Prevalence of injuries related to dependency in neurological patients in a tertiary care institution




Anaí Cortez-Gómez, Unidad de Cuidados Intermedios, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Secretaría de Salud, Ciudad de México, México
Montserrat Castelán-Flores, Consultoría de Heridas y Estomas, Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Secretaría de Salud, Ciudad de México, México
Guisety López-Cantera, Coordinación de Investigación en Enfermería. Instituto Nacional de Neurología y Neurocirugía Manuel Velasco Suárez, Secretaría de Salud, Ciudad de México, México


Introduction: The skin is the largest organ in the body and is fundamental for the metabolism and homeostasis of the body; therefore, it is important to protect its integrity and function during the hospital stay. Objective: Know the prevalence of injuries related to dependency (LRD) presented in 2021 in an institution that cares for neurological patients. Method: Quantitative, descriptive, observational, retrospective methodological approach with hospitalized patients treated by the wound and stoma consultancy in 2021 (n = 107). Patients were classified by age groups, sex, diagnosis, type of injury and service in which they were hospitalized, to determine the prevalence, percentages and frequencies of total LRD. Results: Of a total of patients hospitalized during the study period, a prevalence of LRD of 6.98% was found. In the total number of patients who developed lesions, the prevalences by types of LRD are 56.1% pressure injuries, 24.3% skin lesions associated with humidity, 16.8% friction injuries, and 2.8% combined or mixed injuries. Conclusions: There is a small percentage of patients who will inevitably develop a skin lesion during their hospital stay due to their pathological condition. As nursing staff, we have the responsibility of keeping the skin in optimal conditions, providing the necessary care to avoid the development of LRD.



Keywords: Prevalence. Pressure ulcer. Functional status. Nursing care.




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