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压力损伤同时发生的模式:使用现实世界的临床记录进行数据驱动的研究
Veysel Karani Baris1,2,3, Wenyu Song1,2, Min-Jeoung Kang1,2
1Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA.
同时发生的压力损伤 (PRI) 影响了近四分之一的患者,并与严重伤害有关. 危险因素包括严重的PRI,黑人或非裔美国人种族,脊髓损伤,需要有针对性的预防策略.
科学领域:
- 临床信息学 临床信息学
- 伤口护理 伤口护理
- 流行病学 流行病学
背景情况:
- 压力损伤 (PRI) 是一个重要的医疗保健问题.
- 了解同时发生的PRI的模式和风险因素对于有效的患者管理至关重要.
- 现实世界的临床数据为PRI患病率和相关疾病提供了宝贵的见解.
研究的目的:
- 调查大型医疗保健系统中同时发生的压力损伤 (PRI) 的患病率,模式和风险因素.
- 开发和验证基于电子健康记录 (EHR) 的表型,用于识别患有并发性PRI的患者.
- 确定与多个PI存在相关的特定患者特征和损伤类型.
主要方法:
- 追溯队列研究分析了2015年至2023年期间与PRI患者成年患者的EHR数据.
- 基于EHR的表型的开发和验证,以准确识别同时发生的PRI.
- 利用单变量分析和二进制后勤回归来确定同时发生的PRI的风险因素.
主要成果:
- 在18,195名患有PRI的患者中,有4,415名 (24.3%) 患有同时发生的PRI.
- 经过验证的EHR表型显示出高精度 (0.96).
- 严重的PRI (OR 3.47),黑人或非裔美国人 (OR 1.45) 和脊髓损伤 (OR 1.32) 与同时发生的PRI有显著的关联.
结论:
- 同时发生的PRI是常见的,并且与损伤严重程度的增加密切相关.
- 检查人员数量与受伤的严重程度之间存在直接关系.
- 调查结果强调了对同时发生的PRI进行有针对性的风险评估和预防策略的需要.
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