Development and validation of a nomogram for oral mucosal membrane pressure injuries in ICU patients: A prospective cohort study.
J Clin Nurs
; 2024 May 26.
Article
em En
| MEDLINE
| ID: mdl-38797947
ABSTRACT
AIMS:
Establishing a nomogram to estimate the probability of oral mucosal membrane pressure injury of endotracheal tube-intubated hospitalized patients in intensive care unit.DESIGN:
Multicentre prospective cohort study.METHODS:
Using Lasso regression and COX regression, variable selection was performed on demographic, clinical and laboratory data of 1037 ICU endotracheal tube-intubated hospitalized patients from West China Hospital, to construct a nomogram. External validation was conducted on 484 ICU endotracheal tube-intubated patients from People's Hospital of Zhongjiang County.RESULTS:
Among 38 potential predictors, five variables emerged as independent predictors, integrated into the nomogram administration of antibiotics, nutritional therapy duration, agitation, hypotension and albumin levels.CONCLUSIONS:
We established a nomogram based on the hospital characteristics of ICU endotracheal tube-intubated patients, aiding in the prediction of the occurrence of oral mucosal membrane pressure injury. REPORTINGMETHOD:
The study followed TRIPOD guidelines. RELEVANCE TO CLINICAL PRACTICE The nomogram we developed can assist clinical worker in better identifying at-risk patients and risk factors. It enables the implementation of evidence-based nursing interventions in care to prevent the development of oral mucosal membrane pressure injury. TRIAL REGISTRATION The study has been registered with the Chinese Clinical Trial Registry (http//www.chictr.org.cn) under registration number ChiCTR2200056615.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
J Clin Nurs
Ano de publicação:
2024
Tipo de documento:
Article