Pressure Injury Development, Mitigation, and Outcomes of Patients Proned for Acute Respiratory Distress Syndrome

Abstract

OBJECTIVE To describe trends and risk factors for pressure injuries (PIs) in adult critical care patients proned to alleviate acute respiratory distress syndrome secondary to COVID-19 and examine the effectiveness of products and strategies used to mitigate PIs. METHODS The authors conducted a retrospective chart review between April 9 and June 8, 2020. Demographic data were analyzed using descriptive statistics. Differences between groups with and without PIs were analyzed. RESULTS Among 147 patients, significant PI risk factors included male sex (P =.019), high body mass index (>40 kg/m2; P =.020), low Braden Scale score (<12; P =.018), and low-dose vasopressor therapy (P =.020). Taping endotracheal tubes (ETTs) caused significantly fewer facial PIs than commercial ETT holders (P