52 research outputs found

    Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study

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    Abstract: Purpose: Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. Methods: International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Results: Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Conclusion: Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat

    GRIECHISCHE ORTSNAMEN

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    BEITRÄGE ZUR DEUTUNG ALS SLAVISCH ERKLÄRTER ORTSNAMEN

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    Dialektisches aus Rhodos

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    ΓΛΩΣΣΙΚΑ

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    Assessment Indexes for Converter P-Q Control Coupling

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    This work presents a concise methodology for the calculation of assessment indexes regarding the coupling between active and reactive power control observed on distribution level converters. First, the reader is introduced to the concept of power coupling; when, where and how it appears in power control of converters. A brief summary of the theory and formulation behind it is also included, together with relevant literature. Then, the methodology for the assessment of active and reactive power control performance of any grid-connected converter is presented. The impact of small control disturbances during a testing procedure is monitored, analyzed and converted to meaningful indexes, so that the type and level of coupling is quantified without putting the converter or the grid at risk. The efficiency of the methodology to assess the type and level of coupling is verified experimentally. This is done by assessing several power control approaches with different level of decoupling efficiency on the same power converter connected to a distribution grid. While the assessment is performed with safe, minimal disturbances, its exceptional accuracy is later confirmed by the level and type of coupling observed during significant power step changes.</jats:p
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