{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,6,7]],"date-time":"2024-06-07T00:32:49Z","timestamp":1717720369620},"reference-count":24,"publisher":"Mark Allen Group","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Wound Care"],"published-print":{"date-parts":[[2024,6,2]]},"abstract":"<jats:sec><jats:title>Objective:<\/jats:title><jats:p> The aim of this study was to determine the incidence of pressure ulcers (PUs) in patients treated for acute ischaemic stroke (AIS) and to evaluate comorbid\/confounding factors. <\/jats:p><\/jats:sec><jats:sec><jats:title>Method:<\/jats:title><jats:p> The study included patients treated for AIS who were divided into three treatment groups: those receiving intravenous tissue plasminogen activator therapy (tPA); patients receiving mechanical thrombectomy (MT); and those receiving both tPA and MT. PUs were classified according to the international classification system and factors that may influence their development were investigated. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results:<\/jats:title><jats:p> A total of 242 patients were included in this study. The incidence of PUs in patients treated for AIS was 7.4%. Most PUs were located on the sacrum (3.7%), followed by the gluteus (3.3%) and trochanter (2.9%). With regards to PU classification: 29% were stage I; 34% were stage II; and the remainder were stage III. Age was not a significant factor in the development of PUs (p=0.172). Patients in the tPA group had a lower PU incidence (2.3%) than patients in the tPA+MT group (15.7%) and MT group (12.1%) (p=0.001). Patients with PUs had a longer period of hospitalisation (18.5\u00b111.92 days) than patients without a PU (8.0\u00b18.52 days) (p=0.000). National Institute of Health Stroke Scale (NIHSS) scores at admission were higher in patients with PUs than in patients without a PU (14.33\u00b14.38 versus 11.08\u00b15.68, respectively; p=0.010). The difference in presence of comorbidities between patients with and without PUs (p=0.922) and between treatment groups (p=0.677) were not statistically significant. The incidence of PUs was higher in patients requiring intensive care, but this difference was not statistically significant (p=0.089). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion:<\/jats:title><jats:p> In this study, patients treated for AIS with high NIHSS scores at admission and\/or receiving MT were at higher risk for PUs, and so particular attention should be given to these patients in order to prevent PU development. <\/jats:p><\/jats:sec>","DOI":"10.12968\/jowc.2020.0331","type":"journal-article","created":{"date-parts":[[2024,6,6]],"date-time":"2024-06-06T16:13:30Z","timestamp":1717690410000},"page":"441-449","source":"Crossref","is-referenced-by-count":0,"title":["Pressure ulcer development in patients treated for acute ischaemic stroke"],"prefix":"10.12968","volume":"33","author":[{"given":"Esin Derin","family":"Cicek","sequence":"first","affiliation":[{"name":"University of Health Sciences, Istanbul Fatih Sultan Mehmet Training and Research Hospital, Department of 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