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Zhang YB, Gou L, Pei JH, Nan RL, Shen XP, Ge L, Chen HX, Wang XL, Dou XM, He L. Development of a nomogram for predicting nasogastric tube-associated pressure injuries in intensive care unit patients. J Tissue Viability 2021; 30:324-330. [PMID: 34176736 DOI: 10.1016/j.jtv.2021.06.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/12/2020] [Revised: 06/16/2021] [Accepted: 06/18/2021] [Indexed: 10/21/2022]
Abstract
Here, we aimed to build a nomogram model to estimate the probability of nasogastric tube-associated pressure injuries (NTAPIs) in intensive care unit(ICU)patients. This prospective cohort study included 219ICU patients with nasogastric tube between September 2019 and January 2020.Univariate and multivariate logistic regression analyses were used to develop the nomogram model. The resulting nomogram was tested for calibration, discrimination, and clinical usefulness. Of the included patients, 58 developed NTAPIs, representing an incidence rate of 26.5%. Binary logistic regression analysis revealed that the prediction nomogram included C-reactive protein, vasopressor use, albumin level, nasogastric tube duration, and Sequential Organ Failure Assessment score. The value of these predictors was again confirmed using theLasso regression analysis. Internal validation presented a good discrimination of the nomogram, with an area under the curve value of 0.850, and good calibration (Hosmer-Lemeshow test, P = 0.177). The decision curve analysis also demonstrated preferable net benefit along with the threshold probability in the prediction nomogram. The nomogram model can accurately predict the risk factors for NTAPIs, to formulate intervention strategies as early as possible to reduce NTAPI incidence.
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Affiliation(s)
- Ya-Bin Zhang
- School of Nursing, Lanzhou University, Lanzhou, Gansu, People's Republic of China
| | - Ling Gou
- School of Nursing, Lanzhou University, Lanzhou, Gansu, People's Republic of China
| | - Ju-Hong Pei
- School of Nursing, Lanzhou University, Lanzhou, Gansu, People's Republic of China
| | - Rui-Ling Nan
- School of Nursing, Lanzhou University, Lanzhou, Gansu, People's Republic of China; Department of EICU, Lanzhou University Second Hospital, Lanzhou, Gansu, People's Republic of China
| | - Xi-Ping Shen
- Lanzhou University School of Public Health, Lanzhou, Gansu, People's Republic of China
| | - Long Ge
- Lanzhou University School of Public Health, Lanzhou, Gansu, People's Republic of China; Lanzhou University Evidence Based Social Science Research Center, People's Republic of China
| | - Hai-Xia Chen
- School of Nursing, Lanzhou University, Lanzhou, Gansu, People's Republic of China
| | - Xing-Lei Wang
- School of Nursing, Lanzhou University, Lanzhou, Gansu, People's Republic of China; Department of Liver Diseases Branch, Lanzhou University Second Hospital, Lanzhou, Gansu, People's Republic of China
| | - Xin-Man Dou
- School of Nursing, Lanzhou University, Lanzhou, Gansu, People's Republic of China; Department of Nursing, Lanzhou University Second Hospital, Lanzhou, Gansu, People's Republic of China.
| | - Li He
- Department of Emergency, Lanzhou University Second Hospital, Lanzhou, Gansu, People's Republic of China.
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