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

Phylogenetic analysis of the chloroplast genome for Magnolia liliflora (Magnoliaceae), an endemic species to China

Magnolia liliflora is commonly called lily magnolia and its buds are used as the herbal medicine; it is an endemic species to China. In this study, the complete chloroplast genome of M. liliflora has been presented and annotated. The whole chloroplast (cp) genome is 158,177 bp in size, which exhibits a large single-copy region (LSC) of 88,134 bp, a small single-copy region (SSC) of 19,876 bp and two inverted-repeat regions (IRs) 25,706 bp in each one. The overall nucleotide composition is: 30.0% of A, 30.9% of T, 19.9% C, and 19.2% G, with the GC content of the chloroplast genome 39.1%. The cp genome of M. liliflora contains 129 genes, which includes 86 protein-coding genes (PCGs), 35 transfer RNA (tRNAs), and 8 ribosome RNA (rRNAs). The maximum-likelihood (ML) tree result showed that M. liliflora is closely related to two Magnoliaceae family species of M. dealbata and M. glaucifolia in phylogenetic relationship. This complete chloroplast genomes will be useful for medicinal study in the future

Extreme Learning Machine Using Bat Optimization Algorithm for Estimating State of Health of Lithium-Ion Batteries

An accurate estimation of the state of health (SOH) of lithium-ion batteries is essential for the safe and reliable operation of electric vehicles. As a single hidden-layer feedforward neural network, extreme learning machine (ELM) has the advantages of a fast learning speed and good generalization performance. The bat algorithm (BA) is a swarm intelligence optimization algorithm based on bat echolocation for foraging. In this study, BA was creatively applied to improve the ELM neural network, forming a BA-ELM model, and it was applied to SOH estimation for the first time. First, through Pearson and Spearman correlation analysis, six variables were determined as the input variables of the model. The actual remaining capacity of the battery was determined as the output variable. Second, BA was used to optimize the connection weights and bias in ELM to construct the BA-ELM model. Third, the battery data set was trained and tested with BA-ELM, ELM, Elman, back propagation (BP), radial basis function (RBF), and general regression neural network (GRNN) models. Five statistical error indicators, and the radar chart, scatter plot, and violin diagram were used to compare the estimation effects. The results show that the evaluation function of BA-ELM can converge quickly and effectively optimize the network model of ELM. The RMSE of the BA-ELM model was 0.5354%, and the MAE was 0.4326%, which is the smallest among the 6 models. The RMSE values of the other model were 2.27%, 3.53%, 3.07%, 3.86%, 3.24%, respectively, indicating the BA-ELM has good potential for future applications