Mostafa shokati Ahmadabad
Qazvin University of Medical Sciences, Iran
Title: Comparison of Four Pressure Ulcer Predictive Tools for Risk Assessment of Pressure Ulcer after Cardiac Surgery in Iran 2015
Biography
Biography: Mostafa shokati Ahmadabad
Abstract
Because of the many problems that are associated with pressure sores, preventing them is one of the most important issues in the scientific literatures. One of the measures used in the prevention of such injuries, identify individuals at risk of pressure ulcer, using predictive criteria. In this study, the accuracy of four predictive tools (Braden, Modified Braden, Waterlow and Norton) to determine the incidence of pressure ulcers in patients in heart surgery ICU in Avicenna hospital of Qazvin. Sampling is available and includes all patients from early August to early October this year. After obtaining permission, the researcher went to the intensive care unit and then studied using tools that includes Braden, Norton, Modified Braden and Waterlow, to examine patients. The researcher checked skin of patients after the surgery and on arrival in the cardiac ICU. The patients were assessed until discharge of ward. Among 70 patients, 32 patients (45/7%) developed pressure ulcers that among 29 patients (41/4 percent) grade 1 and (4/3%) had grade 2 wound. Factors such as diabetes, high blood pressure, and fasting time after surgery, time of intubated, duration of surgery, postoperative hemoglobin and ejection fraction were affecting on ulcers. Low levels of pressure ulcer prevalence in intensive care cardiac surgery. Ultimately It seems that the Waterloo tool is more accurate in predicting the incidence of pressure ulcers. It is recommended to identify patients at risk and reduce the incidence of pressure ulcers, this tool should be used.