PMID- 36006663
OWN - NLM
STAT- MEDLINE
DCOM- 20231206
LR  - 20231216
IS  - 1537-1921 (Electronic)
IS  - 0898-4921 (Linking)
VI  - 36
IP  - 1
DP  - 2024 Jan 1
TI  - Factors Associated With Perioperative Hospital Acquired Pressure Injury in 
      Patients Undergoing Spine Surgery in the Prone Position: A Prospective 
      Observational Study.
PG  - 45-52
LID - 10.1097/ANA.0000000000000867 [doi]
AB  - BACKGROUND: Hospital acquired pressure injury (HAPI) is associated with poor 
      clinical outcomes and high medical costs. Patients undergoing surgery in the 
      prone position are particularly vulnerable to perioperative HAPI. This 
      prospective observational study investigated the factors associated with HAPI in 
      patients undergoing elective spine surgery in the prone position. METHODS: Two 
      hundred eighty-seven patients undergoing elective spine surgery participated in 
      this study. Demographics, perioperative vital signs, laboratory findings, 
      surgical data, and intraoperative data were prospectively recorded. The sites and 
      stages of HAPI were investigated on postoperative day 2. The stages of HAPI were 
      evaluated using the pressure injury staging system of the National Pressure Ulcer 
      Advisory Panel. RESULTS: Perioperative HAPI was observed in 71 (24.7%) patients 
      (stage 1, 40; stage 2, 31). The most frequent site (number) of HAPI was the upper 
      extremities (33), followed by the chest (32), lower extremities (20), face (18), 
      pelvis (10), and abdomen (9). In multivariate analysis, the duration of prone 
      positioning per hour (odds ratio [95% confidence interval], 1.48 [1.25-1.74]; P 
      <0.001) and intraoperative pH </=7.35 (1.98 [1.05-3.76]; P =0.036) were associated 
      with perioperative HAPI. CONCLUSIONS: The incidence of perioperative HAPI was 
      24.7% in patients undergoing elective spine surgery in the prone position. Long 
      duration of prone positioning and intraoperative acidosis were associated with 
      increased development of perioperative HAPI.
CI  - Copyright (c) 2022 Wolters Kluwer Health, Inc. All rights reserved.
FAU - Choi, Seungeun
AU  - Choi S
AD  - Anesthesiology and Pain Medicine.
FAU - Kim, Yoon Jung
AU  - Kim YJ
AD  - Anesthesiology and Pain Medicine.
FAU - Oh, Hyongmin
AU  - Oh H
AD  - Anesthesiology and Pain Medicine.
FAU - Yuh, Woon Tak
AU  - Yuh WT
AD  - Neurosurgery, Seoul National University Hospital, Seoul National University 
      College of Medicine, Seoul, Korea.
FAU - Lee, Chang-Hyun
AU  - Lee CH
AD  - Neurosurgery, Seoul National University Hospital, Seoul National University 
      College of Medicine, Seoul, Korea.
FAU - Yang, Seung Heon
AU  - Yang SH
AD  - Neurosurgery, Seoul National University Hospital, Seoul National University 
      College of Medicine, Seoul, Korea.
FAU - Kim, Chi Heon
AU  - Kim CH
AD  - Neurosurgery, Seoul National University Hospital, Seoul National University 
      College of Medicine, Seoul, Korea.
FAU - Chung, Chun Kee
AU  - Chung CK
AD  - Neurosurgery, Seoul National University Hospital, Seoul National University 
      College of Medicine, Seoul, Korea.
FAU - Park, Hee-Pyoung
AU  - Park HP
AUID- ORCID: 0000-0002-4772-0780
AD  - Anesthesiology and Pain Medicine.
LA  - eng
PT  - Journal Article
PT  - Observational Study
DEP - 20220825
PL  - United States
TA  - J Neurosurg Anesthesiol
JT  - Journal of neurosurgical anesthesiology
JID - 8910749
SB  - IM
MH  - Humans
MH  - *Pressure Ulcer/epidemiology/etiology
MH  - Prone Position
MH  - Spine/surgery
MH  - Prospective Studies
MH  - Hospitals
COIS- The authors have no funding or conflicts of interest to disclose.
EDAT- 2022/08/26 06:00
MHDA- 2023/12/06 06:42
CRDT- 2022/08/25 11:43
PHST- 2022/01/20 00:00 [received]
PHST- 2022/07/19 00:00 [accepted]
PHST- 2023/12/06 06:42 [medline]
PHST- 2022/08/26 06:00 [pubmed]
PHST- 2022/08/25 11:43 [entrez]
AID - 00008506-990000000-00025 [pii]
AID - 10.1097/ANA.0000000000000867 [doi]
PST - ppublish
SO  - J Neurosurg Anesthesiol. 2024 Jan 1;36(1):45-52. doi: 
      10.1097/ANA.0000000000000867. Epub 2022 Aug 25.