Predictive value of pressure ulcer risk for obstructive coronary artery disease

Abstract

Aim To investigate the relationship between pressure ulcers risk and severity of obstructive coronary artery disease (CAD) by invasive coronary angiography. Design Cross‐sectional study. Methods A total of 193 consecutive patients with underlying pressure ulcers risk who underwent invasive coronary angiography were enrolled. Subjects were divided into three groups according to severity of coronary artery stenosis. Pressure ulcers risk score, fall risk score, self‐care ability score and cardiovascular risk factors were compared among the three groups. Multivariate regression analysis and receiver operating curve analysis were performed to explore the diagnostic value of Braden score for left main or three‐vessel disease. Results Patients with more severe CAD had higher pressure ulcers risk. The percentage of high‐pressure ulcers risk was highest in left main or three‐vessel disease group, compared with control group and single‐ or two‐vessel disease group. After adjusting for age, body mass index, diabetes, chronic kidney disease and other confounding factors, Braden score was an independent predictor of left main or three‐vessel disease. Moreover, higher Braden score had a moderate area under the curve for excluding more severe CAD. In conclusion, among patients planning for coronary angiography, pressure ulcers risk assessment is conducive to predict the severity of obstructive CAD.

Evaluation of Nutrition Related Risk Factors of Pressure Ulcers in the Home Care Patients: A Retrospective Cohort Study

“…It is also known that the high rate of several systemic chronic illnesses contributes to the risk of PU in elderly patients. 25,26 Our findings were compatible with those previous reports. In our study, 69.9% of the patients had systemic comorbidities.…”

“…This finding also aligns with the literature. 1,5,7,[19][20][21][22][23][24][25][26][27][28][29][30] Home care patients at risk of or with malnutrition as well as patients with PU should be referred to a registered dietitian nutritionist to conduct an indepth nutrition assessment. Once the patient's nutrition diagnosis has been identified, an individualized care plan should be developed and communicated to all members of the interprofessional team.…”