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危重症患者压力性损伤发展的危险因素。

Risk Factors for Pressure Injury Development Among Critical Care Patients.

机构信息

Rutgers University School of Nursing, 180 University Avenue, Newark, NJ, USA; Englewood Health, Englewood, NJ, USA.

出版信息

Crit Care Nurs Clin North Am. 2020 Dec;32(4):473-488. doi: 10.1016/j.cnc.2020.07.001.

Abstract

Identification of the appropriate pressure injury (PI) risk factors is the first step in successful PI prevention. Measuring PI risk through formalized PI risk assessment is an essential component of any PI prevention program. Major PI risk factors identified in the empirical literature in the critical care population include age, diabetes, hypotension, mobility, prolonged intensive care unit admission, mechanical ventilation and vasopressor administration. Future risk assessment using sophisticated data analytics available in the electronic medical record may result in earlier, targeted PI prevention and will improve our understanding of risk factors that may contribute to unavoidable PIs.

摘要

识别合适的压力性损伤(PI)危险因素是成功预防 PI 的第一步。通过规范化的 PI 风险评估来测量 PI 风险是任何 PI 预防计划的重要组成部分。在重症监护人群的实证文献中确定的主要 PI 危险因素包括年龄、糖尿病、低血压、活动受限、长时间入住重症监护病房、机械通气和血管加压素的使用。未来使用电子病历中可用的复杂数据分析进行风险评估可能会更早地进行有针对性的 PI 预防,并增进我们对可能导致不可避免的 PI 的危险因素的理解。

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