Nurses' perceptions of aids and obstacles to the provision of optimal end of life care in ICU

Contains fulltext : 172380.pdf (publisher's version ) (Open Access

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

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: 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

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

The original version of this article unfortunately contained a mistake

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

Funder: European Society of Intensive Care Medicine; doi: http://dx.doi.org/10.13039/501100013347Funder: Flemish Society for Critical Care NursesAbstract: 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

Application of the continuous method for solving operator equations to the approximate solution of the amplitude-phase problem

Background. The article is devoted to approximate methods for solving the phase problem for one-dimensional and two-dimensional signals. The cases of continuous and discrete signals are considered. The solution of the phase problem consists of two stages. At the first stage, the original signal is restored. At the second stage, the Fourier transform of the reconstructed signal is calculated and the phase of the signal spectrum is approximately calculated. Materials and methods. The construction and justification of the computing scheme is based on a continuous method for solving nonlinear operator equations, based on the theory of stability of solutions to ordinary differential equation systems. The method is stable under perturbations of the parameters of the mathematical model and, when solving nonlinear operator equations, does not require the reversibility of the Gato (or Freshe) derivatives of nonlinear operators. Results and conclusions. To restore the original signal, spline-collocation schemes with splines of zero and first orders are proposed. Computing schemes are implemented by a continuous method for solving nonlinear operator equations

Approximate methods for solving degenerate singular integral equations

Background. Singular integral equations in degenerate cases describe many processes in natural science and technology. The theory of these equations has been studied quite well, but as far as the authors know, there are currently no analytical methods for solving them. In this regard, there is a need to construct approximate methods for solving singular integral equations in degenerate cases. The article is devoted to the construction of such methods, which determines its relevance. Materials and methods. When constructing approximate methods, iteration-projection methods are used. Results and conclusions. A spline-collocation method for solving a degenerate singular characteristic equation is constructed. A two-stage approximate method is proposed for solving complete singular integral equations in degenerate cases and their characteristic equations

Textile technologies for space

Статья посвящена проблеме создания отражающей поверхности антенн из металлотрикотажных сетеполотен. Рассмотрены особенности технологии получения отражающей поверхности с заданными физико-механическими и радиофизическими характеристиками, описаны методы их исследования.Article is devoted a problem of creation of a reflecting surface of aerials from metal jersey. Features of technology of reception of a reflecting surface with set mechanical and radio physical characteristics are considered, methods of their research are described