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Hematologic and Serum Biochemical Values Associated With Different Stages of Hospital-Acquired Pressure Injuries in Patients: A Retrospective Study.
Chang, Wen-Pei; Jen, Hsiu-Ju; Chang, Yu-Pei.
Afiliación
  • Chang WP; Wen-Pei Chang, PhD, RN, School of Nursing, College of Nursing, Taipei Medical University, Taipei, Taiwan, and Department of Nursing, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
  • Jen HJ; Hsiu-Ju Jen, MSN, RN, Department of Nursing, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
  • Chang YP; Yu-Pei Chang, MSN, RN, Department of Nursing, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
J Wound Ostomy Continence Nurs ; 51(2): 117-124, 2024.
Article en En | MEDLINE | ID: mdl-38527320
ABSTRACT

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.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Úlcera por Presión Límite: Humans Idioma: En Revista: J Wound Ostomy Continence Nurs Asunto de la revista: ENFERMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Úlcera por Presión Límite: Humans Idioma: En Revista: J Wound Ostomy Continence Nurs Asunto de la revista: ENFERMAGEM Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Estados Unidos