INVESTIGATING THE SEVERITY AND FACTORS INFLUENCING THE OCCURRENCE OF PRESSURE ULCERSIN HOSPITALIZED CEREBROVASCULAR ACCIDENT PATIENTS: A RETROSPECTIVE COHORT STUDY

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-03-08 DOI:10.5604/01.3001.0054.3745

M. Fallahi, Kamran Vafaee, Maciej Korab, Narges Sadeghi, Y. Moradi, Mahin Amini, Zohreh Karimi, Somayeh Mahdavikian

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引用次数: 0

Abstract

Patients with cerebrovascular accidents (CVA) are at risk of developing PUs due to sensory, motor and cognitive deficits following the disease. Therefore, the aim of the present study was to investigate the severity and factors affecting the occurrence of PUs in patients with CVA.The present study was a retrospective cohort study. The data of this research was extracted from the registry system of Imam Reza Hospital located in the west of Iran. 217 patients with CVA with Braden score below 14 or with PU were included in the study. In order to investigate the relationship between independent variables and wound stage in univariate regression model, logistic regression was used, and the results were reported as odds ratio (OR). Data were analyzed with Stata statistical software version 15 and Excel 2016 software.Out of 217 CVA patients hospitalized, 180 had pressure ulcers. In total, 465 PUs were diagnosed in 180 patients in different areas. The average age of patients was (SD=618.78) years. 65 patients suffered only one wound, 38 patients experienced two wounds, and 37 patients experienced three wounds. The highest number of PUs was with 201 cases of stage I, follow ed by 180 cases of stage II. Stage IV with 2 cases was the least PU cases. Pa tients with a Braden score of 10-12 were 3.89 times more likely than patients with a Braden score greater than 14, and patients with a Braden score of 6-9 were diagnosed with PUS 6.67 times more than those with a Braden score greater than 14. Regarding the site of PUs, the sacrum and then the buttock were the most common sites of PU, which were ob- served in 65.56% and 29.49% of patients, respectively. The highest num- ber of stage I was related to the sacrum area.The sacrum was the most common site of PU occurrence and the highest number of PUs was related to stage I. Age, fecal incontinence, hemoglobin levels and Braden’s score have been among the factors affecting PUs in patients with CVA.

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调查住院脑血管意外患者压疮的严重程度和影响因素：回顾性队列研究

脑血管意外（CVA）患者在患病后会出现感觉、运动和认知障碍，因此有可能患上PU。因此，本研究旨在调查 CVA 患者发生 PU 的严重程度和影响因素。研究数据来自伊朗西部伊玛目礼萨医院的登记系统。217 名 Braden 评分低于 14 分或患有 PU 的 CVA 患者被纳入研究。为了研究单变量回归模型中自变量与伤口分期之间的关系，采用了逻辑回归，并以几率比（OR）报告结果。数据采用Stata统计软件15版和Excel 2016软件进行分析。在住院的217名CVA患者中，有180人患有压疮。在 217 名住院的 CVA 患者中，有 180 人患有压疮，在不同地区的 180 名患者中共确诊了 465 例压疮。患者的平均年龄为（SD=618.78）岁。65 名患者只有一处伤口，38 名患者有两处伤口，37 名患者有三处伤口。PU 数量最多的是 I 期 201 例，其次是 II 期 180 例。PU最少的是 IV 期，只有 2 例。布莱登评分 10-12 分的患者被诊断为 PUS 的几率是布莱登评分大于 14 分的患者的 3.89 倍，而布莱登评分 6-9 分的患者被诊断为 PUS 的几率是布莱登评分大于 14 分的患者的 6.67 倍。就 PU 发生部位而言，骶骨和臀部是最常见的 PU 发生部位，分别占 65.56% 和 29.49%。年龄、大便失禁、血红蛋白水平和 Braden 评分是影响 CVA 患者 PUs 的因素之一。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.