Construction and Application of Pressure Injury Risk Prediction Model for Critically Ill Patients

NCT05564975 | Unknown DMC

• 1 other identifier: 2022KYLL053
• Study Type: observational
• Target: 350
• Locations: 0 countries
• Sites: N/A

Brief Summary

In the previous investigation, investigators found that when the risk factors of stress injury in critical patients changed, clinical nurses lacked the awareness of evaluating the risk of stress injury, and lacked the risk assessment of this link. The stress risk prediction model is based on etiology. By analyzing the risk factors, the machine learning algorithm is used to evaluate the risk of pressure damage, and the prediction model of pressure damage can dynamically and comprehensively evaluate its risk. It is also a risk assessment tool. At present, there is no research on applying the stress injury risk prediction model of critical patients to the intensive care information software in China. In this study, the artificial intelligence algorithm library will be used to construct and apply the stress injury risk prediction model for critical patients.

Conditions

Pressure Injury; Critically Ill Patients; Risk Factors; Machine Learning Algorithms

Outcome Measures

Primary Outcomes (1)

• Hospital-acquired pressure injury

  The staging assessment of pressure injuries was based on the 2016 edition of the American Pressure Injury Expert Advisory Group Guidelines(WOCN 2016 Guideline).

  2023-03-01

Study Arms (2)

Hospital-acquired pressure injury group

According to the hospital adverse event management system, patients diagnosed with pressure injury in the hospital were included in the HAPI group, and patients who reported high risk of pressure injury during the same period were selected and included in the non-HAPI group.

No-hospital-acquired pressure injury group

According to the hospital adverse event management system, patients diagnosed with pressure injury in the hospital were included in the HAPI group, and patients who reported high risk of pressure injury during the same period were selected and included in the non-HAPI group.

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients This study was a retrospective study, and all patients meeting the admission criteria were selected from the Intensive Care Unit (ICU) of a tertiary comprehensive university-affiliated hospital from January 2016 to December 2021 (34 beds were provided for critical care, and 2,686 patients were admitted during the study period).

You may qualify if:

• Length of ICU stay \> 48 h
• Be at least 18 years old
• Meet the diagnostic criteria of intensive care unit and APACH II \<35 points

You may not qualify if:

• Patients with skin diseases and burns
• Patients with pressury injury at admission
• Repeat hospitalization
• Died 24 hours after pressure injury.

Sponsors & Collaborators

• Yang Chaonan: lead

Related Publications (8)

• Gaspar S, Botelho Guedes F, Vitoriano Budri AM, Ferreira C, Gaspar de Matos M. Hospital-acquired pressure ulcers prevention: What is needed for patient safety? The perceptions of nurse stakeholders. Scand J Caring Sci. 2022 Dec;36(4):978-987. doi: 10.1111/scs.12995. Epub 2021 Jun 9.

  PMID: 34105825 RESULT

• Stotts NA, Brown DS, Donaldson NE, Aydin C, Fridman M. Eliminating hospital-acquired pressure ulcers: within our reach. Adv Skin Wound Care. 2013 Jan;26(1):13-8. doi: 10.1097/01.ASW.0000425935.94874.41.

  PMID: 23263395 RESULT

• Spruce L. Strategies to Help Prevent Hospital-Acquired Pressure Injuries. AORN J. 2020 Feb;111(2):241-242. doi: 10.1002/aorn.12952. No abstract available.

  PMID: 31997318 RESULT

• Wood J, Brown B, Bartley A, Margarida Batista Custodio Cavaco A, Roberts AP, Santon K, Cook S. Reducing pressure ulcers across multiple care settings using a collaborative approach. BMJ Open Qual. 2019 Aug 20;8(3):e000409. doi: 10.1136/bmjoq-2018-000409. eCollection 2019.

  PMID: 31523723 RESULT

• Krupp AE, Monfre J. Pressure ulcers in the ICU patient: an update on prevention and treatment. Curr Infect Dis Rep. 2015 Mar;17(3):468. doi: 10.1007/s11908-015-0468-7.

  PMID: 25821191 RESULT

• Coyer F, Miles S, Gosley S, Fulbrook P, Sketcher-Baker K, Cook JL, Whitmore J. Pressure injury prevalence in intensive care versus non-intensive care patients: A state-wide comparison. Aust Crit Care. 2017 Sep;30(5):244-250. doi: 10.1016/j.aucc.2016.12.003. Epub 2017 Jan 4.

  PMID: 28063724 RESULT

• Lima Serrano M, Gonzalez Mendez MI, Carrasco Cebollero FM, Lima Rodriguez JS. Risk factors for pressure ulcer development in Intensive Care Units: A systematic review. Med Intensiva. 2017 Aug-Sep;41(6):339-346. doi: 10.1016/j.medin.2016.09.003. Epub 2016 Oct 22. English, Spanish.

  PMID: 27780589 RESULT

• Chaonan Y, Ji C, Huibin P, Shen L, Xiaohong L. Risk Factors for Pressure Injury in ICU Patients. Nurs Open. 2026 Feb;13(2):e70384. doi: 10.1002/nop2.70384.

  PMID: 41618576 DERIVED

MeSH Terms

Conditions

Pressure Ulcer

Condition Hierarchy (Ancestors)

Skin Ulcer; Skin Diseases; Skin and Connective Tissue Diseases

Study Officials

• YangChaonan Nurse-in-charge, BM

  Huzhou University

  STUDY CHAIR

Central Study Contacts

Pan Huibin licensed doctor, BM

CONTACT

18767273838; 18767223838@126.com

JiChaohui chief physician, BM

CONTACT

13857276177; jch760522@163.com

Study Design

• Study Type: observational
• Observational Model: CASE CONTROL
• Time Perspective: OTHER
• Target Duration: 1 Day
• Sponsor Type: OTHER
• Responsible Party: SPONSOR INVESTIGATOR
• PI Title: Nurse-in-charge

Study Record Dates

• First Submitted: September 29, 2022
• First Posted: October 4, 2022
• Study Start: October 1, 2022
• Primary Completion: November 1, 2022
• Study Completion: December 1, 2022
• Last Updated: October 6, 2022

Record last verified: 2022-10