Pressure injury risk assessment in intensive care: comparison of inter-rater reliability of the COMHON (Conscious level, Mobility, Haemodynamics, Oxygenation, Nutrition) Index with three scales

2015 ◽  
Vol 72 (3) ◽  
pp. 680-692 ◽  
Author(s):  
Paul Fulbrook ◽  
Alissa Anderson
2020 ◽  
Vol Volume 13 ◽  
pp. 2031-2041
Author(s):  
Masushi Kohta ◽  
Takehiko Ohura ◽  
Kunio Tsukada ◽  
Yoshinori Nakamura ◽  
Mishiho Sukegawa ◽  
...  

Author(s):  
Sam Mansfield ◽  
Sachin Rangarajan ◽  
Katia Obraczka ◽  
Hanmin Lee ◽  
David Young ◽  
...  

2020 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Yinji Jin ◽  
Heejeong Kim ◽  
Taixian Jin ◽  
Sun-Mi Lee

2020 ◽  
Vol 29 (4) ◽  
pp. e70-e80
Author(s):  
Mireia Ladios-Martin ◽  
José Fernández-de-Maya ◽  
Francisco-Javier Ballesta-López ◽  
Adrián Belso-Garzas ◽  
Manuel Mas-Asencio ◽  
...  

Background Pressure injuries are an important problem in hospital care. Detecting the population at risk for pressure injuries is the first step in any preventive strategy. Available tools such as the Norton and Braden scales do not take into account all of the relevant risk factors. Data mining and machine learning techniques have the potential to overcome this limitation. Objectives To build a model to detect pressure injury risk in intensive care unit patients and to put the model into production in a real environment. Methods The sample comprised adult patients admitted to an intensive care unit (N = 6694) at University Hospital of Torrevieja and University Hospital of Vinalopó. A retrospective design was used to train (n = 2508) and test (n = 1769) the model and then a prospective design was used to test the model in a real environment (n = 2417). Data mining was used to extract variables from electronic medical records and a predictive model was built with machine learning techniques. The sensitivity, specificity, area under the curve, and accuracy of the model were evaluated. Results The final model used logistic regression and incorporated 23 variables. The model had sensitivity of 0.90, specificity of 0.74, and area under the curve of 0.89 during the initial test, and thus it outperformed the Norton scale. The model performed well 1 year later in a real environment. Conclusions The model effectively predicts risk of pressure injury. This allows nurses to focus on patients at high risk for pressure injury without increasing workload.


2019 ◽  
Vol 29 (3) ◽  
pp. 455-456 ◽  
Author(s):  
Natalie Crane ◽  
Natasha Pool ◽  
Ivy Chang ◽  
Sharna Rogan ◽  
Christian Stocker ◽  
...  

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