OR time and sacral pressure injuries in critically ill surgical patients

Mary Jo Grap, Christine M. Schubert, Cindy Munro, Paul A. Wetzel, Ruth S. Burk, Valentina Lucas, Anathea Pepperl

Research output: Contribution to journalArticle

2 Citations (Scopus)

Abstract

Critically ill patients are at risk for developing pressure injuries during operative and other invasive procedures. The purpose of this secondary analysis was to explore the relationship of OR time to sacral pressure injuries in critically ill patients using high frequency ultrasound as a method of assessment. The 41 participants examined in this study had both time in the OR and up to eight days of pressure injury data. The multivariable model containing OR bed time, body mass index, and Braden Scale score produced the best prediction of pressure injury (area under the curve = 0.859). A higher body mass index (P = .09), shorter OR bed time (P = .01), and lower Braden Scale score (P = .05) were associated with a greater chance of pressure injury. These results suggest that use of high frequency ultrasound may identify tissue changes before observable skin changes, leading to earlier pressure injury prevention strategies.

Original languageEnglish (US)
Pages (from-to)229-239
Number of pages11
JournalAORN Journal
Volume109
Issue number2
DOIs
StatePublished - Jan 1 2019
Externally publishedYes

Fingerprint

Critical Illness
Pressure
Wounds and Injuries
Body Mass Index
Area Under Curve
Skin

Keywords

  • Braden Scale
  • Critically ill surgical patients
  • High frequency ultrasound
  • OR time
  • Pressure injury

ASJC Scopus subject areas

  • Medical–Surgical

Cite this

Grap, M. J., Schubert, C. M., Munro, C., Wetzel, P. A., Burk, R. S., Lucas, V., & Pepperl, A. (2019). OR time and sacral pressure injuries in critically ill surgical patients. AORN Journal, 109(2), 229-239. https://doi.org/10.1002/aorn.12583

OR time and sacral pressure injuries in critically ill surgical patients. / Grap, Mary Jo; Schubert, Christine M.; Munro, Cindy; Wetzel, Paul A.; Burk, Ruth S.; Lucas, Valentina; Pepperl, Anathea.

In: AORN Journal, Vol. 109, No. 2, 01.01.2019, p. 229-239.

Research output: Contribution to journalArticle

Grap, MJ, Schubert, CM, Munro, C, Wetzel, PA, Burk, RS, Lucas, V & Pepperl, A 2019, 'OR time and sacral pressure injuries in critically ill surgical patients', AORN Journal, vol. 109, no. 2, pp. 229-239. https://doi.org/10.1002/aorn.12583
Grap MJ, Schubert CM, Munro C, Wetzel PA, Burk RS, Lucas V et al. OR time and sacral pressure injuries in critically ill surgical patients. AORN Journal. 2019 Jan 1;109(2):229-239. https://doi.org/10.1002/aorn.12583
Grap, Mary Jo ; Schubert, Christine M. ; Munro, Cindy ; Wetzel, Paul A. ; Burk, Ruth S. ; Lucas, Valentina ; Pepperl, Anathea. / OR time and sacral pressure injuries in critically ill surgical patients. In: AORN Journal. 2019 ; Vol. 109, No. 2. pp. 229-239.
@article{05e51259ae9d4f58af76fb2a8464785c,
title = "OR time and sacral pressure injuries in critically ill surgical patients",
abstract = "Critically ill patients are at risk for developing pressure injuries during operative and other invasive procedures. The purpose of this secondary analysis was to explore the relationship of OR time to sacral pressure injuries in critically ill patients using high frequency ultrasound as a method of assessment. The 41 participants examined in this study had both time in the OR and up to eight days of pressure injury data. The multivariable model containing OR bed time, body mass index, and Braden Scale score produced the best prediction of pressure injury (area under the curve = 0.859). A higher body mass index (P = .09), shorter OR bed time (P = .01), and lower Braden Scale score (P = .05) were associated with a greater chance of pressure injury. These results suggest that use of high frequency ultrasound may identify tissue changes before observable skin changes, leading to earlier pressure injury prevention strategies.",
keywords = "Braden Scale, Critically ill surgical patients, High frequency ultrasound, OR time, Pressure injury",
author = "Grap, {Mary Jo} and Schubert, {Christine M.} and Cindy Munro and Wetzel, {Paul A.} and Burk, {Ruth S.} and Valentina Lucas and Anathea Pepperl",
year = "2019",
month = "1",
day = "1",
doi = "10.1002/aorn.12583",
language = "English (US)",
volume = "109",
pages = "229--239",
journal = "AORN Journal",
issn = "0001-2092",
publisher = "Elsevier USA",
number = "2",

}

TY - JOUR

T1 - OR time and sacral pressure injuries in critically ill surgical patients

AU - Grap, Mary Jo

AU - Schubert, Christine M.

AU - Munro, Cindy

AU - Wetzel, Paul A.

AU - Burk, Ruth S.

AU - Lucas, Valentina

AU - Pepperl, Anathea

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Critically ill patients are at risk for developing pressure injuries during operative and other invasive procedures. The purpose of this secondary analysis was to explore the relationship of OR time to sacral pressure injuries in critically ill patients using high frequency ultrasound as a method of assessment. The 41 participants examined in this study had both time in the OR and up to eight days of pressure injury data. The multivariable model containing OR bed time, body mass index, and Braden Scale score produced the best prediction of pressure injury (area under the curve = 0.859). A higher body mass index (P = .09), shorter OR bed time (P = .01), and lower Braden Scale score (P = .05) were associated with a greater chance of pressure injury. These results suggest that use of high frequency ultrasound may identify tissue changes before observable skin changes, leading to earlier pressure injury prevention strategies.

AB - Critically ill patients are at risk for developing pressure injuries during operative and other invasive procedures. The purpose of this secondary analysis was to explore the relationship of OR time to sacral pressure injuries in critically ill patients using high frequency ultrasound as a method of assessment. The 41 participants examined in this study had both time in the OR and up to eight days of pressure injury data. The multivariable model containing OR bed time, body mass index, and Braden Scale score produced the best prediction of pressure injury (area under the curve = 0.859). A higher body mass index (P = .09), shorter OR bed time (P = .01), and lower Braden Scale score (P = .05) were associated with a greater chance of pressure injury. These results suggest that use of high frequency ultrasound may identify tissue changes before observable skin changes, leading to earlier pressure injury prevention strategies.

KW - Braden Scale

KW - Critically ill surgical patients

KW - High frequency ultrasound

KW - OR time

KW - Pressure injury

UR - http://www.scopus.com/inward/record.url?scp=85060585068&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85060585068&partnerID=8YFLogxK

U2 - 10.1002/aorn.12583

DO - 10.1002/aorn.12583

M3 - Article

C2 - 30694547

AN - SCOPUS:85060585068

VL - 109

SP - 229

EP - 239

JO - AORN Journal

JF - AORN Journal

SN - 0001-2092

IS - 2

ER -