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Sepsis episodes caused by pressure injuries in critical illness: A retrospective observational cohort study

dc.contributor.buuauthorKELEBEK GİRGİN, NERMİN
dc.contributor.buuauthorGirgin, Nermin Kelebek
dc.contributor.buuauthorKaya, Pınar Küçükdemirci
dc.contributor.buuauthorKÜÇÜKDEMİRCİ KAYA, PINAR
dc.contributor.buuauthorKahveci, Ferda S.
dc.contributor.buuauthorİşcimen, Remzi
dc.contributor.buuauthorİŞÇİMEN, REMZİ
dc.contributor.buuauthorKaya, Murad
dc.contributor.buuauthorKAYA, MURAD
dc.contributor.buuauthorAkalin, Emin Halis
dc.contributor.buuauthorAKALIN, EMİN HALİS
dc.contributor.departmentTıp Fakültesi
dc.contributor.departmentAnestezi ve Reanimasyon Ana Bilim Dalı
dc.contributor.orcid0000-0002-8428-8245
dc.contributor.orcid0000-0002-5882-1632
dc.date.accessioned2024-09-26T11:49:07Z
dc.date.available2024-09-26T11:49:07Z
dc.date.issued2023-11-01
dc.description.abstractBACKGROUND: 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.doi10.25270/wmp.22093
dc.identifier.issn2640-5237
dc.identifier.issue4
dc.identifier.urihttps://doi.org/10.25270/wmp.22093
dc.identifier.urihttps://hdl.handle.net/11452/45319
dc.identifier.volume69
dc.identifier.wos001251908600001
dc.indexed.wosWOS.SCI
dc.indexed.wosWOS.SSCI
dc.language.isoen
dc.publisherHmp
dc.relation.journalWound Management & Prevention
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectSpinal-cord-injury
dc.subjectUlcers
dc.subjectDefinitions
dc.subjectBacteremia
dc.subjectFailure
dc.subjectPressure injury
dc.subjectPressure injury infection
dc.subjectSepsis
dc.subjectCritical illness
dc.subjectAntimicrobial resistance
dc.subjectScience & technology
dc.subjectLife sciences & biomedicine
dc.subjectDermatology
dc.subjectNursing
dc.titleSepsis episodes caused by pressure injuries in critical illness: A retrospective observational cohort study
dc.typeArticle
dspace.entity.typePublication
local.contributor.departmentTıp Fakültesi/Anestezi ve Reanimasyon Ana Bilim Dalı
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relation.isAuthorOfPublication468d1ea4-987c-4b37-9d8a-878d5d902281
relation.isAuthorOfPublicationbda7217f-0893-4ada-bd23-dec5186c52da
relation.isAuthorOfPublicationbeda3eaa-61de-4db1-a23c-c9067ecf53db
relation.isAuthorOfPublication4fb46529-3295-4383-97b1-7c494ff32c24
relation.isAuthorOfPublication.latestForDiscovery468d1ea4-987c-4b37-9d8a-878d5d902281

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