Determination of Pressure Injury Risk Factors in COVID-19 Patients Hospitalized in the Intensive Care Unit

Authors : Ilknur Tura, Fatmagül Üstünel, Sevilay Erden

Pages : 232-238

Doi:10.26453/otjhs.1664017

View : 108 | Download : 473

Publication Date : 2025-09-15

Article Type : Research Paper

Abstract :Objective: This study aimed to determine the risk factors for pressure injury in COVID-19 in intensive care unit. Materials and Methods: A retrospective study was conducted using COVID-19 Intensive Care Unit archive data from April 2020 to July 2022. The study included patients aged 18 and over, with no pre-existing pressure injury, at high risk (Braden Score not between 6-12), and hospitalized in the ICU for at least 24 hours. Results: A pressure injury developed in 25.2% of the patients. Among those who developed a pressure injury, 79.4% were classified as Stage I, characterized by redness, and 36.8% of the injuries occurred in the sacral region. A significant difference was observed in relation to age, length of stay, Braden score, albumin levels, hemoglobin levels, oxygen levels, and medications used between patients with pressure injuries and those without (p <0.05). The Braden scale was used for risk assessment. Factors independently associated with pressure injury were hemoglobin (1.398 [1.122-1.742]), hemoglobin (0.067 [0.007-0.643]), high-dose steroids (0.026 [0.002-0.317]) and oxygen (0.108 [0.012-0.964]). Conclusions: It was found that stage I developed in patients, and the most pressure injuries were in the sacrum. The risk of pressure injury was associated with the Braden score, hemoglobin, high-dose steroids, and oxygen. Nurses should evaluate the risk of developing pressure injury in the intensive care unit. They should minimize the conditions that will threaten the safety of patients at risk.
Keywords : Basınç yaralanması, COVID-19, risk faktörleri, yoğun bakım ünitesi

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