Work

Biomarker of pressure injuries in critically ill adults based on large-scale medical Datasets:A multi-center prospective study

Year: 2025

Type: article

Abstract: Pressure injuries (PIs) are a global health concern, particularly in the context of an ageing population. They impose significant economic and social burdens, serve as key indicators of nursing quality, and are associated with increased mortality and morbidity. We conducted a multi-center prospective descriptive study involving 3867 critically ill adults admitted to ICUs across 28 hospitals in Gansu Province, China, from April 1, 2021, to July 31, 2023. Data were collected using the “Long Hu Hui” PI risk management platform, which covers 98 indicators. The incidence of hospital-acquired PIs was 5.20 %. Univariate analysis identified 15 significant indicators associated with PIs, including body temperature, blood oxygen saturation, and central venous pressure. Logistic regression analysis revealed body temperature, diastolic blood pressure, blood oxygen saturation, haemoglobin, central venous pressure, and blood urea nitrogen as independent risk factors for PIs. A clinical prediction model was developed, demonstrating superior predictive performance compared to existing scales. This study identified key physiological and biochemical markers associated with developing PIs in critically ill adults. The developed prediction model offers a more accurate tool for clinical risk assessment and may guide preventive strategies. • Large-Scale Data: The study is based on a comprehensive dataset of 3867 critically ill patients, providing robust evidence for the identified risk factors and biomarkers associated with pressure injuries. • This study identified differences in 15 indicators between ICU patients who did and did not experience PIs, including body temperature, blood oxygen saturation, haemoglobin, arterial carbon dioxide partial pressure, arterial oxygen partial pressure, central venous pressure, mean arterial pressure, blood urea nitrogen, platelet count, age, gender, Waterlow scale score, paralysis, stroke, and diabetes. • Analysis of the dose-response relationship between biomarkers and the occurrence of pressure injuries (PIs) revealed statistically significant non-linear associations with body temperature, diastolic blood pressure, blood oxygen saturation, haemoglobin, arterial blood oxygen partial pressure, central venous pressure, and blood urea nitrogen.

Source: Journal of Tissue Viability

DOI: 10.1016/j.jtv.2025.100912