Experience of the vulnology team during COVID-19 period

Submitted: June 2, 2023
Accepted: July 25, 2023
Published: December 14, 2023
Abstract Views: 174
PDF (Italiano): 52
PDF: 22
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The Coronavirus pandemic (COVID-19) significantly increased the hospitalisation of patients mainly due to respiratory complications, especially in intensive care units. During the first wave, COVID-19 patients had more Hospital-Acquired Pressure Ingiury (HAPI) than non-COVID-19 patients. The fragility of these patients, the manoeuvres required for their respiratory support and the use of numerous medical devices are the main reasons for the high risk of loss of skin integrity. The onset of skin lesions has consequences in terms of increased hospitalisation, care costs and, not least, a negative impact on the quality of life of patients. In light of these premises, the nursing vulnology team of the HUB Mauriziano Hospital in Turin, during the pandemic period, planned and carried out an intervention for the prevention/treatment of skin lesions and to support healthcare workers involved in caring for COVID-19 patients in the hospital wards. The activity was carried out during the period from 30/10/2020 to 30/04/2021. A total of 679 patients were enrolled in the study. In 361 patients (53.2%) only preventive activities were performed, 343 (95%) of these patients did not develop any injuries. Age, length of hospital stay and Braden score were the most relevant factors in patients with HAPI. In 318 (46.8%) patients, in addition to preventive interventions, treatment of pre-existing skin injuries was carried out, in this sample in 28 (8.8%) of the cases there was a worsening of the skin lesions. Finally, almost all of the practitioners, 113 out of 118 (96%), recognised the usefulness of the support of specialists in Wound Care by completing an online questionnaire.

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Citations

Kottner J, Cuddigan J, Carville K, et al. Pressure ulcer/injury classification today: An international perspective. J Tissue Viability 2020;29:197-203. DOI: https://doi.org/10.1016/j.jtv.2020.04.003
Tang J, Li B, Gong J, et al. Challenges in the management of critical ill COVID-19 patients with pressure ulcer. Int Wound J 2020;17:1523-4. DOI: https://doi.org/10.1111/iwj.13399
Gefen A, Ousey K. Update to device-related pressure ulcers: SECURE prevention. COVID-19, face masks and skin damage. J Wound Care 2020;29:245-59. DOI: https://doi.org/10.12968/jowc.2020.29.5.245
European Pressure Ulcer Advisory Panel (EPUAP), National Pressure Ulcer Advisory Panel (NPUAP), Pan Pacific Pressure Injury Alliance (PPPIA). Prevention and treatment of pressure ulcers: quick reference guide. Haesler E (ed). Cambridge Media: Perth, Australia; 2014.
Moore Z, Patton D, Avsar P, et al. Prevention of pressure ulcers among individuals cared for in the prone position: lessons for the COVID-19 emergency. J Wound Care 2020;29:312-20. DOI: https://doi.org/10.12968/jowc.2020.29.6.312
Hashem WM, Abdelaziz H, Sallam DE, et al. Impact of COVID-19 on digestive system: prevalence, clinical characteristics, outcome, and relation to the severity of COVID-19. Egypt J Intern Med 2022;34:45. DOI: https://doi.org/10.1186/s43162-022-00132-w
Safdar A, Fatima S, Surani S, et al. Proning-related pressure ulcers in covid icu patients: an unnoticed epidemic in the middle of the pandemic. CHEST 2021;160:A1422. DOI: https://doi.org/10.1016/j.chest.2021.07.1301
European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Paneland Pan Pacific Pressure Injury Alliance. Prevention and Treatment of PressureUlcers/Injuries: Quick Reference Guide. Emily Haesler (Ed.). EPUAP/NPIAP/PPPIA: 2019.
McEvoy NL, Friel O, Clarke J, et al. Pressure ulcers in patients with COVID-19 acute respiratory distress syndrome undergoing prone positioning in the intensive care unit: A pre- and post-intervention study. Nurs Crit Care 2023;28:1115-23. DOI: https://doi.org/10.1111/nicc.12842
Lu W, Bloom O, Rathgeber M, Maltser S. Pressure injury prevalence and characteristics in patients with COVID-19 admitted to acute inpatient rehabilitation unit. Front Rehabil Sci 2023;4:1058982. DOI: https://doi.org/10.3389/fresc.2023.1058982
Nieto-García L, Carpio-Pérez A, Moreiro-Barroso MT, et al. Are there differences between COVID-19 and non-COVID-19 inpatient pressure injuries? Experiences in Internal Medicine Units. PLOS ONE 2022;17:e0263900. DOI: https://doi.org/10.1371/journal.pone.0263900
Amini M, Mansouri F, Vafaee K, et al. Factors affecting the incidence and prevalence of pressure ulcers in COVID-19 patients admitted with a Braden scale below 14 in the intensive care unit: Retrospective cohort study. Int Wound J 2022;19:2039-54. DOI: https://doi.org/10.1111/iwj.13804
Barateau M, Robineau S, Barrois B, Nicolas B. PU prevalence in patients hospitalized for COVID-19 disease in France. Abstract 5C-20. EPUAP Virtual Meeting: EPUAP 2020.
Vowden K, Hill L. What is the impact of COVID-19 on tissue viability services and pressure ulceration? J Wound Care 2021;30:522-31. DOI: https://doi.org/10.12968/jowc.2021.30.7.522
Jiang H, Shen J, Lin H, et al. Risk factors of incontinence-associated dermatitis among critically ill patients: A systematic review and meta-analysis. Front Med (Lausanne) 2023;10:1146697. DOI: https://doi.org/10.3389/fmed.2023.1146697
Pittman J, Beeson T, Dillon J, et al. Hospital-Acquired Pressure Injuries in Critical and Progressive Care: Avoidable Versus Unavoidable. Am J Crit Care 2019;28:338-50. DOI: https://doi.org/10.4037/ajcc2019264
Sili A, Zaghini F, Monaco D, et al. Specialized Nurse-led Care of Chronic Wounds During Hospitalization and After Discharge: A Randomized Controlled Trial. Adv Skin Wound Care 2023;36:24-9. DOI: https://doi.org/10.1097/01.ASW.0000897444.78712.fb
Yuan L, Ye M, Yang T. Effect of Educational Training on Nurses’ Ability to Care for Patients with Pressure Injuries: A Meta-analysis. Adv Skin Wound Care 2022;35:1-6. DOI: https://doi.org/10.1097/01.ASW.0000855736.29047.b7
Yan B, Dandan H, Xiangli M. Effect of training programmes on nurses' ability to care for subjects with pressure injuries: A meta-analysis. Int Wound J 2022;19:262-71. DOI: https://doi.org/10.1111/iwj.13627

How to Cite

Abd el khalek, S., Balduzzi, E., Costamagna, G., Donascimento, A., Martin, F. L. L., Stuardi, M., & Piazza, S. (2023). Experience of the vulnology team during COVID-19 period. Italian Journal of Wound Care, 7(3). https://doi.org/10.4081/ijwc.2023.102

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