related Pressure Injuries During the COVID-19 Pandemic
Medical Device-Related Pressure Injuries During the COVID-19 Pandemic
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DOI：
10.1097/won.0000000000000689
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发表时间：
2020-09-01
影响因子：
2.6
通讯作者：
Orgill, Dennis P.
中科院分区：
文献类型：
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作者：
Martel, Tanya;Orgill, Dennis P.
背景：医疗器械相关压力性损伤 (MDRPI) 占所有医院获得性压力性损伤的 30% 以上。由于长时间插管和俯卧位，COVID-19 大流行使大量患者面临 MDRPI 风险。我们回顾了 2020 年 COVID-19 大流行期间在学术医疗中心使用 MDRPI 的经验。病例：我们评估了 2020 年 4 月 1 日至 5 月 31 日大流行高峰期间获得的 30 例 MDRPI 病例，并将这些病例与大流行之前类似时间段内观察到的伤害进行了比较。结论：我们在此期间在 MDRPI 方面的经验促使 WOC 团队开始开发质量改进项目，旨在改善需要插管和俯卧位的高危呼吸系统疾病患者的管理。
BACKGROUND: Medical device-related pressure injuries (MDRPIs) account for more than 30% of all hospital-acquired pressure injuries. The COVID-19 pandemic introduced a large population of patients at risk for MDRPIs due to prolonged intubation and prone positioning. We reviewed our experience with MDRPIs during the 2020 COVID-19 pandemic at an Academic Medical Center. CASES: We evaluated 30 cases of MDRPIs acquired during the peak of our pandemic, April 1 to May 31, 2020, and compared these to injuries seen over a similar time period prior to the pandemic. CONCLUSIONS: Our experiences with MDRPIs during this time has led the WOC team to begin development of a quality improvement project aimed at improving management of high-risk respiratory illness patients requiring intubation and prone positioning.