{"title":"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。","authors":"Fulin Hu, Lunlan Li, Yelan Gao, Caipeng Yue, Chengwei Xu, Changyu Jin","doi":"10.62347/XJAM4799","DOIUrl":null,"url":null,"abstract":"<p><strong>Objective: </strong>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).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>The combination of Braden scale score, hemoglobin, and hematocrit demonstrated good predictive value for OMPI in EICU patients.</p>","PeriodicalId":7731,"journal":{"name":"American journal of translational research","volume":"17 6","pages":"4744-4753"},"PeriodicalIF":1.7000,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261191/pdf/","citationCount":"0","resultStr":"{\"title\":\"Predictive value of Braden scale combined with hemoglobin and hematocrit for oral mucosal pressure injury risk in ICU patients.\",\"authors\":\"Fulin Hu, Lunlan Li, Yelan Gao, Caipeng Yue, Chengwei Xu, Changyu Jin\",\"doi\":\"10.62347/XJAM4799\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Objective: </strong>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).</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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.</p><p><strong>Conclusion: </strong>The combination of Braden scale score, hemoglobin, and hematocrit demonstrated good predictive value for OMPI in EICU patients.</p>\",\"PeriodicalId\":7731,\"journal\":{\"name\":\"American journal of translational research\",\"volume\":\"17 6\",\"pages\":\"4744-4753\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2025-06-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261191/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"American journal of translational research\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.62347/XJAM4799\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"MEDICINE, RESEARCH & EXPERIMENTAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"American journal of translational research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.62347/XJAM4799","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"MEDICINE, RESEARCH & EXPERIMENTAL","Score":null,"Total":0}
Predictive value of Braden scale combined with hemoglobin and hematocrit for oral mucosal pressure injury risk in ICU patients.
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.