What question did this study set out to answer?

To identify early predictors of deep tissue pressure injury in ICU patients beyond conventional risk scales.

March 8, 20260 citations

Beyond Conventional Risk Scales: Temporal Patterns and Multidimensional Predictors of Early Deep Tissue Pressure Injury in ICU - A Retrospective Cohort Study.

TSTuba SengulKoç University DADilek Yilmaz AkyazKoç University TCTuğba CevizciKoç University

Key Points

To identify early predictors of deep tissue pressure injury in ICU patients beyond conventional risk scales.
Conducted a retrospective cohort study in an ICU setting.
Analyzed the effectiveness of the Braden Scale alongside multidimensional assessments.
Monitored patients' nutritional status, oedema, and sedative use during the first 7-10 days post-admission.
Found that low-risk patients according to the Braden Scale still developed pressure injuries.
Highlighted the importance of closer skin monitoring during the initial ICU days, especially for older patients.
Demonstrated that incorporating multidimensional assessments enhances early detection.

Abstract

Nursing managers and ICU clinicians should recognise that patients classified as low risk by the Braden Scale may still develop deep tissue pressure injury. Incorporating multidimensional risk assessment approaches that include nutritional status, oedema and sedative use alongside traditional scales can enhance early detection and prevention. Closer skin monitoring within the first 7-10 days of ICU admission, particularly for older patients, is essential to improve patient safety and outcomes.

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