Evaluation of pressure ulcer risk in hospitalized patients after metabolic surgery

Abstract

Aim: Patients who underwent surgery are in the risk group for development of pressure ulcers (PU) due to several factors including surgery time, immobilization and preexisting comorbidities. We aimed to evaluate the PU risk using The Braden Scale in patients during their hospitalization after sleeve gastrectomy with transit bipartition (SG+TB) surgery. Methods: This is a retrospective cohort study evaluating the PU risk using The Braden Scale, which consists of six subscales including sensory perception, moisture, activity, mobility, nutrition, and friction/shear. The patients were sub-grouped in terms of PU risk based on total Braden score. Results: The study group consisted of 33 patients who underwent SG+TB. The mean Braden score was 19.2(2.77) (range 12-23) during the hospitalization period. The Braden scores of the patients were lower on the 2nd (P<0.001), 3rd (P<0.001), 4th (P=0.005), and 5th (P=0.004) postoperative days compared to postoperative day 1, and on the 3rd, 4th, 5th, and 6th postoperative days compared to postoperative day 2 (P<0.001 for each). According to our data, the PU risk was significantly different between the 1st postoperative day and the 2nd, 3rd, 4th, and 5th postoperative days (P<0.001 for each). Conclusion: Metabolic surgery patients have an elevated risk for PU during the hospitalization period. Protein supplementation is among the factors that might improve the nutritional status of patients and decrease PU risk during hospitalization.

Keywords

• pressure ulcer risk
• metabolic surgery
• The Braden Scale

Metabolik cerrahi sonrası hospitalize hastalarda bası yarası riskinin değerlendirilmesi

Öz

Amaç: Operasyon geçiren hastalar, ameliyat süresi, immobilizasyon ve varolan komorbiditeleri nedeniyele bası yarası gelişimi için risk grubunda bulunmaktadır. Bu çalışmada sleeve gastrektomi ve transit bipartisyon (SG+TB) ameliyatı sonrası hastanede yatış sırasında bası yarası riskini Braden Ölçeği ile değerlendirmeyi amaçladık. Yöntemler: Bu retrospektif kohort çalışmada, Braden Ölçeği değerlendirmesi, duyusal algılama, nem, aktivite, hareketlilik, beslenme ve sürtünme/yırtılma olmak üzere altı alt ölçekten oluşan çizelge ile hastanede yatış süresince günlük olarak yapıldı. Hastalar bası yarası riski açısından toplam Braden skoruna göre alt gruplara ayrıldı. Bulgular: Çalışma grubu SG+TB uygulanan 33 hastadan oluşturuldu. Ortalama Braden skoru hastanede kalış süresi boyunca 19,2(2,77) idi (12-23 arası). Hastaların Braden skorları postoperatif 2. (P<0,001), 3. (P<0,001), 4. (P=0,005) ve 5. (P=0,004) günlerde postoperatif 1. güne göre anlamlı olarak düşüktü. Braden skorları postoperatif 3., 4., 5. ve 6. günlerde postoperatif 2. güne göre anlamlı olarak düşüktü (her biri için P<0.001). Verilerimize göre PU riski açısından oranlar ameliyat sonrası 2., 3., 4. ve 5. günlerde 1. güne göre anlamlı olarak farklıydı (her biri için P<0,001). Sonuç: Metabolik cerrahi hastaları, hastanede kaldıkları süre boyunca yüksek bası yarası riski taşır. Protein takviyesi, hastaların beslenme durumlarını iyileştirebilecek ve hastanede yatış sırasında bası yarası riskini azaltabilecek faktörler arasındadır.

Anahtar Kelimeler

• Bası yarası riski
• Metabolik cerrahi
• Braden skalası

Kaynakça

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