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

Interdecadal Variations of the Midlatitude Ozone Valleys in Summer

Using the ERA-Interim total column ozone data, the spatial distributions of the long-term mean of the global total ozone in summer are analyzed. The results demonstrate that there are three midlatitude ozone “valleys” on earth—they are centered over the Tibetan Plateau (TIP), the Rocky Mountains (ROM), and the Southwest Pacific (SWP), respectively. The interdecadal variations of the three ozone valleys are positively modulated by the solar radiation, and the TIP ozone’s correlation with the solar radiation gets maximized with a two-year lag. The interdecadal variation of the SWP ozone valley has a significantly negative relationship with the Pacific Decadal Oscillation (PDO) and the South Pacific quadrupole (SPQ). Warm sea surface temperature anomalies (SSTAs) associated with the SPQ strengthen the vertical ascending motion, which dilutes the high concentration ozone at high altitudes. The interdecadal variation of the ROM ozone valley is positively correlated with the PDO, leading by three years. The ROM ozone content is also modulated by SSTAs in the Indian Ocean basin (IOB) by the circumglobal teleconnection (CGT). The observed regional SSTAs can exert a significant impact on the regional and even global circulation, via which the ozone content in midlatitudes also varies

Design and Optimization of Flexible Polypyrrole/Bacterial Cellulose Conductive Nanocomposites Using Response Surface Methodology

Flexible conductive materials have greatly promoted the rapid development of intelligent and wearable textiles. This article reports the design of flexible polypyrrole/bacterial cellulose (PPy/BC) conductive nanocomposites by in situ chemical polymerization. Box-Behnken response surface methodology has been applied to optimize the process. The effects of the pyrrole amount, the molar ratio of HCl to pyrrole and polymerization time on conductivity were investigated. A flexible PPy/BC nanocomposite was obtained with an outstanding electrical conductivity as high as 7.34 S cm−1. Morphological, thermal stability and electrochemical properties of the nanocomposite were also studied. The flexible PPy/BC composite with a core-sheath structure exhibited higher thermal stability than pure cellulose, possessed a high areal capacitance of 1001.26 mF cm−2 at the discharge current density of 1 mA cm−2, but its cycling stability could be further improved. The findings of this research demonstrate that the response surface methodology is one of the most effective approaches for optimizing the conditions of synthesis. It also indicates that the PPy/BC composite is a promising material for applications in intelligent and wearable textiles

Studies on the two-photon pumped upconverted fluorescence and superradiance of a new organic dye material in solutions

The linear and nonlinear optical properties of a new organic dye, trans-4- [p-(N-ethyl-N-ethylamino)-styryl -N-methyl-pyridinium tris(thiocyanato) cadmates (II), are reported in this paper. When pumped with a picosecond laser at the wavelength range of 850] -1200 nm, intense upconversion fluorescence can be obtained. The upconversion efficiencies at different pump energies were measured when pumped with a 1064-nm laser beam from a mode-locked Nd:YAG laser. The highest upconversion efficiencies were measured to be 5.8% and 7.6% in dimethyl formamide (DMF) and methanol. The lifetime of the dye in DMF was measured to be 75 ps. The strongest nonlinear absorption was at the wavelength of 940 nm, and the highest upconversion efficiency was at the wavelength of 1030 nm. The difference of the two wavelengths was caused by excited state absorption in the dye at wavelengths shorter than 1000 nm. The dye solution in DMF and methanol show a clear optical power limiting effect