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Pressure injuries in elderly with acute myocardial infarction

OBJECTIVES: To assess pressure injury (PI) incidence among patients hospitalized for acute myocardial infarction (AMI) in an intensive coronary care unit (ICCU) and to detect the impact of specific risk factors on the development of PI in this clinical setting. PATIENTS AND METHODS: Prospective coho...

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Autores principales: Komici, Klara, Vitale, Dino F, Leosco, Dario, Mancini, Angela, Corbi, Graziamaria, Bencivenga, Leonardo, Mezzani, Alessandro, Trimarco, Bruno, Morisco, Carmine, Ferrara, Nicola, Rengo, Giuseppe
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2017
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Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5614743/
https://www.ncbi.nlm.nih.gov/pubmed/29033559
http://dx.doi.org/10.2147/CIA.S135676
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author Komici, Klara
Vitale, Dino F
Leosco, Dario
Mancini, Angela
Corbi, Graziamaria
Bencivenga, Leonardo
Mezzani, Alessandro
Trimarco, Bruno
Morisco, Carmine
Ferrara, Nicola
Rengo, Giuseppe
author_facet Komici, Klara
Vitale, Dino F
Leosco, Dario
Mancini, Angela
Corbi, Graziamaria
Bencivenga, Leonardo
Mezzani, Alessandro
Trimarco, Bruno
Morisco, Carmine
Ferrara, Nicola
Rengo, Giuseppe
author_sort Komici, Klara
collection PubMed
description OBJECTIVES: To assess pressure injury (PI) incidence among patients hospitalized for acute myocardial infarction (AMI) in an intensive coronary care unit (ICCU) and to detect the impact of specific risk factors on the development of PI in this clinical setting. PATIENTS AND METHODS: Prospective cohort study in ICCU setting. Patients admitted for AMI: patients mean age 67.5±11.5 years (n=165). Norton Scale, Mini Nutritional Assessment (MNA), demographic, clinical and biochemical data collected at the time of ICCU admission have been tested in a logistic model to assess the odds ratios (ORs) of PI risk development. The jackknifed area under the receiver operating characteristic curve (AUC) and the decision curve analysis have been employed to assess the additive predictive value of a factor. RESULTS: Twenty-seven (16.3%) patients developed PIs. An increased PI risk was associated with advanced age (OR =2.5 every 10-year increase; 95% CI =1.1–5.7), while probability of PI development was reduced in patients with higher left ventricular ejection fraction (LVEF) (OR =0.4 every 5% increase; 95% CI =0.24–0.66), MNA score (OR =0.65 every unit change; 95% CI =0.44–0.95) and Norton Scale score (OR =0.7 every unit change; 95% CI =0.57–0.88). The AUC and the decision curve analysis showed that LVEF inclusion improved the discrimination power and the clinical net benefit of the final model. CONCLUSION: Age, LVEF, Norton Scale and MNA scores have a strong and independent clinical value as predictors of in-hospital PI development in patients with AMI. This finding has the potential to improve the clinical management of patients admitted in ICCU.
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spelling pubmed-56147432017-10-13 Pressure injuries in elderly with acute myocardial infarction Komici, Klara Vitale, Dino F Leosco, Dario Mancini, Angela Corbi, Graziamaria Bencivenga, Leonardo Mezzani, Alessandro Trimarco, Bruno Morisco, Carmine Ferrara, Nicola Rengo, Giuseppe Clin Interv Aging Original Research OBJECTIVES: To assess pressure injury (PI) incidence among patients hospitalized for acute myocardial infarction (AMI) in an intensive coronary care unit (ICCU) and to detect the impact of specific risk factors on the development of PI in this clinical setting. PATIENTS AND METHODS: Prospective cohort study in ICCU setting. Patients admitted for AMI: patients mean age 67.5±11.5 years (n=165). Norton Scale, Mini Nutritional Assessment (MNA), demographic, clinical and biochemical data collected at the time of ICCU admission have been tested in a logistic model to assess the odds ratios (ORs) of PI risk development. The jackknifed area under the receiver operating characteristic curve (AUC) and the decision curve analysis have been employed to assess the additive predictive value of a factor. RESULTS: Twenty-seven (16.3%) patients developed PIs. An increased PI risk was associated with advanced age (OR =2.5 every 10-year increase; 95% CI =1.1–5.7), while probability of PI development was reduced in patients with higher left ventricular ejection fraction (LVEF) (OR =0.4 every 5% increase; 95% CI =0.24–0.66), MNA score (OR =0.65 every unit change; 95% CI =0.44–0.95) and Norton Scale score (OR =0.7 every unit change; 95% CI =0.57–0.88). The AUC and the decision curve analysis showed that LVEF inclusion improved the discrimination power and the clinical net benefit of the final model. CONCLUSION: Age, LVEF, Norton Scale and MNA scores have a strong and independent clinical value as predictors of in-hospital PI development in patients with AMI. This finding has the potential to improve the clinical management of patients admitted in ICCU. Dove Medical Press 2017-09-19 /pmc/articles/PMC5614743/ /pubmed/29033559 http://dx.doi.org/10.2147/CIA.S135676 Text en © 2017 Komici et al. This work is published and licensed by Dove Medical Press Limited The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Original Research
Komici, Klara
Vitale, Dino F
Leosco, Dario
Mancini, Angela
Corbi, Graziamaria
Bencivenga, Leonardo
Mezzani, Alessandro
Trimarco, Bruno
Morisco, Carmine
Ferrara, Nicola
Rengo, Giuseppe
Pressure injuries in elderly with acute myocardial infarction
title Pressure injuries in elderly with acute myocardial infarction
title_full Pressure injuries in elderly with acute myocardial infarction
title_fullStr Pressure injuries in elderly with acute myocardial infarction
title_full_unstemmed Pressure injuries in elderly with acute myocardial infarction
title_short Pressure injuries in elderly with acute myocardial infarction
title_sort pressure injuries in elderly with acute myocardial infarction
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5614743/
https://www.ncbi.nlm.nih.gov/pubmed/29033559
http://dx.doi.org/10.2147/CIA.S135676
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