Research Article
Determining the Risk of Intraoperative Pressure Injury in Patients Undergoing Elective Cranial Surgery
Abstract
Purpose: Neurosurgical interventions are long and complex, and additional difficulties are encountered in positioning in the operating room.The aim of the study is to determine the risk of pressure injury development in the intraoperative period of patients undergoing elective cranial surgery.
Methods: This descriptive cross-sectional study was conducted with 127 patients who met the inclusion criteria and underwent elective cranial surgery in a city hospital between September and October 2021. 3S Operating Room Pressure Injury Risk Diagnostic Scale were used to collect data.
Results: It was determined that 55.1% of the patients were female, their mean age was 53.22±13.47 years, and 61.4% had at least one chronic disease. It was determined that 71.7% of the patients were operated with the diagnosis of cerebellar tumor. Stage 1 pressure ulcers were observed in 37% of the patients. It was determined that the total score obtained from the scale was 14.87±2.83 and the patients were at low risk for pressure injury. Age, body mass index and duration of the surgical procedure were found to be independent factors affecting the patients' operating room pressure ulcer risk assessment scale score.
Conclusion:It was determined that the risk of pressure injury in patients who underwent cranial surgery was low level.
Supporting Institution
None
Project Number
None
Thanks
This manuscript was presented as an oral presentation at the 4th International & 12th National Turkish Surgery and Operating Room Nursing Congress on January 13-16, 2022, in Antalya, Turkey and, won the second prize in the oral presentation category. The authors would like to thank the Turkish Society of Surgery and Operating Room Nursing.
References
- European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers; quick reference guide. Washington DC. National Pressure Ulcer Advisory Panel; 2009.
- Peixoto, C. D. A., Ferreira, M. B. G., Felix, M. M. D. S., Pires, P. D. S., Barichello, E., & Barbosa, M. H. Risk assessment for perioperative pressure injuries. Revista latino-americana de enfermagem, 2019;27.
- Chen HL, Chen XY, Wu J. The incidence of pressure ulcers in surgical patients of the last 5 years: a systematic review. Wounds. [Internet]. 2012 Sep [cited Dec 22, 2017];24(9):234-41.
- Adıbelli, S., & Korkmaz, F. The Scales used to assess the risk of pressure ulcer development in adult patients. Süleyman Demirel University Journal of Health Sciences, 2018;9(2), 136-140.
- Primiano, M., Friend M., McClure, C., et al. Pressure ulcer prevalence and risk factors during prolonged surgical procedures. AORN Journal, 2011;94(6), 555-566. doi: 10.1016/j.aorn.2011.03.014.
- Şahin, G., & Başak, T. Intraoperative pressure injury risk assessment of patients over 65 years of age undergoing orthopedic surgery. Health Sciences University Nursing Journal, 2020;2(2), 55-62.
- Lopes, C. M. D. M., Haas, V. J., Dantas, R. A. S., Oliveira, C. G. D., & Galvão, C. M. Assessment scale of risk for surgical positioning injuries. Revista latino-americana de enfermagem, 2016;24.
- Menezes S, Rodrigues R, Tranquada R, Muller S, Gama K, Manso T. Lesões decorrentes do posicionamento para cirurgia: incidência e fatores de risco. Acta Med Port. 2013;26(1):12-6.
- Chello, C., Lusini, M., Schilirò, D., Greco, S.M, Barbato, R., & Nenna, A. Pressure ulcers in cardiac surgery: Few clinical studies, difficult risk assessment, and profound clinical implications. International Wound Journal, 2019;16(1), 9–12.
- St.Arnaud, D., & Paquin, M. J. Safe positioning for neurosurgical patients. AORN journal, 2008;87(6), 1156-1172. Soyer, Ö., ve Ozbayır T. Adaptation of the 3S operating room pressure injury risk diagnosis scale into Turkish. International Refereed Journal of Nursing Research, 2018;13, 46-64.
- Gao, X., Hu, J., Ma, Q., et al. Design and research on reliability-validity for 3S intraoperative risk assessment scale of pressure sore. Journal of HuazHong University of Science and Technology (Medical Sciences), 2015;35(2), 291-294.
- Gao, L., Yang, L., Li, X., Chen, J., Du, J., & Yang, H. Risk factors for intraoperative pressure ulcers in surgical patients. Int J Clin Exp Med, 2018;11(7), 7429-7435.
- Aktas, D., & Koçaslı, S. The level of knowledge of the nurses working in the operating room about pressure injuries due to surgery. Journal of Celal Bayar University Health Sciences Institute, 2020;7(2), 173-179.
- Scarlatti, K. C., Michel, J. L. M., Gamba, M. A., & Gutiérrez, M. G. R. D. Pressure ulcers in surgery patients: incidence and associated factors. Revista da Escola de Enfermagem da USP, 2011;45, 1372-1379.
- Mao, J., Liu, G., Zhang, M., & Yang, L. Summary of the best evıdence for preventıon of ıntraoperatıve pressure skın ınjury ın neurosurgıcal patıents ın lateral/prone posıtıon. Acta Medıca Medıterranea, 2020;36(4), 2591-2596.
- Meehan, A. J., Beinlich, N. R., & Hammonds, T. L. A nurse-initiated perioperative pressure injury risk assessment and prevention protocol. AORN journal, 2016;104(6), 554-565.
- Schoonhoven, L., Defloor, T., & Grypdonck, M. H. Incidence of pressure ulcers due to surgery. Journal of clinical nursing, 2002;11(4), 479-487.
- Bulfone, G., Marzoli, I., Quattrin, R., Fabbro, C., & Palese, A. A longitudinal study of the incidence of pressure sores and the associated risks and strategies adopted in Italian operating theatres. Journal of perioperative practice, 2012;22(2), 50-56.
- Furuno, Y., Sasajima, H., Goto, Y., et al. Strategies to prevent positioning-related complications associated with the lateral suboccipital approach. Journal of Neurological Surgery Part B: Skull Base, 2014;75(01), 035-040.
- Saraiva, I. L., Paula, M. F. C., & Carvalho, R. Pressure ulcer in the transoperative period: occurrence and associated factors. Rev SOBECC.[Internet], 2014;207-13. Haisley, M., Sørensen, J. A., & Sollie, M. Postoperative pressure injuries in adults having surgery under general anaesthesia: systematic review of perioperative risk factors. Journal of British Surgery, 2020;107(4), 338-347.
- Miranda, A. B., Fogaça, A. R., Rizzetto, M., & Lopes, L. C. C. Surgical positioning: nursing care in the transoperative period. Rev SOBECC, 2016;21(1), 52-8.
- Yoshimura, M., Nakagami, G., Iizaka, S., et al. Microclimate is an independent risk factor for the development of intraoperatively acquired pressure ulcers in the park bench position: A prospective observational study. Wound repair and regeneration, 2015;23(6), 939-947.
- Mishu, M. C., & Schroeder, J. W. Modelling of pressure ulcer (PU) risk prediction system. In 2015 Science and Information Conference (SAI), 2015;(pp. 650-656). IEEE.
- Ortak, T., Ozdemir, R., Taner, O. F., Unlu, R. E., & Sensöz, O. Etiological and surgical evaluation of 476 patients with pressure ulcers. Turkey Clinics Journal of Medical Sciences, 2003;23(1), 18-22.
- Demirel, M., Demiralp, C. O., & Yormuk, E. Pressure sores from 2000 to 2005: clinical experiences. Ankara University Faculty of Medicine Journal, 2007;60(2), 81-87.
- Engels, D., Austin, M., McNichol, L., Fencl, J., Gupta, S., & Kazi, H. Pressure ulcers: factors contributing to their development in the OR. AORN journal, 2016;103(3), 271-281.
- Munro, C. A. The development of a pressure ulcer risk-assessment scale for perioperative patients. Aorn Journal, 2010;92(3), 272-287.
Year 2023,
Volume: 7 Issue: 1, 84 - 93, 31.01.2023
Abstract
Project Number
None
References
- European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers; quick reference guide. Washington DC. National Pressure Ulcer Advisory Panel; 2009.
- Peixoto, C. D. A., Ferreira, M. B. G., Felix, M. M. D. S., Pires, P. D. S., Barichello, E., & Barbosa, M. H. Risk assessment for perioperative pressure injuries. Revista latino-americana de enfermagem, 2019;27.
- Chen HL, Chen XY, Wu J. The incidence of pressure ulcers in surgical patients of the last 5 years: a systematic review. Wounds. [Internet]. 2012 Sep [cited Dec 22, 2017];24(9):234-41.
- Adıbelli, S., & Korkmaz, F. The Scales used to assess the risk of pressure ulcer development in adult patients. Süleyman Demirel University Journal of Health Sciences, 2018;9(2), 136-140.
- Primiano, M., Friend M., McClure, C., et al. Pressure ulcer prevalence and risk factors during prolonged surgical procedures. AORN Journal, 2011;94(6), 555-566. doi: 10.1016/j.aorn.2011.03.014.
- Şahin, G., & Başak, T. Intraoperative pressure injury risk assessment of patients over 65 years of age undergoing orthopedic surgery. Health Sciences University Nursing Journal, 2020;2(2), 55-62.
- Lopes, C. M. D. M., Haas, V. J., Dantas, R. A. S., Oliveira, C. G. D., & Galvão, C. M. Assessment scale of risk for surgical positioning injuries. Revista latino-americana de enfermagem, 2016;24.
- Menezes S, Rodrigues R, Tranquada R, Muller S, Gama K, Manso T. Lesões decorrentes do posicionamento para cirurgia: incidência e fatores de risco. Acta Med Port. 2013;26(1):12-6.
- Chello, C., Lusini, M., Schilirò, D., Greco, S.M, Barbato, R., & Nenna, A. Pressure ulcers in cardiac surgery: Few clinical studies, difficult risk assessment, and profound clinical implications. International Wound Journal, 2019;16(1), 9–12.
- St.Arnaud, D., & Paquin, M. J. Safe positioning for neurosurgical patients. AORN journal, 2008;87(6), 1156-1172. Soyer, Ö., ve Ozbayır T. Adaptation of the 3S operating room pressure injury risk diagnosis scale into Turkish. International Refereed Journal of Nursing Research, 2018;13, 46-64.
- Gao, X., Hu, J., Ma, Q., et al. Design and research on reliability-validity for 3S intraoperative risk assessment scale of pressure sore. Journal of HuazHong University of Science and Technology (Medical Sciences), 2015;35(2), 291-294.
- Gao, L., Yang, L., Li, X., Chen, J., Du, J., & Yang, H. Risk factors for intraoperative pressure ulcers in surgical patients. Int J Clin Exp Med, 2018;11(7), 7429-7435.
- Aktas, D., & Koçaslı, S. The level of knowledge of the nurses working in the operating room about pressure injuries due to surgery. Journal of Celal Bayar University Health Sciences Institute, 2020;7(2), 173-179.
- Scarlatti, K. C., Michel, J. L. M., Gamba, M. A., & Gutiérrez, M. G. R. D. Pressure ulcers in surgery patients: incidence and associated factors. Revista da Escola de Enfermagem da USP, 2011;45, 1372-1379.
- Mao, J., Liu, G., Zhang, M., & Yang, L. Summary of the best evıdence for preventıon of ıntraoperatıve pressure skın ınjury ın neurosurgıcal patıents ın lateral/prone posıtıon. Acta Medıca Medıterranea, 2020;36(4), 2591-2596.
- Meehan, A. J., Beinlich, N. R., & Hammonds, T. L. A nurse-initiated perioperative pressure injury risk assessment and prevention protocol. AORN journal, 2016;104(6), 554-565.
- Schoonhoven, L., Defloor, T., & Grypdonck, M. H. Incidence of pressure ulcers due to surgery. Journal of clinical nursing, 2002;11(4), 479-487.
- Bulfone, G., Marzoli, I., Quattrin, R., Fabbro, C., & Palese, A. A longitudinal study of the incidence of pressure sores and the associated risks and strategies adopted in Italian operating theatres. Journal of perioperative practice, 2012;22(2), 50-56.
- Furuno, Y., Sasajima, H., Goto, Y., et al. Strategies to prevent positioning-related complications associated with the lateral suboccipital approach. Journal of Neurological Surgery Part B: Skull Base, 2014;75(01), 035-040.
- Saraiva, I. L., Paula, M. F. C., & Carvalho, R. Pressure ulcer in the transoperative period: occurrence and associated factors. Rev SOBECC.[Internet], 2014;207-13. Haisley, M., Sørensen, J. A., & Sollie, M. Postoperative pressure injuries in adults having surgery under general anaesthesia: systematic review of perioperative risk factors. Journal of British Surgery, 2020;107(4), 338-347.
- Miranda, A. B., Fogaça, A. R., Rizzetto, M., & Lopes, L. C. C. Surgical positioning: nursing care in the transoperative period. Rev SOBECC, 2016;21(1), 52-8.
- Yoshimura, M., Nakagami, G., Iizaka, S., et al. Microclimate is an independent risk factor for the development of intraoperatively acquired pressure ulcers in the park bench position: A prospective observational study. Wound repair and regeneration, 2015;23(6), 939-947.
- Mishu, M. C., & Schroeder, J. W. Modelling of pressure ulcer (PU) risk prediction system. In 2015 Science and Information Conference (SAI), 2015;(pp. 650-656). IEEE.
- Ortak, T., Ozdemir, R., Taner, O. F., Unlu, R. E., & Sensöz, O. Etiological and surgical evaluation of 476 patients with pressure ulcers. Turkey Clinics Journal of Medical Sciences, 2003;23(1), 18-22.
- Demirel, M., Demiralp, C. O., & Yormuk, E. Pressure sores from 2000 to 2005: clinical experiences. Ankara University Faculty of Medicine Journal, 2007;60(2), 81-87.
- Engels, D., Austin, M., McNichol, L., Fencl, J., Gupta, S., & Kazi, H. Pressure ulcers: factors contributing to their development in the OR. AORN journal, 2016;103(3), 271-281.
- Munro, C. A. The development of a pressure ulcer risk-assessment scale for perioperative patients. Aorn Journal, 2010;92(3), 272-287.
There are 27 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Research Article |
| Authors | |
| Project Number | None |
| Publication Date | January 31, 2023 |
| Submission Date | January 26, 2022 |
| Published in Issue | Year 2023 Volume: 7 Issue: 1 |
