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Identification of risk factors of developing pressure injuries among immobile patient, and a risk prediction model
Ke-Lu Yang1, Lin Chen2, Ying-Ying Kang3
1Evidence-Based Nursing Center, School of Nursing, Lanzhou University.
Insights
This study aims to develop a risk prediction model for pressure injuries (PIs) in immobile patients by analyzing systematic reviews and clinical practice guidelines. The model will help identify modifiable risk factors for prevention.
Area of Science:
- Medical research
- Clinical practice guidelines
- Systematic reviews
Background:
- Pressure injuries (PIs) impose significant physical, mental, and financial burdens on immobile patients, their families, and healthcare systems.
- Effective prevention strategies are crucial to mitigate the impact of PIs.
Purpose of the Study:
- To identify risk factors for developing PIs in immobile patients.
- To establish a risk prediction model for PIs.
- To pinpoint individual, modifiable risk factors for PI prevention.
Main Methods:
- Comprehensive search of electronic databases, clinical practice guideline (CPG) databases, and systematic review (SR) databases.
- Independent study selection and data extraction by two reviewers, followed by critical appraisal of included SRs and CPGs.
- Statistical analysis using RevMan 5.3 for pooled odds ratio (ORP) calculation and logistic regression for risk model development, supplemented by narrative synthesis, evidence summary tables, and Sankey diagrams.
Main Results:
- The study will yield a comprehensive risk prediction model for pressure injuries.
- Identified risk factors will be categorized for targeted prevention strategies.
Conclusions:
- This systematic review will provide a validated risk prediction model for pressure injury development.
- The findings will support the implementation of targeted, evidence-based prevention strategies for immobile patients.
Backgroud:
Pressure injuries (PIs) bring a considerable physical and mental burden on immobile patients, and have put families and government under tremendous pressure to cover the cost of treatment. Therefore, this protocol proposes to identify risk factors of developing PIs in immobile patients from systematic reviews (SRs) and clinical practice guidelines (CPGs), in order to establish a risk prediction model for developing PIs and identify individual risk factors that can be modified to aid prevention.
Methods:
Electronic databases and specific databases for CPGs and SRs will be searched. Study selection and data collection will be performed independently by two reviewers. All included SRs and CPGs will be subject to critical appraisal. RevMan 5.3 will be used to calculate the pooled odds ratio (ORP) after appraising the quality of eligible studies, and the risk predictive model will be established using logistic regression model. A narrative synthesis, evidence summary table, and Sankey diagram will also be performed.
Results:
The results of this study will be submitted to a peer-reviewed journal for publication.
Conclusion:
This systematic review will provide a risk prediction model of PI developing.
Insplay Registration Number:
INPLASY2020100097.
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