Abstract:
BACKGROUND:Pressure injuries, also known as pressure ulcers, are a serious complication of immobility. Patients should be thoroughly examined for pressure injuries when admitted to the intensive care unit to optimize treatment. Whether community-acquired pressure injuries correlate with poor hospital outcomes among critically ill patients is understudied. OBJECTIVES:To determine whether pressure injuries present upon admission to the intensive care unit can serve as a predictive marker for longer hospitalization and increased mortality. METHODS:This study retrospectively analyzed admissions of adult patients to a 24-bed medical-surgical intensive care unit in a large level I trauma center in the northeast United States from 2010 to 2012. The association of pressure injuries with mortality and length of stay was assessed, using multivariable logistic regression and generalized linear models, adjusted for age, comorbidities, Acute Physiology and Chronic Health Evaluation III score, and other patient characteristics. RESULTS:Among 2723 patients, 180 (6.6%) had a pressure injury at admission. Patients with a pressure injury had longer mean unadjusted stay (15.6 vs 10.5 days; P < .001) and higher in-hospital mortality rate (32.2% vs 18.3%; P < .001) than did patients without a pressure injury at admission. After multivariable adjustment, pressure injuries were associated with a mean increase in length of stay of 3.1 days (95% CI 1.5-4.7; P < .001). Pressure injuries were not associated with mortality after adjusting for the Acute Physiology and Chronic Health Evaluation III score, but they may serve as a marker for increased risk of mortality if an Acute Physiology and Chronic Health Evaluation III score is unavailable. CONCLUSION:Pressure injuries present at admission to the intensive care unit are an objective, easy-to-identify finding associated with longer stays. Pressure injuries might have a modest association with higher risk of mortality.
journal_name
Crit Care Nursejournal_title
Critical care nurseauthors
McGee WT,Nathanson BH,Lederman E,Higgins TLdoi
10.4037/ccn2019530subject
Has Abstractpub_date
2019-06-01 00:00:00pages
44-50issue
3eissn
0279-5442issn
1940-8250pii
39/3/44journal_volume
39pub_type
杂志文章abstract::Numerous research-based guidelines for PA pressure monitoring are available. Despite the availability of this large body of literature related to PA pressure monitoring, critical care nurses continue to demonstrate insufficient knowledge and ability to apply information related to the collection and interpretation of ...
journal_title:Critical care nurse
pub_type: 杂志文章,评审
doi:
更新日期:2000-12-01 00:00:00
abstract::As the field of surgery advances and the conservative use of banked blood transfusion increases the need for postoperative autotransfusion has increased. By using the CATR, the patient's demands for blood can be more adequately met without causing further complications for the patient. This article presents one method...
journal_title:Critical care nurse
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journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:1989-05-01 00:00:00
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journal_title:Critical care nurse
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更新日期:1994-12-01 00:00:00
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journal_title:Critical care nurse
pub_type: 杂志文章
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journal_title:Critical care nurse
pub_type: 杂志文章,评审
doi:
更新日期:2001-12-01 00:00:00
abstract::The results of this evaluation indicate that specially trained critical care nurses can remove femoral sheaths with an acceptable margin of safety. As a result, these nurses can provide quality, cost-effective care to angioplasty patients. However, before this procedure is included as part of the RN's responsibility, ...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
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journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2020681
更新日期:2020-06-01 00:00:00
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journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2020697
更新日期:2020-04-01 00:00:00
abstract:BACKGROUND:Immobility contributes to many adverse effects in critically ill patients. Early progressive mobility can mitigate these negative sequelae but is not widely implemented. Appreciative inquiry is a quality improvement method/change philosophy that builds on what works well in an organization. OBJECTIVES:To ex...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2020251
更新日期:2020-08-01 00:00:00
abstract:CLINICAL RELEVANCE:Clostridioides (formerly Clostridium) difficile infection is among the most identified causes of health care-associated infections in US hospitals and remains a major public health problem. The incidence and severity of C difficile infection are high among critically ill patients. Treating critically...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2019841
更新日期:2019-10-01 00:00:00
abstract::A 9-member educational task force and a 4-member panel of experts was used to establish the validity of the PEDS-BKAT, which was modified from version 4 of the adult BKAT for critical care nursing. A sample of 105 pediatric ICU nurses from 6 settings took the PEDS-BKAT. Test results include a mean score of 78.9 points...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:1998-06-01 00:00:00
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journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:1989-07-01 00:00:00
abstract::Critical care nurses are constantly challenged to provide safe, high-quality patient care at a low cost with increasingly scarce resources while implementing the latest evidence-based practices into their own clinical practice. This article is the first in a 4-part series to provide a practical quality improvement gui...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2014177
更新日期:2014-12-01 00:00:00
abstract:OBJECTIVE:Preparation of drug solutions used with electronic syringe infusion pumps plays a crucial role in the delivery of an accurate drug concentration. Is there a correlation between drug concentrations during syringe pump infusion and preparation protocols? METHOD:Norepinephrine, insulin, and sufentanil were prep...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2016756
更新日期:2016-08-01 00:00:00
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journal_title:Critical care nurse
pub_type: 杂志文章,评审
doi:
更新日期:2001-08-01 00:00:00
abstract::Hereditary hemorrhagic telangiectasia is a rare, autosomal dominant genetic disease that causes abnormal growth of blood vessels and, subsequently, life-threatening arteriovenous malformations in vital organs. Epistaxis may be one of the initial clues that a patient has more serious, generalized arteriovenous malforma...
journal_title:Critical care nurse
pub_type: 杂志文章,评审
doi:10.4037/ccn2016270
更新日期:2016-06-01 00:00:00
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journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:1993-02-01 00:00:00
abstract::BACKGROUND Many hospitals have well-planned nursing competency assessment programs, but these are meant to measure competency in traditional bedside roles, not in tele-intensive care unit (tele-ICU) nurses practicing remotely. OBJECTIVE To determine whether current tele-ICU programs have a formal competency assessment...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2011552
更新日期:2011-10-01 00:00:00
abstract::The most common cause of death due to the H1N1 subtype of influenza A virus (swine flu) in the 2009 to 2010 epidemic was severe acute respiratory failure that persisted despite advanced mechanical ventilation strategies. Extracorporeal membrane oxygenation (ECMO) was used as a salvage therapy for patients refractory t...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2011186
更新日期:2011-10-01 00:00:00
abstract::Children admitted to the ICU with status asthmaticus require continuous nursing assessment of respiratory status and monitoring of the response to therapy. Nurses must be aware of the progression of respiratory distress and of the expected response to treatment and the side effects that can occur with each therapy. By...
journal_title:Critical care nurse
pub_type: 杂志文章,评审
doi:
更新日期:1998-02-01 00:00:00
abstract::Background Vanderbilt University Hospital's original rapid response team included a critical care charge nurse and a respiratory therapist. A frequently identified barrier to care was the time delay between arrival of the rapid response team and arrival of the primary health care team. Objective To assess the impact o...
journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2014847
更新日期:2014-02-01 00:00:00
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journal_title:Critical care nurse
pub_type: 杂志文章,评审
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更新日期:2016-08-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:1990-07-01 00:00:00
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journal_title:Critical care nurse
pub_type: 杂志文章
doi:10.4037/ccn2018679
更新日期:2018-10-01 00:00:00
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journal_title:Critical care nurse
pub_type: 杂志文章
doi:
更新日期:1992-06-01 00:00:00
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journal_title:Critical care nurse
pub_type: 杂志文章,评审
doi:
更新日期:1996-12-01 00:00:00
abstract:BACKGROUND:The outbreak of coronavirus disease 2019 (COVID-19) rippled across the world from Wuhan, China, to the shores of the United States within a few months. Hospitals and intensive care units were suddenly faced with a "tsunami" warning requiring instantaneous implementation and escalation of disaster plans. EVI...
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更新日期:2020-12-01 00:00:00
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更新日期:2016-02-01 00:00:00