Predictive value of Braden scale combined with hemoglobin and hematocrit for oral mucosal pressure injury risk in ICU patients.

IF 1.7 4区医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL

American journal of translational research Pub Date : 2025-06-15 eCollection Date: 2025-01-01 DOI:10.62347/XJAM4799

Fulin Hu, Lunlan Li, Yelan Gao, Caipeng Yue, Chengwei Xu, Changyu Jin

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引用次数: 0

Abstract

Objective: To evaluate the predictive value of the Braden scale and laboratory indicators for oral mucosal pressure injury (OMPI) in patients admitted to the Emergency Intensive Care Unit (ICU).

Methods: A retrospective analysis was conducted on 238 intubated patients admitted to the First Affiliated Hospital of Anhui Medical University. Patients were divided into a training set (n = 166) and a validation set (n = 72). The training set was further classified into OMPI (n = 67) and non-OMPI (n = 99) groups. Clinical data were compared between the two groups, and a logistic regression model was constructed to develop a predictive nomogram. Model performance was assessed using discrimination and calibration metrics, and internal validation was performed with the validation cohort.

Results: The training and validation sets were comparable. Significant predictors of OMPI included Braden scale score (P < 0.001), ICU length of stay (P < 0.001), intubation duration (P = 0.039), and hemoglobin (P < 0.001). Logistic regression identified Braden scale, intubation duration, hemoglobin, and hematocrit as independent risk factors.

Conclusion: The combination of Braden scale score, hemoglobin, and hematocrit demonstrated good predictive value for OMPI in EICU patients.

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Braden评分联合血红蛋白和红细胞压积对ICU患者口腔黏膜压力损伤风险的预测价值。

目的：评价Braden量表及实验室指标对急诊重症监护病房（ICU）患者口腔黏膜压力损伤（OMPI）的预测价值。方法：对安徽医科大学第一附属医院238例气管插管患者进行回顾性分析。将患者分为训练组（n = 166）和验证组（n = 72）。将训练集进一步分为OMPI组（n = 67）和非OMPI组（n = 99）。比较两组患者的临床资料，建立logistic回归模型，形成预测nomogram。使用判别和校准指标评估模型性能，并使用验证队列进行内部验证。结果：训练集和验证集具有可比性。OMPI的显著预测因子包括Braden评分（P < 0.001）、ICU住院时间（P < 0.001）、插管时间（P = 0.039）和血红蛋白（P < 0.001）。Logistic回归发现Braden量表、插管时间、血红蛋白和红细胞压积是独立的危险因素。结论：Braden评分、血红蛋白、红细胞压积联合应用对EICU患者的OMPI有较好的预测价值。

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

American journal of translational research ONCOLOGY-MEDICINE, RESEARCH & EXPERIMENTAL

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552

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