Beyond Conventional Risk Scales: Temporal Patterns and Multidimensional Predictors of Early Deep Tissue Pressure Injury in ICU - A Retrospective Cohort Study - PubMed
3 days ago
- #ICU
- #risk assessment
- #deep tissue pressure injury
- Deep tissue pressure injury (DTPI) is a severe form of pressure-induced tissue damage with immobility and malnutrition as established risk factors.
- The study evaluates temporal patterns and clinical predictors of early versus late DTPI in ICU patients, focusing on nutritional risk, oedema, sedation, and clinical parameters.
- A retrospective cohort study of 211 ICU patients found 51.7% developed early-onset DTPI (≤9 days) and 48.3% late-onset DTPI (>9 days).
- Late DTPI was associated with longer hospital and ICU stays, more oedema, and higher sedative use.
- Logistic regression identified shorter ICU stay, lower NRS-2002 score, oedema, and sedation as independent predictors of early DTPI.
- ROC analysis showed limited discriminative power for Braden score, age, and ICU length, while NRS-2002, oedema, and sedation improved model discrimination.
- Standard clinical risk scales alone may be insufficient for early DTPI risk assessment; integrating multidimensional parameters is crucial.
- Nursing managers and ICU clinicians should incorporate nutritional status, oedema, and sedative use alongside traditional scales for better early detection and prevention.