Ocorrência de úlcera por pressão e perfil epidemiológico e clínico dos pacientes internados em uma unidade hospitalar da Fundação Hospitalar de Minas Gerais

Abstract

Introduction: The evolution of health care is constant, but the occurrence of Pressure Injury (LP) remains high, particularly in hospitalized patients. Objective: To performed out an epidemiological evaluation of LP patients, from the perspective of SUS, in a hospital unit for the care of chronic patients of the Hospitalar de Minas Gerais Foundation, from January 2010 to December 2014. Method: A historical cohort and LP frequency were calculated. To evaluate the existence and the degree of association between the variables, a multivariate analysis was performed with the Poisson regression. The significance level adopted for the analyzes was 0.20, except for the final model for which the significance level of 0.05 was adopted. Results: A total of 258 medical records were evaluated. The incidence and prevalence of LP were 29.41% and 90.70%, respectively. The variables that presented a statistically significant association with LP number at admission were: brown skin color, age, Braden score at admission, time of hospital stay, and death. Discussion: The results of this study reveal that the occurrence of LP in back institutions of hospitals that attend polytrauma is very high given the peculiarities of this profile of patients. Conclusion: The development of an LP prevention program adapted to a specific population (with polytrauma injuries), besides being relevant, can be considered as an advance/necessary subsidy for LP management in these patients.