Publication: Sepsis episodes caused by pressure injuries in critical illness: A retrospective observational cohort study
dc.contributor.buuauthor | KELEBEK GİRGİN, NERMİN | |
dc.contributor.buuauthor | Girgin, Nermin Kelebek | |
dc.contributor.buuauthor | Kaya, Pınar Küçükdemirci | |
dc.contributor.buuauthor | KÜÇÜKDEMİRCİ KAYA, PINAR | |
dc.contributor.buuauthor | Kahveci, Ferda S. | |
dc.contributor.buuauthor | İşcimen, Remzi | |
dc.contributor.buuauthor | İŞÇİMEN, REMZİ | |
dc.contributor.buuauthor | Kaya, Murad | |
dc.contributor.buuauthor | KAYA, MURAD | |
dc.contributor.buuauthor | Akalin, Emin Halis | |
dc.contributor.buuauthor | AKALIN, EMİN HALİS | |
dc.contributor.department | Bursa Uludağ Üniversitesi/Tıp Fakültesi/Anestezi ve Reanimasyon Anabilim Dalı. | |
dc.contributor.orcid | 0000-0002-8428-8245 | |
dc.contributor.orcid | 0000-0002-5882-1632 | |
dc.date.accessioned | 2024-09-26T11:49:07Z | |
dc.date.available | 2024-09-26T11:49:07Z | |
dc.date.issued | 2023-11-01 | |
dc.description.abstract | BACKGROUND: Critically -ill patients (CIPs) with pressure injuries (PIs) may develop bloodstream infections (BSIs). PURPOSE: To identify predisposing factors and discuss diagnosis and management of sepsis -related PIs in CIPs. METHODS: The records of CIPs in the intensive care unit (ICU) between January 1, 2014, and January 1, 2020, with PI with sepsis -diagnoses and with different site cultures that were positive concurrent with bloodstream -cultures were retrospectively reviewed. RESULTS: Ninety-one sepsis episodes were included in the study. Low albumin level ( U = 382.00, P = .006), renal failure (odds ratio [OR], 0.108 [95% CI, 0.015-0.783]; P = .025), and length of ICU stay ( U = 130.00, P < .001) were identified as risk factors of BSIs due to PIs. The probability of BSI during a sepsis episode was lower in CIPs with PIs with higher C -reactive protein levels ( U = 233.00, P < .001) and whose injury resulted from trauma or surgery (OR, 0.101 [95% CI, 0.016-0.626]; P = .014). The mortality was higher in CIPs with PI -induced BSIs (OR, 0.051 [95% CI, 0.008-0.309]; P = .001). CONCLUSIONS: Pressure injury -induced sepsis was associated with a high risk of 28 -day mortality. The findings suggest that CIPs with PI are at increased risk of BSIs if they have low albumin levels, renal -failure, and prolonged ICU stay during sepsis episodes. | |
dc.identifier.doi | 10.25270/wmp.22093 | |
dc.identifier.issn | 2640-5237 | |
dc.identifier.issue | 4 | |
dc.identifier.uri | https://doi.org/10.25270/wmp.22093 | |
dc.identifier.uri | https://hdl.handle.net/11452/45319 | |
dc.identifier.volume | 69 | |
dc.identifier.wos | 001251908600001 | |
dc.indexed.wos | WOS.SCI | |
dc.indexed.wos | WOS.SSCI | |
dc.language.iso | en | |
dc.publisher | Hmp | |
dc.relation.journal | Wound Management & Prevention | |
dc.relation.publicationcategory | Makale - Uluslararası Hakemli Dergi | |
dc.rights | info:eu-repo/semantics/closedAccess | |
dc.subject | Spinal-cord-injury | |
dc.subject | Ulcers | |
dc.subject | Definitions | |
dc.subject | Bacteremia | |
dc.subject | Failure | |
dc.subject | Pressure injury | |
dc.subject | Pressure injury infection | |
dc.subject | Sepsis | |
dc.subject | Critical illness | |
dc.subject | Antimicrobial resistance | |
dc.subject | Science & technology | |
dc.subject | Life sciences & biomedicine | |
dc.subject | Dermatology | |
dc.subject | Nursing | |
dc.title | Sepsis episodes caused by pressure injuries in critical illness: A retrospective observational cohort study | |
dc.type | Article | |
dspace.entity.type | Publication | |
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relation.isAuthorOfPublication.latestForDiscovery | 468d1ea4-987c-4b37-9d8a-878d5d902281 |