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Predictive value of pressure ulcer risk for obstructive coronary artery disease
Yao Wang1, Ran Chen1, Jie Ding1
1Department of Cardiology, West China Hospital, Sichuan University/West China School of Nursing, Sichuan University, Chengdu, China.
Insights
Patients with severe coronary artery disease (CAD) face a higher risk of pressure ulcers. The Braden score can help predict the severity of obstructive CAD in patients undergoing coronary angiography.
Area of Science:
- Cardiology
- Geriatrics
- Dermatology
Background:
- Obstructive coronary artery disease (CAD) is a significant health concern.
- Pressure ulcers are a common complication in patients with chronic diseases.
- The relationship between CAD severity and pressure ulcer risk is not well-established.
Purpose of the Study:
- To investigate the association between pressure ulcer risk and the severity of obstructive coronary artery disease (CAD).
- To evaluate the predictive value of the Braden score for identifying severe CAD.
Main Methods:
- Cross-sectional study of 193 patients undergoing invasive coronary angiography.
- Patients categorized into groups based on coronary artery stenosis severity.
- Braden scale, fall risk, self-care ability, and cardiovascular risk factors were assessed.
Main Results:
- Higher pressure ulcer risk was observed in patients with more severe CAD.
- The highest prevalence of high pressure ulcer risk was in the left main or three-vessel disease group.
- Braden score independently predicted left main or three-vessel disease, with moderate predictive value for excluding severe CAD.
Conclusions:
- Pressure ulcer risk assessment, using tools like the Braden scale, can aid in predicting obstructive CAD severity.
- This finding highlights a potential link between skin integrity and cardiovascular health.
Aim:
To investigate the relationship between pressure ulcers risk and severity of obstructive coronary artery disease (CAD) by invasive coronary angiography.
Design:
Cross-sectional study.
Methods:
A total of 193 consecutive patients with underlying pressure ulcers risk who underwent invasive coronary angiography were enrolled. Subjects were divided into three groups according to severity of coronary artery stenosis. Pressure ulcers risk score, fall risk score, self-care ability score and cardiovascular risk factors were compared among the three groups. Multivariate regression analysis and receiver operating curve analysis were performed to explore the diagnostic value of Braden score for left main or three-vessel disease.
Results:
Patients with more severe CAD had higher pressure ulcers risk. The percentage of high-pressure ulcers risk was highest in left main or three-vessel disease group, compared with control group and single- or two-vessel disease group. After adjusting for age, body mass index, diabetes, chronic kidney disease and other confounding factors, Braden score was an independent predictor of left main or three-vessel disease. Moreover, higher Braden score had a moderate area under the curve for excluding more severe CAD. In conclusion, among patients planning for coronary angiography, pressure ulcers risk assessment is conducive to predict the severity of obstructive CAD.
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