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The PRINCOVID Retrospective Study: A Predictive Model of Pressure Injuries for Critical COVID-19 Patients.
- Source :
-
American Journal of Physical Medicine & Rehabilitation . Aug2023, Vol. 102 Issue 8, p707-714. 8p. - Publication Year :
- 2023
-
Abstract
- Objective: The aim of the study is to characterize pressure injuries, identify risk factors, and develop a predictive model for pressure injuries at intensive care unit admission for critical COVID-19 patients. Design: This study was a retrospective analysis of a consecutive sample of patients admitted to intensive care unit between May 2020 and September 2021. Inclusion criteria encompassed the diagnosis of acute respiratory distress syndrome due to SARS-CoV-2, requiring invasive mechanical ventilation more than 48 hrs. The following predictors were evaluated: sociodemographic characteristics, comorbidities, as well as clinical and laboratory findings at intensive care unit admission. The primary outcome was the presence of pressure injuries. Results: Two hundred five patients were included, mostly males (73%) with a mean age of 62 yrs. Pressure injury prevalence was 58%. On multivariable analysis, male sex, hypertension, hemoglobin, and albumin at intensive care unit admission were independently associated with pressure injuries, constituting the PRINCOVID model. The model reached an area under the receiver operating characteristic curve of 0.71, surpassing the Braden scale (P = 0.0015). The PRINCOVID score ranges from 0 to 15, with two risk groups: "at risk"(≤7 points) and "high risk"(>7 points). Conclusions: This study proposes PRINCOVID as a multivariable model for developing pressure injuries in critical COVID-19 patients. Based on four parameters (sex, hypertension, hemoglobin, and albumin at intensive care unit admission), this model fairly predicts the development of pressure injuries. The PRINCOVID score allows patients' classification into two groups, facilitating early identification of high-risk patients. [ABSTRACT FROM AUTHOR]
- Subjects :
- *INTENSIVE care units
*STATISTICS
*RESEARCH
*COVID-19
*PRESSURE ulcers
*CRITICALLY ill
*MULTIPLE regression analysis
*PATIENTS
*TERTIARY care
*RETROSPECTIVE studies
*FISHER exact test
*MANN Whitney U Test
*APACHE (Disease classification system)
*RISK assessment
*ADULT respiratory distress syndrome
*ARTIFICIAL respiration
*T-test (Statistics)
*THEORY
*DISEASE prevalence
*CHI-squared test
*DESCRIPTIVE statistics
*PREDICTION models
*SOCIODEMOGRAPHIC factors
*DATA analysis software
*RECEIVER operating characteristic curves
*COMORBIDITY
*MEDICAL logic
*PROPORTIONAL hazards models
*DISEASE risk factors
BEDSORE risk factors
Subjects
Details
- Language :
- English
- ISSN :
- 08949115
- Volume :
- 102
- Issue :
- 8
- Database :
- Academic Search Index
- Journal :
- American Journal of Physical Medicine & Rehabilitation
- Publication Type :
- Academic Journal
- Accession number :
- 166742189
- Full Text :
- https://doi.org/10.1097/PHM.0000000000002195