Systematic review of risk prediction models for adult intraoperative acquired pressure injury
10.3969/j.issn.1671-8283.2023.10.12
- VernacularTitle:成人术中获得性压力损伤风险预测模型的系统评价
- Author:
Yujing CAI
1
;
Lunlan LI
;
Xiaoyun DING
;
Zhen LI
;
Peipei DING
;
Linsheng FENG
;
Haowei YUAN
;
Hui HUANG
Author Information
1. 安徽医科大学护理学院,安徽合肥,230601
- Keywords:
intraoperative acquired pressure injury;
prediction model;
systematic review;
evidence-based nursing
- From:
Modern Clinical Nursing
2023;22(10):73-80
- CountryChina
- Language:Chinese
-
Abstract:
Objective To systematically evaluate the adult intraoperatively acquired pressure injury risk prediction model.Methods Related study on IAPI risk prediction model in Chinese and English databases such as CBM,CNKI,PubMed and Web of Science were searched.The language is limited to Chinese and English,and the search time is until November 4,2022.Two researchers independently screened the literature and extracted the data,and applied the bias risk assessment tool of prediction model research to analyze the bias risk and applicability of the included literature.Results 13 articles were included,including 17 models(operation time,age,diabetes,BMI and serum albumin are the most commonly used predictors).Among the 17 models,the area under the curve of 14 models was 0.616 to 0.984,and the other study did not report the AUC results.Among the 13 studies,10 had good applicability,while the remaining 3 had unclear applicability.13 studies have a high risk of bias,mainly because the included studies are retrospective studies,the predictive factors are screened based on univariate analysis,and the predictive outcomes are not defined by guidelines or standardization.Conclusions The existing IAPI risk prediction model for adults has good applicability,but the risk of bias is high,and the construction is not perfect.It is necessary to pay attention to the effectiveness of different risk assessment methods in the later construction,so as to get a better and more accurate risk prediction model and provide some reference and basis for formulating relevant prevention strategies.
