Abstract
Backgrounds: Soft tissue damage is damage to the skin, subcutaneous tissue, scales, muscles caused by various causes such as pressure ulcers, burns, atopic dermatitis, contact dermatitis, shingles, bullous dermatitis occurring in patients with severe COVID-19 infection. These lesions may be present before or after a COVID-19 infection. This study aims to (1) identify the general characteristics of severe COVID-19 patients with soft tissue damage, (2) assess the status of soft tissue damage in patients with severe COVID-19 infection, and (3) find out the correlation between the wound care process and the healing time of the wound.
Methods: Twenty - five patients have soft tissue lesions in a total of 1.094 patients with severe COVID-19 infection at COVID-19 Intensive Care Center operated by Hue Central Hospital in Ho Chi Minh city from September 15 to November 1, 2021 (quick survey in 45 days).
Results: A quick 45 - day survey of 1.094 severe COVID-19 patients showed that there were 25 cases with soft tissue damage: most of these patients have severe underlying medical conditions, men less than women (44%/56%, men aged 30 - < 50 years old account for the highest number, women aged 50 years and older accounted for the majority of cases ( 92.86%) Most of the patients are over 50 years old. Pressure ulcers (PU) accounted for the majority of cases at 76% (19/25 cases) compared with other lesions, in which patients injured during treatment at the center accounted for 36.8% (7/19 cases). Meanwhile, PU detected before hospital admission was 63.2% (12/19 cases). The rate of soft tissue lesions on the total number of patients treated at the survey time accounted for 2.29% (25/1.094 patients), due to pressure ulcers accounting for 0.64% at the center (7/1.094 patients). Internal Medicine treatment accounted for most cases (76%), more than surgery treatment, 24% (6/25 cases). The time of wound healing before 14 days accounted for most cases at 56%.
Conclusion: The care and treatment process correlates to the healing process and the prevention of soft tissue injuries. Adequate care and treatment of soft tissue injuries help to quickly heal epidermal tissue, reduce injury rates, lead to early recovery and low mortality.
References
Bệnh viện Trung ương Huế. Chăm sóc phòng ngừa loét do tỳ đè. Tài liệu tư vấn - giáo dục sức khỏe. 2016;257.
Cầm Bá Thức. Nghiên cứu tình trạng loét do tỳ đè ở bệnh nhân tổn thương tủy sống tại bệnh viện Điều Dưỡng Phục hồi Chức năng Trung Vương 2008 - 2011. Y học Thực Hành. 2012;841:53-5.
Keller BP, Wille J, van Ramshorst B, van der Werken C. Pressure ulcers in intensive care patients: a review of risks and prevention. Intensive Care Med. 2002;28:1379-88.
Trần Văn Oánh, Nguyễn Thị Hằng, Chu Văn Long, Nguyễn Ngọc Thực, Nguyễn Hữu Trung, và cs. Giải pháp dự phòng loét do tỳ đè trên người bệnh tại phòng Hồi sức khoa Nội - Hồi sức Thần kinh bệnh viện Hữu nghị Việt Đức. Tạp chí Điều dưỡng Việt Nam. 2016;20:9.
Đồng Nguyễn Phương Uyên, Lê Thị Anh Thư. Kiến thức, thái độ và thực hành về phòng ngừa loét do tỳ đè của điều dưỡng khoa Hồi sức cấp cứu. Y học TP.HCM. 2011;15.
Bộ Y Tế. Hướng dẫn chẩn đoán và điều trị COVID-19 do chủng vi rút Corona mới (SARS-CoV-2). 2021: Hà Nội.
Ann Nguyen. Loét do tỳ đè: phân loại. 2017 [cited Oct 2021]; Available from: dieuduongviet.com/loet-do-ty-de-phan-loai_n58396_g829.aspx.
Gefen A, Ousey K. Prevention of skin damage caused by the protective equipment used to mitigate COVID-19: monthly update. J Wound Care. 2020;29:379.
Gefen A, Ousey K. Prevention of skin damage caused by the protective equipment used to mitigate COVID-19. J Wound Care. 2020;29:311.
Singh C, Tay J, Shoqirat N. Skin and Mucosal Damage in Patients Diagnosed With COVID-19: A Case Report. J Wound Ostomy Continence Nurs. 2020;47:435-438.
Young S, Narang J, Kumar S, Kwizera E, Malik P, Billings SD, et al. Large sacral/buttocks ulcerations in the setting of coagulopathy: A case series establishing the skin as a target organ of significant damage and potential morbidity in patients with severe COVID-19. Int Wound J. 2020;17:2033-2037.
Darlenski R, Kazandjieva J, Tsankov N. Prevention and occupational hazards for the skin during COVID-19 pandemic. Clin Dermatol. 2021;39:92-97.
Yildiz A, Karadag A, Yildiz A, Cakar V. Determination of the effect of prophylactic dressing on the prevention of skin injuries associated with personal protective equipments in health care workers during COVID-19 pandemic. J Tissue Viability. 2021;30:21-27.
ZahrAllayali A, Al-Dobooke A, Alosaimy R, Alabbasi R, Alharbi S, Fageeh S, et al. The Prevalence and Clinical Features of Skin Irritation Caused by Infection Prevention Measures During COVID-19 in the Mecca Region, Saudi Arabia. Clin Cosmet Investig Dermatol. 2021;14:889-899.
| Published | 01-01-2022 | |
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| Issue | No. 75 (2022) | |
| Section | Original article | |
| DOI | 10.38103/jcmhch.2022.75.02 | |
| Keywords | Loét do tỳ đè, hồi sức tích cực, COVID-19. Pressure ulcers, Intensive Care Unit, COVID-19. |
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