共 39 条
Transformative Insights into Community-Acquired Pressure Injuries Among the Elderly: A Big Data Analysis
被引:1
作者:
Shafran-Tikva, Sigal
[1
,2
]
Gabay, Gillie
[3
]
Kagan, Ilya
[4
]
机构:
[1] Jerusalem Coll Technol, Hlth Informat, IL-91160 Jerusalem, Israel
[2] Hadassah Univ, Res & Innovat Ctr, Med Ctr, IL-91120 Jerusalem, Israel
[3] Achva Acad Coll, Multidisciplinary Studies, IL-79800 Shikmim, Israel
[4] Ashkelon Acad Coll, Nursing Dept, IL-78211 Shikmim, Israel
来源:
关键词:
big data;
community-acquired pressure injuries;
hospital;
indicators;
informatics;
nursing clinical data;
nursing homes;
CARE;
PREVENTION;
PREVALENCE;
HOME;
D O I:
10.3390/healthcare13020153
中图分类号:
R19 [保健组织与事业(卫生事业管理)];
学科分类号:
摘要:
Purpose: To investigate community-acquired pressure injuries (CAPIs) in older people by utilizing big data. Design: Retrospective data curation and analysis of inpatient data from two general medical centers between 1 January 2016 and 31 December 2018. Methods: Nursing assessments from 44,449 electronic medical records of patients admitted to internal medicine departments were retrieved, organized, coded by data engineers, and analyzed by data scientists. Potential explanatory patient characteristics tested were gender, age, admission indices, nursing assessments including CAPIs, CAPI type and location, vital signs, and the results of lab tests within the first 36 h of admission. Findings: Most CAPIs were located in the buttocks (56.9%), followed by the sacrum (11.8%), ankle (10.8%), trochanter (5.1%), and leg (3.9%). Tissue associated with CAPIs was described as necrotic, serotic, bloody, granolithic, epithelial, and infected. There were 31% of first-degree CAPIs, 41% second-degree, and 18% third-degree. Previously unacknowledged patient characteristics associated with CAPIs are as follows: age, oxygen use, intestinal function, the touch senses of heat and pain, albumin, RDW (red cell distribution width), and systolic blood pressure. Conclusions: The novel indicators for CAPIs underscore the importance of data-driven approaches in detecting and preventing CAPIs in community care. These markers can detect and prevent pressure ulcers in the community, particularly among the elderly. Relevance for Clinical Practice: Nursing management is called upon to integrate information about novel patient characteristics associated with CAPI into clinical practice. Assimilating the insights from this hospital nursing-led study into community nursing will enhance the safety and quality of care for the elderly.
引用
收藏
页数:10
相关论文