<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>0120-5307</journal-id>
<journal-title><![CDATA[Investigación y Educación en Enfermería]]></journal-title>
<abbrev-journal-title><![CDATA[Invest. educ. enferm]]></abbrev-journal-title>
<issn>0120-5307</issn>
<publisher>
<publisher-name><![CDATA[Imprenta Universidad de Antioquia]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S0120-53072025000200012</article-id>
<article-id pub-id-type="doi">10.17533/udea.iee.v43n2e12</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Incidence of Pressure Ulcers in Adults Hospitalized in Intensive Care Units in Colombia]]></article-title>
<article-title xml:lang="es"><![CDATA[Incidencia de úlceras por presión en adultos hospitalizados en unidades de cuidado intensivo en Colombia]]></article-title>
<article-title xml:lang="pt"><![CDATA[Incidência de úlceras de pressão em adultos hospitalizados em unidades de terapia intensiva na Colômbia]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Cortés]]></surname>
<given-names><![CDATA[Olga L.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Villar]]></surname>
<given-names><![CDATA[Juan C.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A9"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rojas]]></surname>
<given-names><![CDATA[Yudy A.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Vásquez]]></surname>
<given-names><![CDATA[Skarlet M.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz-Sandoval]]></surname>
<given-names><![CDATA[Jessica]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Becerra]]></surname>
<given-names><![CDATA[Claudia P.]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Herrera]]></surname>
<given-names><![CDATA[Víctor]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<given-names><![CDATA[Researchers from PENFUP-2 Colombia Participating Hospitals]]></given-names>
</name>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,ocortes@cardioinfantil.org  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,jvillar@unab.edu.co  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,jrojas@cardioinfantil.org  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,svasquez196@unab.edu.co  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,jruizs@lacardio.org  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,cbecerra@lacardio.org  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,vicmaher@uis.edu.co  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,aff8  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af9">
<institution><![CDATA[,Universidad Autónoma de Bucaramanga  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<volume>43</volume>
<numero>2</numero>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S0120-53072025000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S0120-53072025000200012&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S0120-53072025000200012&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Objective.  To estimate the incidence of pressure ulcers (PU) in hospitalized adults and its relationship with prevention practices in adult intensive care units (ICU) in Colombian hospitals.  Methods. This was a multicenter prospective cohort study in 31 non-COVID-19 ICUs from 11 hospitals in Colombia, including 1543 patients without ability to move, but with healthy skin, admitted consecutively upon admission to ICU. The primary outcome was the incidence of PU per 1,000 days of hospital stay.  Results . The participants were mostly men (57.5%), with mean age of 59±18 years and body mass index of 25.5±4.6 kg/m2. The study observed 120 PU in 17 063 days of hospital stay, the majority were in the sacral region (60.0%) and heels (10.8%). Overall incidence was of 7.03 (95%CI 5.9-8.41) by 1000 days-patient. The PU incidence rate was double in ICUs of public hospitals than in private hospitals [Incidence Rate Ratio (IRR) = 2.00; 95%CI: 1.30 to 3.01]. The risk of pressure ulcers was lower in hospitals that had skin-care group (IRR = 0.38; 95%CI: 0.25 to 0.58), used dressings [IRR = 0.66; 95%CI: 0.45 to 0.95] and support surfaces [IRR = 0.37; 95%CI: 0.24 to 0.59] in their preventive care practices.  Conclusion. Much variability was noted in the PU incidence among the hospitals observed. However, Grade I and II ulcers and located in the sacral region continue having the highest incidence, according with global reference data. Hospital preventive care patterns reported a series of interventions administered in ICU that can be related with the risk of PU.]]></p></abstract>
<abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Objetivo.  Estimar la incidencia de úlceras por presión (UPP) en adultos hospitalizados y su relación con las prácticas preventivas en unidades de cuidados intensivos (UCI) de adultos de hospitales colombianos.  Métodos. Estudio multicéntrico de cohorte prospectiva en 31 UCIs no Covid-19, de 11 hospitales de Colombia. Se incluyeron 1543 pacientes sin capacidad para movilizarse, pero con piel sana, admitidos consecutivamente al momento de la admisión en UCI. El desenlace primario fue la incidencia de UPP por mil días-estancia hospitalaria.  Resultados.  Los participantes eran en su mayoría hombres (57.5 %), con media de edad 59±18 años y un índice de masa corporal de 25.5±4.6 kg/m2. Se observaron 120 UPP en 17 063 días estancia hospitalaria, la mayoría fueron en región sacra (60.0 %) y en talones (10.8 %). La incidencia general fue de 7.03 (IC95% 5.9-8.41) por 1000 días-paciente. La tasa de incidencia de UPPs fue el doble en las UCIs de hospitales públicos que en los privados [Razón de Tasas de Incidencia (RTI) = 2.00; IC95%: 1.30 a 3.01]. El riesgo de UPP fue menor en hospitales que tenían grupo de cuidado de la piel (RTI = 0,38; IC95%: 0,25 a 0,58), usaban apósitos [RTI = 0.66; IC95%: 0.45 a 0.95] y superficies de apoyo [RTI = 0,37; IC95%: 0,24 a 0,59] en sus prácticas de cuidado preventivo.  Conclusión. Se observó una gran variabilidad en la incidencia de UPP entre los hospitales observados. Sin embargo, las úlceras Grado I y II y ubicadas en la región sacra continúan siendo las de mayor incidencia, acorde con datos referentes a nivel mundial. Los patrones de cuidado preventivo hospitalario reportaron una serie de intervenciones administradas en UCI que pueden relacionarse con el riesgo de UPP.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Objetivo. Estimar a incidência de úlceras de pressão (UPP) em adultos hospitalizados e sua relação com práticas preventivas em unidades de terapia intensiva (UTI) adultas em hospitais colombianos.  Métodos. Um estudo de coorte prospectivo multicêntrico foi conduzido em 31 UTIs não Covid-19 de 11 hospitais na Colômbia. Um total de 1.543 pacientes com mobilidade prejudicada, mas pele saudável, admitidos consecutivamente no momento da admissão na UTI, foram incluídos. O desfecho primário foi a incidência de UPPs por 1.000 dias de internação hospitalar.  Resultados.  Os participantes eram em sua maioria homens (57.5%), com idade média de 59 ± 18 anos e índice de massa corporal de 25,5 ± 4.6 kg/m 2 . 120 UPPs foram observadas em 17.063 dias de internação hospitalar, a maioria das quais na região sacra (60.0%) e calcanhares (10.8%). A incidência geral foi de 7.03 (IC 95% 5.9-8.41) em 17.063 pacientes-dia. A taxa de incidência de úlceras de pressão foi duas vezes maior em UTIs de hospitais públicos do que em hospitais privados [Razão da Taxa de Incidência (IRR) = 2.00; IC 95%: 1.30-3.01]. O risco de úlceras de pressão foi menor em hospitais que tinham um grupo de cuidados com a pele (IRR = 0.38; IC 95%: 0.25-0.58), usavam curativos [IRR = 0.66; IC 95%: 0.45-0.95] e usavam superfícies de suporte [IRR = 0.37; IC 95%: 0.24-0.59] em suas práticas de cuidados preventivos.  Conclusão. Houve uma grande variabilidade na incidência de úlceras de pressão entre os hospitais observados. No entanto, úlceras de grau I e II localizadas na região sacra continuam apresentando a maior incidência, de acordo com dados globais. Os padrões de cuidados preventivos hospitalares relataram uma série de intervenções administradas na UTI que podem estar relacionadas ao risco de úlceras de pressão.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[incidence]]></kwd>
<kwd lng="en"><![CDATA[pressure ulcer]]></kwd>
<kwd lng="en"><![CDATA[nursing]]></kwd>
<kwd lng="en"><![CDATA[critical care]]></kwd>
<kwd lng="es"><![CDATA[incidencia]]></kwd>
<kwd lng="es"><![CDATA[úlcera por presión]]></kwd>
<kwd lng="es"><![CDATA[enfermería]]></kwd>
<kwd lng="es"><![CDATA[cuidados críticos.]]></kwd>
<kwd lng="pt"><![CDATA[incidência]]></kwd>
<kwd lng="pt"><![CDATA[úlcera por pressão]]></kwd>
<kwd lng="pt"><![CDATA[enfermagem]]></kwd>
<kwd lng="pt"><![CDATA[cuidado intensivo.]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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