Advances in skin & wound care · 2026
Investigation of Urinary Catheter-related Pressure Injury Development in Patients in the Intensive Care Unit.
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Çulha Yeliz, Akay Saliha Seran, Çikendin Ceren, Büyükyilmaz Funda
Аннотация
OBJECTIVE: This study was conducted to investigate the development of urinary catheter-related pressure injury (UCPI) in patients hospitalized in the intensive care unit (ICU).
METHODS: This descriptive study included 60 patients with urinary catheters who were hospitalized in the adult ICU of a training and research hospital in Istanbul between January and June 2024. Patient Information Form, Glasgow Coma Scale (GCS), Braden Risk Assessment Scale, Urinary Catheter-Related Pressure Injury Assessment Form, and Pressure Injury Staging and Follow-up Form were used to collect data.
RESULTS: The majority of patients (53.3%) were female, their mean age was 74.42±16.17 years, the mean length of stay in the ICU was 19.25±26.73 days, 90% were immobile, and the mean duration of urinary catheterization was 19.25±26.73 days. Urinary catheter-related pressure injury developed in 78.3% of the patients, PI developed on the outer side of the left thigh in 46.7%, and the mean duration of UCPI development was 2.47±1.86 days. Urinary catheter-related PI did not occur in 83.3% of the patients on the first day, 80% on the second day, and 60% on the third day; Stage 1 UCPI developed in 60% on the fourth day, and Stage 1 UCPI developed in 73.3% on the fifth day. In addition, body mass index, duration of mechanical ventilation, and the time of urinary catheter application were effective variables in the development of UCPI.
CONCLUSIONS: The risk of UCPI increases as the duration of medical device use becomes longer, and urinary catheters are one of the most common devices associated with medical device-related PIs. Although the risk of PI associated with urinary catheters is high in the ICU, appropriate precautions, risk assessment, evidence-based practices, and early implementation of appropriate nursing interventions may allow the prevention of PI.
METHODS: This descriptive study included 60 patients with urinary catheters who were hospitalized in the adult ICU of a training and research hospital in Istanbul between January and June 2024. Patient Information Form, Glasgow Coma Scale (GCS), Braden Risk Assessment Scale, Urinary Catheter-Related Pressure Injury Assessment Form, and Pressure Injury Staging and Follow-up Form were used to collect data.
RESULTS: The majority of patients (53.3%) were female, their mean age was 74.42±16.17 years, the mean length of stay in the ICU was 19.25±26.73 days, 90% were immobile, and the mean duration of urinary catheterization was 19.25±26.73 days. Urinary catheter-related pressure injury developed in 78.3% of the patients, PI developed on the outer side of the left thigh in 46.7%, and the mean duration of UCPI development was 2.47±1.86 days. Urinary catheter-related PI did not occur in 83.3% of the patients on the first day, 80% on the second day, and 60% on the third day; Stage 1 UCPI developed in 60% on the fourth day, and Stage 1 UCPI developed in 73.3% on the fifth day. In addition, body mass index, duration of mechanical ventilation, and the time of urinary catheter application were effective variables in the development of UCPI.
CONCLUSIONS: The risk of UCPI increases as the duration of medical device use becomes longer, and urinary catheters are one of the most common devices associated with medical device-related PIs. Although the risk of PI associated with urinary catheters is high in the ICU, appropriate precautions, risk assessment, evidence-based practices, and early implementation of appropriate nursing interventions may allow the prevention of PI.