Hematologic and Serum Biochemical Values Associated with Different Stages of Hospital-Acquired Pressure Injuries in Patients: A Retrospective Study

Wen Pei Chang, Hsiu Ju Jen, Yu Pei Chang

研究成果: 雜誌貢獻文章同行評審

摘要

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.
原文英語
頁(從 - 到)117-124
頁數8
期刊Journal of Wound, Ostomy and Continence Nursing
51
發行號2
DOIs
出版狀態已發佈 - 3月 1 2024

ASJC Scopus subject areas

  • 醫療和外科護理
  • 高級和專業護理

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