2009-2018 年中国某三甲医院压疮的 10 年患病率调查及临床特征分析。
A 10-Year Prevalence Survey and Clinical Features Analysis of Pressure Injury in a Tertiary Hospital in China, 2009-2018.
机构信息
Jing Zhao, BN, RN, is Wound Care Nurse Specialist and Head Nurse, Outpatient Treatment Center, the First Affiliated Hospital of Nanjing Medical University, Jiangsu, China. Liu-Xin Zhang, MSN, is a nursing student, Department of Fundamental and Community Nursing, School of Nursing, Nanjing Medical University. Yu-Ling Zhong, MSN, RN, is a nurse, Dermatology Hospital of Southern Medical University, Guangzhou, Guangdong. Xin-Yu Hu, BN, RN, is Wound Care Nurse Specialist, Outpatient Treatment Center, the First Affiliated Hospital of Nanjing Medical University. Yang Cheng, MSN, is a nursing student; Yu-Feng Zhou, PhD, is Associate Professor and Deputy Director; and Jie Wang, PhD, is Professor, Department of Fundamental and Community Nursing, School of Nursing, Nanjing Medical University. Acknowledgment: The authors thank all the students, doctors, and nurses who participated in this work. This work was supported in part by the Project of "Nursing Science" funded by the Priority Discipline Development Program of Jiangsu Higher Education Institutions (General Office, the People's Government of Jiangsu Province [2018] No. 87). The authors have disclosed no other financial relationships related to this article. Submitted July 9, 2020; accepted in revised form September 25, 2020.
出版信息
Adv Skin Wound Care. 2021 Mar 1;34(3):150-156. doi: 10.1097/01.ASW.0000732740.92841.51.
OBJECTIVE
To describe the 10-year prevalence of pressure injury (PI) in a tertiary hospital in China and determine the clinical characteristics of inpatients with PI.
METHODS
The authors performed a retrospective analysis of PI cases extracted from the electronic health record of a tertiary hospital. The trend of PI prevalence over 10 years was described by estimating the average percent change (EAPC). Comorbidities were described with the Charlson Comorbidity Index (CCI). The clinical characteristics of PI were described using the number of cases and composition ratio.
RESULTS
The overall prevalence of PI was 0.59% (5,838/986,404). From 2009 to 2018, the rate increased from 0.19% to 1.00% (EAPC = 22.46%). When stage I PIs were excluded, the prevalence of PI ranged from 0.15% to 0.79% (EAPC = 21.90%). The prevalence of hospital-acquired PI was 0.13%. Prevalence increased with age (Ptrend < .001) and was significantly higher in men than women (P < .001). Patients with PI were more widely distributed in the ICU (20.58%), vasculocardiology department (11.73%), gastroenterology department (10.18%), and OR (8.29%). Of patients with PI, 71.3% had a CCI score 4 or higher.
CONCLUSIONS
The PI prevalence in the study facility increased rapidly over the study period. Pressure injuries among patients in the gastroenterology department and in the community deserve more attention. The CCI may be a good indicator for PI risk assessment.
目的
描述中国一家三级医院压力性损伤（PI）的 10 年患病率，并确定 PI 住院患者的临床特征。
方法
作者对一家三级医院电子病历中提取的 PI 病例进行回顾性分析。通过估计平均百分比变化（EAPC）描述 10 年来 PI 患病率的趋势。使用 Charlson 合并症指数（CCI）描述合并症。使用病例数和构成比描述 PI 的临床特征。
结果
PI 的总体患病率为 0.59%（5838/986404）。2009 年至 2018 年，患病率从 0.19%上升至 1.00%（EAPC=22.46%）。排除 I 期 PI 后，PI 的患病率范围为 0.15%至 0.79%（EAPC=21.90%）。医院获得性 PI 的患病率为 0.13%。患病率随年龄增长而增加（Ptrend<.001），男性明显高于女性（P<.001）。PI 患者在 ICU（20.58%）、心血管科（11.73%）、消化内科（10.18%）和 OR（8.29%）中分布更为广泛。PI 患者中，71.3%的 CCI 评分为 4 分或更高。
结论
研究机构的 PI 患病率在研究期间迅速上升。消化内科和社区的 PI 患者应引起更多关注。CCI 可能是 PI 风险评估的良好指标。
Zotero 插件