Document Type
Article
Publication Title
Journal of Wound Ostomy and Continence Nursing
Department
Mathematics
ISSN
15283976
Volume
50
Issue
3
DOI
10.1097/WON.0000000000000976
First Page
197
Last Page
202
Publication Date
6-1-2023
Abstract
Purpose: The purpose of this study was to compare the incidence of hospital-acquired pressure injuries (HAPIs) in patients with acute respiratory distress syndrome (ARDS) and placed in a prone position manually or using a specialty bed designed to facilitate prone positioning. A secondary aim was to compare mortality rates between these groups. Design: Retrospective review of electronic medical records. SUBJECTS AND SETTING: The sample comprised 160 patients with ARDS managed by prone positioning. Their mean age was 61.08 years (SD = 12.73); 58% (n = 96) were male. The study setting was a 355-bed community hospital in the Western United States (Stockton, California). Data were collected from July 2019 to January 2021. Methods: Data from electronic medical records were retrospectively searched for the development of pressure injuries, mortality, hospital length of stay, oxygenation status when placed in a prone position, and the presence of a COVID-19 infection. Results: A majority of patients with ARDS were manually placed in a prone position (n = 106; 64.2%), and 54 of these patients (50.1%) were placed using a specialty care bed. Slightly more than half (n = 81; 50.1%) developed HAPIs. Chi-square analyses showed no association with the incidence of HAPIs using manual prone positioning versus the specialty bed (P =.9567). Analysis found no difference in HAPI occurrences between those with COVID-19 and patients without a coronavirus infection (P =.8462). Deep-tissue pressure injuries were the most common type of pressure injury. More patients (n = 85; 80.19%) who were manually placed in a prone position died compared to 58.18% of patients (n = 32) positioned using the specialty bed (P =.003). Conclusions: No differences in HAPI rates were found when placing patients manually in a prone position versus positioning using a specialty bed designed for this purpose.
Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.
Recommended Citation
DeMellow, Jacqueline M.; Dhillon, Harbir; Bhattacharyya, Mouchumi; Pacitto, Daniel; and Kozik, Teri M., "Hospital-Acquired Pressure Injuries in Adults With Prone Positioning Using Manual Method Versus Specialty Bed: A Retrospective Comparison Cohort Study" (2023). Pacific Faculty Work. 138.
https://scholarlycommons.pacific.edu/all-faculty/138
