National pressure ulcer (PU) prevalence in French intensive care units for patient with neurological diseases

Abstract

Pressure ulcers are frequent complications in PMR wards. A lot of patients arrive from intensive care units. French national society for pressure ulcer conducts several national studies in France and a study in intensive care units in 2017. We analyse PU prevalence and Acquired PU prevalence, for patients with neurological diseases and without. A national study was conducted with French society of intensive care and French society for pressure ulcer. 1221 patients are screened, in 85 intensive care units in whole France. Patients have surgical disease in 28% and medical disease in 72% with 23% neurological disease (282 patients). Sixty-seven percent are men. Mean age is 61.7 y.o with 30% under 55. Mean IGS2 is 42. Prevalence was analyzed one day during same week in all units by auto delivered survey. Comparison was organized between pathologies and patients in logistic regression. Global PU prevalence is 18.7% and acquired PU prevalence is 12.7%. As acquired PU prevalence for neurological patients is 27% significatively higher than global ( P < 0.0001); 50.5% (47) of severe PU arrive with neurological disease. ( P < 0.0001). Neurological disease is an explicative variable for PU: odds ratio is 3.128 (IC: 1.972–4.961). In intensive care units, Acquired PU is higher for patients with neurological diseases (27% against 12.7%). Neurological disease increases PU risk in intensive care units.