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
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.
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页数:10
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  • [1] Socio-economic and environmental factors associated with community-acquired pressure injuries: A mixed method study
    Aloweni, Fazila
    Gunasegaran, Nanthakumahrie
    Lim, Siew Hoon
    Leow, Beverly Wen Xin
    Agus, Nurliyana
    Goh, Ivy Hui Qi
    Ang, Shin Yuh
    [J]. JOURNAL OF TISSUE VIABILITY, 2024, 33 (01) : 27 - 42
  • [2] Development and validation of educational technology for venous ulcer care
    Benevides, Jessica Lima
    Victor Coutinho, Janaina Fonseca
    Pascoal, Liliane Chagas
    Joventino, Emanuella Silva
    Martins, Mariana Cavalcante
    Gubert, Fabiane do Amaral
    Alves, Allana Mirella
    [J]. REVISTA DA ESCOLA DE ENFERMAGEM DA USP, 2016, 50 (02) : 306 - 312
  • [3] Impaired mobility and pressure ulcer development in older adults: Excess movement and too little movement-Two sides of the one coin?
    Budri, Aglecia Moda Vitoriano
    Moore, Zena
    Patton, Declan
    O'Connor, Tom
    Nugent, Linda
    Mc Cann, Aisling
    Avsar, Pinar
    [J]. JOURNAL OF CLINICAL NURSING, 2020, 29 (15-16) : 2927 - 2944
  • [4] Developing a decision support tool to prevent community-acquired pressure injuries in spinal cord injury in ambulatory care: A nurse-led protocol for mix methods research
    Burkhart, Lisa
    Skemp, Lisa
    Siddiqui, Sameer
    Bates-Jensen, Barbara
    [J]. NURSING OUTLOOK, 2021, 69 (02) : 127 - 135
  • [5] Using artificial intelligence to reduce diagnostic workload without compromising detection of urinary tract infections
    Burton, Ross J.
    Albur, Mahableshwar
    Eberl, Matthias
    Cuff, Simone M.
    [J]. BMC MEDICAL INFORMATICS AND DECISION MAKING, 2019, 19 (01)
  • [6] Pressure Injury in a Community Population A Descriptive Study
    Corbett, Lisa Q.
    Funk, Marjorie
    Fortunato, Gilbert
    O'Sullivan, David M.
    [J]. JOURNAL OF WOUND OSTOMY AND CONTINENCE NURSING, 2017, 44 (03) : 221 - 227
  • [7] Preventing pressure injuries among patients in the intensive care unit: insights gained
    Coyer, Fiona
    Labeau, Sonia
    Blot, Stijn
    [J]. INTENSIVE CARE MEDICINE, 2022, 48 (12) : 1787 - 1789
  • [8] Big Data in the Veterans Health Administration: A Nursing Informatics Perspective
    Deckro, John
    Phillips, Toni
    Davis, Avaretta
    Hehr, Andrew T.
    Ochylski, Sheila
    [J]. JOURNAL OF NURSING SCHOLARSHIP, 2021, 53 (03) : 288 - 295
  • [9] Finding undiagnosed patients with hepatitis C infection: an application of artificial intelligence to patient claims data
    Doyle, Orla M.
    Leavitt, Nadejda
    Rigg, John A.
    [J]. SCIENTIFIC REPORTS, 2020, 10 (01)
  • [10] Factors Associated with a High-Risk Profile for Developing Pressure Injuries in Long-Term Residents of Nursing Homes
    Elli, Chiara
    Novella, Alessio
    Nobili, Alessandro
    Ianes, Aladar
    Pasina, Luca
    [J]. MEDICAL PRINCIPLES AND PRACTICE, 2022, 31 (05) : 433 - 438