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Titre : | Surveillance for Pressure Injuries on Admission to Inpatient Rehabilitation Hospitals During the COVID-19 Pandemic (2021) |
Auteurs : | Jamila A. Kendall ; Jack K. Haberl ; Caitlin Hartsgrove ; Lauren F. Murphy ; Robert DeLuca ; Nicole Diaz-Segarra ; Steven C. Kirshblum |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 102, n° 10, 2021) |
Article en page(s) : | p. 1932-1938 |
Note générale : | https://doi.org/10.1016/j.apmr.2021.06.011 |
Langues: | Anglais |
Descripteurs : |
HE Vinci COVID-19 ; Maladies virales ; Médecine physique et de réadaptation ; Pneumopathie virale ; Réadaptation ; Ulcère cutané |
Résumé : |
Objective
To determine if the incidence of pressure injuries (PIs) on admission to an inpatient rehabilitation hospital (IRH) system of care was increased during the early coronavirus disease 2019 (COVID-19) pandemic period. Design Retrospective survey chart review of consecutive cohorts. Admissions to 4 acute IRHs within 1 system of care over the first consecutive 6-week period of admitting patients positive for COVID-19 during the initial peak of the COVID-19 pandemic, April 1-May 9, 2020. A comparison was made with the preCOVID-19 period, January 1-February 19, 2020. Setting Four acute IRHs with admissions on a referral basis from acute care hospitals. Participants A consecutive sample (N=1125) of preCOVID-19 admissions (n=768) and COVID-19 period admissions (n=357), including persons who were COVID-19positive (n=161) and COVID-19negative (n=196). Main Outcome Measures Incidence of PIs on admission to IRH. Results Prevalence of PIs on admission during the COVID-19 pandemic was increased when compared with the preCOVID-19 period by 14.9% (P<.001 there was no difference in the prevalence of pis covid-19 period between patients who were and vs severity measured by wound stage most severe pi patient presented with worsened during compared pre p length stay acute care hospital before transfer to irh greater than> Conclusions During the early part of the COVID-19 pandemic time frame, there was an increase in the prevalence and severity of PIs noted on admission to our IRHs. This may represent the significant burden placed on the health care system by the pandemic, affecting all patients regardless of COVID-19 status. This information is important to help all facilities remain vigilant to prevent PIs as the pandemic continues and potential future pandemics that place strain on medical resources. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999321005001#! |