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血清白蛋白在压疮预测中的应用调查。

An investigation into the use of serum albumin in pressure sore prediction.

作者信息

Anthony D, Reynolds T, Russell L

机构信息

The Mary Seacole Research Centre, School of Nursing and Midwifery, De Montfort University, Leicester, England.

出版信息

J Adv Nurs. 2000 Aug;32(2):359-65. doi: 10.1046/j.1365-2648.2000.01484.x.

DOI:10.1046/j.1365-2648.2000.01484.x
PMID:10964183
Abstract

OBJECTIVES

To ascertain the relevance of serum albumin and serum sodium as predictors of pressure sores in addition to the Waterlow score.

DESIGN

Observational study of patients at risk of developing decubitus ulcers.

SETTING

Staffordshire, in the midlands of the United Kingdom.

PARTICIPANTS

773 elderly hospital in-patients of a district general hospital.

MEASUREMENTS

Waterlow scores and serum albumin and sodium. Development of a pressure sore.

RESULTS

Logistic regression analysis of serum albumin, serum sodium and the Waterlow score showed the Waterlow score and serum albumin were significant predictors of pressure sores.

CONCLUSIONS

Serum albumin may, in this patient group (in-patients over 64 years of age), be a useful predictor of pressure sore occurrence, though further work is needed to establish whether this is the case. Risk assessment of pressure sores can possibly be improved by adding serum albumin to one of the pre-existing tools such as the Waterlow score.

摘要

目的

除沃特洛评分外,确定血清白蛋白和血清钠作为压疮预测指标的相关性。

设计

对有发生褥疮风险的患者进行观察性研究。

地点

英国中部的斯塔福德郡。

参与者

一家地区综合医院的773名老年住院患者。

测量指标

沃特洛评分、血清白蛋白和血清钠。压疮的发生情况。

结果

对血清白蛋白、血清钠和沃特洛评分进行逻辑回归分析,结果显示沃特洛评分和血清白蛋白是压疮的重要预测指标。

结论

在该患者群体(64岁以上住院患者)中,血清白蛋白可能是压疮发生的有用预测指标,不过还需要进一步研究来确定是否如此。通过将血清白蛋白添加到现有的工具(如沃特洛评分)中,可能会改善压疮的风险评估。

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