Department of Anesthesiology and Reanimation, University of Health Sciences, Bursa Yuksek Ihtisas Training and Research Hospital, Bursa, Turkey.
Department of Anesthesiology and Reanimation, Faculty of Medicine, Uludag University, Bursa, Turkey.
J Eval Clin Pract. 2020 Dec;26(6):1669-1676. doi: 10.1111/jep.13354. Epub 2020 Feb 10.
RATIONALE, AIMS, AND OBJECTIVES: Pressure ulcers (PUs), which are preventable complications, increase the cost of health care and the risk of prolonged hospital stay, as well as morbidity and mortality. In this study, we aimed to describe the prevalence, clinical features, and risk factors for PUs among hospitalized patients.
This study was cross-sectional and conducted over a single day in all the care units. Data were recorded on a patient observation form that included demographic data, diagnosis of admission to the hospital or intensive care unit (ICU), comorbidity and chronic diseases, location, stage of PU, and Braden Scale score. Acute physiology and chronic health evaluation (APACHE) II score, Glasgow coma score (GCS), PaO /FiO ratio, and albumin level were recorded for ICU patients.
A total of 1548 adult patients participated in the study. Of these patients, 177 (11.43%) had PU. The patients with PU had more advanced age, lower body mass index (BMI), and longer duration of hospital and ICU stay (for all P = .001). Evaluation of PU in the first 24 hours after hospital admission and the last PU evaluation time also showed a significant effect (both P = .001). Braden Scale score less than or equal to 13 in the first evaluation after hospital admission increased the risk of PU. Albumin was 2.78 ± 0.57 gm/dL in ICU patients, and albumin level was significantly lower in patients with PU (P = .001). PUs were located mainly in the sacrum (47.59%) and were classified as stage II (42.76%) for all patients.
The prevalence of PU is related to the age and severity of patient clinical status, as predicted by the Braden Scale score and APACHE II score, and length of hospital and ICU stay. Low albumin level is also related to development of PUs in ICU patients.
背景、目的和目标：压疮（PU）是可预防的并发症，会增加医疗保健成本和延长住院时间的风险，以及发病率和死亡率。在这项研究中，我们旨在描述住院患者中 PU 的患病率、临床特征和危险因素。
这是一项横断面研究，在所有护理单元的一天内进行。数据记录在患者观察表上，包括人口统计学数据、住院或重症监护病房（ICU）的诊断、合并症和慢性病、位置、PU 分期和Braden 量表评分。记录 ICU 患者的急性生理学和慢性健康评估（APACHE）II 评分、格拉斯哥昏迷评分（GCS）、PaO/FiO 比值和白蛋白水平。
共有 1548 名成年患者参与了这项研究。其中 177 例（11.43%）患有 PU。患有 PU 的患者年龄较大，体重指数（BMI）较低，住院和 ICU 停留时间较长（所有 P=.001）。入院后 24 小时内首次评估和最后一次评估的 PU 也显示出显著的影响（均 P=.001）。入院后首次评估的 Braden 量表评分≤13 增加了患 PU 的风险。ICU 患者的白蛋白为 2.78±0.57gm/dL，患有 PU 的患者白蛋白水平显著降低（P=.001）。PU 主要位于骶骨（47.59%），所有患者均为 II 期（42.76%）。
PU 的患病率与患者临床状况的年龄和严重程度有关，这可以通过 Braden 量表评分和 APACHE II 评分预测，也与住院和 ICU 时间的长短有关。低白蛋白水平也与 ICU 患者发生 PU 有关。
