{"title":"与医院获得性压伤患者不同阶段相关的血液学和血清生化值:一项回顾性研究","authors":"Wen-Pei Chang, Hsiu-Ju Jen, Yu-Pei Chang","doi":"10.1097/WON.0000000000001058","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>The primary purpose of this study was to determine whether hematologic and serum biochemical values used as indicators of nutritional status, anemia, and/or infection were associated with the risk of hospital-acquired pressure injuries (PIs) and stage of PIs in patients.</p><p><strong>Design: </strong>A retrospective review of medical records.</p><p><strong>Subjects and setting: </strong>Data were collected from medical records including official PI records and PI incident reports of inpatients at a teaching hospital in Taiwan between January 2019 and October 2020.</p><p><strong>Methods: </strong>We collected demographic variables of the inpatients and their hematologic and serum biochemical values within 1 day of PI occurrence (including the day of PI occurrence), 6 to 7 days before PI occurrence, and 13 to 14 days before PI occurrence.</p><p><strong>Results: </strong>Among the 309 inpatients with official PI records, 105 (34.0%) had Stage 1 PIs, 131 (42.4%) had Stage 2 or 3 PIs, and 73 (23.6%) had unstageable or suspected deep tissue injuries. After controlling for the type of department where PIs occurred and length of hospital stay up to the day of PI occurrence, we found significant differences in levels of hemoglobin (odds ratio [OR] = 0.47, P = .009) within 1 day of PI occurrence and in albumin (OR = 0.30, P = .001) 13 to 14 days before PI occurrence.</p><p><strong>Conclusions: </strong>Study findings suggest that lower hemoglobin levels on the day of PI occurrence and lower albumin levels 2 weeks before PI occurrence resulted in a significantly higher risk of developing unstageable or suspected deep tissue injuries than of developing Stage 1 PIs.</p>","PeriodicalId":49950,"journal":{"name":"Journal of Wound Ostomy and Continence Nursing","volume":"51 2","pages":"117-124"},"PeriodicalIF":1.7000,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Hematologic and Serum Biochemical Values Associated With Different Stages of Hospital-Acquired Pressure Injuries in Patients: A Retrospective Study.\",\"authors\":\"Wen-Pei Chang, Hsiu-Ju Jen, Yu-Pei Chang\",\"doi\":\"10.1097/WON.0000000000001058\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>The primary purpose of this study was to determine whether hematologic and serum biochemical values used as indicators of nutritional status, anemia, and/or infection were associated with the risk of hospital-acquired pressure injuries (PIs) and stage of PIs in patients.</p><p><strong>Design: </strong>A retrospective review of medical records.</p><p><strong>Subjects and setting: </strong>Data were collected from medical records including official PI records and PI incident reports of inpatients at a teaching hospital in Taiwan between January 2019 and October 2020.</p><p><strong>Methods: </strong>We collected demographic variables of the inpatients and their hematologic and serum biochemical values within 1 day of PI occurrence (including the day of PI occurrence), 6 to 7 days before PI occurrence, and 13 to 14 days before PI occurrence.</p><p><strong>Results: </strong>Among the 309 inpatients with official PI records, 105 (34.0%) had Stage 1 PIs, 131 (42.4%) had Stage 2 or 3 PIs, and 73 (23.6%) had unstageable or suspected deep tissue injuries. 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引用次数: 0
摘要
目的:本研究的主要目的是确定作为营养状况、贫血和/或感染指标的血液学和血清生化值是否与医院获得性压力损伤(PIs)的风险和患者的压力损伤阶段有关:设计:对医疗记录进行回顾性分析:数据来自2019年1月至2020年10月期间台湾一家教学医院住院患者的医疗记录,包括官方PI记录和PI事件报告:我们收集了住院患者的人口统计学变量以及他们在PI发生前1天(包括PI发生当天)、PI发生前6至7天以及PI发生前13至14天内的血液学和血清生化值:在有官方 PI 记录的 309 名住院患者中,105 人(34.0%)为第一期 PI,131 人(42.4%)为第二或第三期 PI,73 人(23.6%)为未分期或疑似深层组织损伤。在对发生 PI 的科室类型和 PI 发生前的住院时间进行控制后,我们发现 PI 发生前 1 天内的血红蛋白水平(几率比 [OR] = 0.47,P = .009)和 PI 发生前 13 至 14 天的白蛋白水平(OR = 0.30,P = .001)存在显著差异:研究结果表明,PI 发生当天血红蛋白水平较低和 PI 发生前 2 周白蛋白水平较低会导致发生未分期或疑似深层组织损伤的风险显著高于发生 1 期 PI 的风险。
Hematologic and Serum Biochemical Values Associated With Different Stages of Hospital-Acquired Pressure Injuries in Patients: A Retrospective Study.
Purpose: The primary purpose of this study was to determine whether hematologic and serum biochemical values used as indicators of nutritional status, anemia, and/or infection were associated with the risk of hospital-acquired pressure injuries (PIs) and stage of PIs in patients.
Design: A retrospective review of medical records.
Subjects and setting: Data were collected from medical records including official PI records and PI incident reports of inpatients at a teaching hospital in Taiwan between January 2019 and October 2020.
Methods: We collected demographic variables of the inpatients and their hematologic and serum biochemical values within 1 day of PI occurrence (including the day of PI occurrence), 6 to 7 days before PI occurrence, and 13 to 14 days before PI occurrence.
Results: Among the 309 inpatients with official PI records, 105 (34.0%) had Stage 1 PIs, 131 (42.4%) had Stage 2 or 3 PIs, and 73 (23.6%) had unstageable or suspected deep tissue injuries. After controlling for the type of department where PIs occurred and length of hospital stay up to the day of PI occurrence, we found significant differences in levels of hemoglobin (odds ratio [OR] = 0.47, P = .009) within 1 day of PI occurrence and in albumin (OR = 0.30, P = .001) 13 to 14 days before PI occurrence.
Conclusions: Study findings suggest that lower hemoglobin levels on the day of PI occurrence and lower albumin levels 2 weeks before PI occurrence resulted in a significantly higher risk of developing unstageable or suspected deep tissue injuries than of developing Stage 1 PIs.
期刊介绍:
The Journal of Wound, Ostomy and Continence Nursing (JWOCN), the official journal of the Wound, Ostomy and Continence Nurses Society™ (WOCN®), is the premier publication for wound, ostomy and continence practice and research. The Journal’s mission is to publish current best evidence and original research to guide the delivery of expert health care.
The WOCN Society is a professional nursing society which supports its members by promoting educational, clinical and research opportunities to advance the practice and guide the delivery of expert health care to individuals with wounds, ostomies and continence care needs.