Araştırma Makalesi
Yıl 2023,
Cilt: 9 Sayı: 2, 111 - 118, 30.08.2023
Öz
Amaç: Dekübit ülserli hastalarda CRP/Albümin oranının yara evresi ile değişim ilişkisini araştırmayı hedefledik.
Gereç ve Yöntem: Ocak 2021-Temmuz 2022 tarihleri arasında bir eğitim araştırma hastanesinde dekübit ülseri tedavisi alan hastalar üzerinde yapılan retrospektif, kesitsel, tanımlayıcı nitelikteki çalışmaya 250 hasta dahil edildi. Sosyodemografik ölçek ve Braden dekübit risk değerlendirme skalası kullanıldı.
Bulgular: Çalışmaya dahil edilen 250 hastanın ortalama yaşı 75±14 yıldı. 144 hasta kadın (%57,6) idi. Dekübit ülseri en fazla sakrum bölgesindeydi ve en sık evre 3 olduğu tespit edildi. CRP/Albümin oranı dekübit evrelerine göre değerlendirildiğinde anlamlı bir fark bulundu (р<0,001).
Sonuç: CRP/Albümin oranları dekübit ülseri evresi arttıkça anlamlı bir şekilde artar. Bu oran dekübit ülserli hastalarda evre göstergesi olarak ve yaranın hangi evreye ilerleyebileceğini öngörmede bir belirteç olarak kullanılabilir.
Anahtar Kelimeler
Destekleyen Kurum
yok
Proje Numarası
yok
Kaynakça
- Berlowitz D. Incidence and Prevalence of Pressure Ulcers. in: Thomas D, Compton G. (eds) Pressure Ulcers in the Aging Population. Aging Medicine, Humana Press, Totowa, NJ. 2014;1 https://doi.org/10.1007/978-1-62703-700-6_2
- Anthon D, Alosaimi D, Safari R Prevalence of pressure ulcers in long-term care: a global review. Journal of Wound Care. 2019;28. 702-9. doi:10.12968/jowc.2019.28.11.702.
- Ferris A, Price A, Harding K. Pressure ulcers in patients receiving palliative care: A systematic review. Palliative medicine. 2019;33(7):770–82. https://doi.org/10.1177/0269216319846023.
- Shi C, Dumville JC, Cullum N. Evaluating the development and validation of empirically‐derived prognostic models for pressure ulcer risk assessment: A systematic review. International Journal of Nursing Studies 2019; 89:88–103.
- Huang C, Ma Y, Wang C, Jiang M, Yuet L, Lv L. et.al. Predictive validity of the braden scale for pressure injury risk assessment in adults: A systematic review and meta-analysis. Nursing open 2021;8(5): 2194–2207 https://doi.org/10.1002/nop2.792.
- Moutachakkir M, Lamrani H, Baraou A, Boukhira A, Chellak S. Immuno analytical characteristics of C-reactive protein and high sensitivity C-reactive protein. Caractéristiques immunoanalytiques de la protéine C-réactive et de la protéine C-réactive ultrasensible. Annales de biologie clinique. 2017;75(2):225–29. https://doi.org/10.1684/abc.2017.1232
- Ferrer R, Mateu X, Maseda E, Yébenes JC, Aldecoa C, De Haro C. et.al. Non-oncotic properties of albumin. A multidisciplinary vision about the implications for critically ill patients. Expert review of clinical pharmacology. 2018;11(2):125–137. https://doi.org/10.1080/17512433.2018.1412827
- Durmaz A. Palyatif bakım hastalarında vitamin ve mineral desteği. İçinde: Özyiğit F. ed. Multidisipliner Yaklaşımlarla Vitaminler. Ankara: Akademisyen Kitabevi A.Ş; 2022:103-114.
- Saghaleini SH, Dehghan K, Shadvar K, Sanaie S, Mahmoodpoor A, Ostadi Z. Pressure Ulcer and Nutrition. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine 2018;22(4), 283–289. https://doi.org/10.4103/ijccm.IJCCM_277_17
- Alderden J, Cummins M, Zaratkiewicz S, Lucy ZY, Drake K, Yap TL. Hospital-acquired pressure ınjury development among surgical critical care patients admitted with community-acquired pressure ınjury: A retrospective cohort study. journal of wound, ostomy, and continence nursing The Wound Ostomy and Continence Nurses Society 2020;47(5):470–76. https://doi.org/10.1097/WON.0000000000000691
- Chen YH, Wang L, Feng SY, Cai WM, Chen XF, Huang ZM. The Relationship between C-reactive protein/Albumin ratio and disease activity in patients with ınflammatory bowel disease. Gastroenterology research and practice. 2020;8:3467419. https://doi.org/10.1155/2020/3467419
- Su S, Ding X, Zou H, Lin Y, Huang J, Xiong D. et.al. Wound management of multi-site pressure ulcer at different stages in elderly patients. Clinical, cosmetic and investigational dermatology. 2021;14:747–51. https://doi.org/10.2147/CCID.S316694
- Jaul E, Barron J, Rosenzweig JP, Menczel J. An overview of co-morbidities and the development of pressure ulcers among older adults. BMC geriatrics. 2018;18(1):305. https://doi.org/10.1186/s12877-018-0997-7
- Børsting TE, Tvedt CR, Skogestad IJ, Granheim TI, Gay CL, Lerdal A. Prevalence of pressure ulcer and associated risk factors in middle and older aged medical inpatients in Norway. Journal of clinical nursing. 2018;27(3-4):535–43. https://doi.org/10.1111/jocn.14088
- Jaul E, Barron J, Rosenzweig JP, Menczel J. An overview of co-morbidities and the development of pressure ulcers among older adults. BMC geriatrics. 2018;18(1):305. https://doi.org/10.1186/s12877-018-0997-7
- Bilir K, Pressure ulcer rates of stroke patients in a public rehabilitation hospital and training rates of nurses for pressure ulcer. Journal of Surgery and Medicine 2019;3(7):512-4. doi:10.28982/josam.593148.
- Nehring SM, Goyal A, Patel BC. C Reactive Protein. In: StatPearls Treasure Island (FL): StatPearls Publishing; 2022 Jan.2022 Jul 18.
- Montalcini T, Moraca M, Ferro Y, Romeo S, Serra S, Raso MG, et.al. Nutritional parameters predicting pressure ulcers and short-term mortality in patients with minimal conscious state as a result of traumatic and non-traumatic acquired brain injury. Journal of translational medicine. 2015;13:305. https://doi.org/10.1186/s12967-015-0660-4
- Moon JS, Ahn SS, Park YB, Lee SK, Lee SW. C-reactive protein to serum albumin ratio is an independent predictor of all-cause mortality in patients with ANCA-associated vasculitis. Yonsei Med J 2018;59:865-71.
- Oh TK, Song IA, Lee JH. Clinical usefulness of C-reactive protein to albumin ratio in predicting 30-day mortality in critically ill patients: A retrospective analysis. Sci Rep 2018;8: 14977
- Park JE, Chung KS, Song JH, Kim SY, Kim EY, Jung JY et.al. The C-reactive protein/albumin ratio as a predictor of mortality in critically all patients. Journal of clinical medicine 2018;7(10):333. https://doi.org/10.3390/jcm7100333
- Ju, SY, Ma SJ. High C-reactive protein to albumin ratio and the short-term survival prognosis within 30 days in terminal cancer patients receiving palliative care in a hospital setting: A retrospective analysis. Medicine, 2020;99(9):e19350. https://doi.org/10.1097/MD.0000000000019350
- Ayrancı MK, Küçükceran K, Dundar ZD. NLR and CRP to albumin ratio as a predictor of in-hospital mortality in the geriatric ED patients. The American journal of emergency medicine, 2021;44:50–55. https://doi.org/10.1016/j.ajem.2021.01.053
Research of the change of CRP/Albumin ratio according to wound stage in patients with decubitus ulcer
Öz
Aim: To investigate the correlation of CRP/Albumin ratio with wound stage in patients with decubitus ulcer.
Materials and Methods: A retrospective, cross-sectional, descriptive study on patients treated for decubitus ulcer in a training and research hospital between January 2021 and July 2022 included 250 patients. The sociodemographic scale and Braden decubitus risk assessment scale were used.
Results: The mean age of 250 patients with decubitus ulcer included in our study was 75±14 years. 144 patients were female (57.6%). Decubitus ulcer was mostly in the sacrum region and it was determined that it was stage 3 most frequently. When the CRP/Albumin ratio was evaluated to the decubitus stages, a significant difference was found (р<0.001).
Conclusion: The CRP/Albumin ratios increase significantly as the stage of decubitus ulcer increases. This ratio can be used as an indicator of stage in patients with decubitus ulcers and to predict which stage the wound may progress to.
Anahtar Kelimeler
Proje Numarası
yok
Kaynakça
- Berlowitz D. Incidence and Prevalence of Pressure Ulcers. in: Thomas D, Compton G. (eds) Pressure Ulcers in the Aging Population. Aging Medicine, Humana Press, Totowa, NJ. 2014;1 https://doi.org/10.1007/978-1-62703-700-6_2
- Anthon D, Alosaimi D, Safari R Prevalence of pressure ulcers in long-term care: a global review. Journal of Wound Care. 2019;28. 702-9. doi:10.12968/jowc.2019.28.11.702.
- Ferris A, Price A, Harding K. Pressure ulcers in patients receiving palliative care: A systematic review. Palliative medicine. 2019;33(7):770–82. https://doi.org/10.1177/0269216319846023.
- Shi C, Dumville JC, Cullum N. Evaluating the development and validation of empirically‐derived prognostic models for pressure ulcer risk assessment: A systematic review. International Journal of Nursing Studies 2019; 89:88–103.
- Huang C, Ma Y, Wang C, Jiang M, Yuet L, Lv L. et.al. Predictive validity of the braden scale for pressure injury risk assessment in adults: A systematic review and meta-analysis. Nursing open 2021;8(5): 2194–2207 https://doi.org/10.1002/nop2.792.
- Moutachakkir M, Lamrani H, Baraou A, Boukhira A, Chellak S. Immuno analytical characteristics of C-reactive protein and high sensitivity C-reactive protein. Caractéristiques immunoanalytiques de la protéine C-réactive et de la protéine C-réactive ultrasensible. Annales de biologie clinique. 2017;75(2):225–29. https://doi.org/10.1684/abc.2017.1232
- Ferrer R, Mateu X, Maseda E, Yébenes JC, Aldecoa C, De Haro C. et.al. Non-oncotic properties of albumin. A multidisciplinary vision about the implications for critically ill patients. Expert review of clinical pharmacology. 2018;11(2):125–137. https://doi.org/10.1080/17512433.2018.1412827
- Durmaz A. Palyatif bakım hastalarında vitamin ve mineral desteği. İçinde: Özyiğit F. ed. Multidisipliner Yaklaşımlarla Vitaminler. Ankara: Akademisyen Kitabevi A.Ş; 2022:103-114.
- Saghaleini SH, Dehghan K, Shadvar K, Sanaie S, Mahmoodpoor A, Ostadi Z. Pressure Ulcer and Nutrition. Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine 2018;22(4), 283–289. https://doi.org/10.4103/ijccm.IJCCM_277_17
- Alderden J, Cummins M, Zaratkiewicz S, Lucy ZY, Drake K, Yap TL. Hospital-acquired pressure ınjury development among surgical critical care patients admitted with community-acquired pressure ınjury: A retrospective cohort study. journal of wound, ostomy, and continence nursing The Wound Ostomy and Continence Nurses Society 2020;47(5):470–76. https://doi.org/10.1097/WON.0000000000000691
- Chen YH, Wang L, Feng SY, Cai WM, Chen XF, Huang ZM. The Relationship between C-reactive protein/Albumin ratio and disease activity in patients with ınflammatory bowel disease. Gastroenterology research and practice. 2020;8:3467419. https://doi.org/10.1155/2020/3467419
- Su S, Ding X, Zou H, Lin Y, Huang J, Xiong D. et.al. Wound management of multi-site pressure ulcer at different stages in elderly patients. Clinical, cosmetic and investigational dermatology. 2021;14:747–51. https://doi.org/10.2147/CCID.S316694
- Jaul E, Barron J, Rosenzweig JP, Menczel J. An overview of co-morbidities and the development of pressure ulcers among older adults. BMC geriatrics. 2018;18(1):305. https://doi.org/10.1186/s12877-018-0997-7
- Børsting TE, Tvedt CR, Skogestad IJ, Granheim TI, Gay CL, Lerdal A. Prevalence of pressure ulcer and associated risk factors in middle and older aged medical inpatients in Norway. Journal of clinical nursing. 2018;27(3-4):535–43. https://doi.org/10.1111/jocn.14088
- Jaul E, Barron J, Rosenzweig JP, Menczel J. An overview of co-morbidities and the development of pressure ulcers among older adults. BMC geriatrics. 2018;18(1):305. https://doi.org/10.1186/s12877-018-0997-7
- Bilir K, Pressure ulcer rates of stroke patients in a public rehabilitation hospital and training rates of nurses for pressure ulcer. Journal of Surgery and Medicine 2019;3(7):512-4. doi:10.28982/josam.593148.
- Nehring SM, Goyal A, Patel BC. C Reactive Protein. In: StatPearls Treasure Island (FL): StatPearls Publishing; 2022 Jan.2022 Jul 18.
- Montalcini T, Moraca M, Ferro Y, Romeo S, Serra S, Raso MG, et.al. Nutritional parameters predicting pressure ulcers and short-term mortality in patients with minimal conscious state as a result of traumatic and non-traumatic acquired brain injury. Journal of translational medicine. 2015;13:305. https://doi.org/10.1186/s12967-015-0660-4
- Moon JS, Ahn SS, Park YB, Lee SK, Lee SW. C-reactive protein to serum albumin ratio is an independent predictor of all-cause mortality in patients with ANCA-associated vasculitis. Yonsei Med J 2018;59:865-71.
- Oh TK, Song IA, Lee JH. Clinical usefulness of C-reactive protein to albumin ratio in predicting 30-day mortality in critically ill patients: A retrospective analysis. Sci Rep 2018;8: 14977
- Park JE, Chung KS, Song JH, Kim SY, Kim EY, Jung JY et.al. The C-reactive protein/albumin ratio as a predictor of mortality in critically all patients. Journal of clinical medicine 2018;7(10):333. https://doi.org/10.3390/jcm7100333
- Ju, SY, Ma SJ. High C-reactive protein to albumin ratio and the short-term survival prognosis within 30 days in terminal cancer patients receiving palliative care in a hospital setting: A retrospective analysis. Medicine, 2020;99(9):e19350. https://doi.org/10.1097/MD.0000000000019350
- Ayrancı MK, Küçükceran K, Dundar ZD. NLR and CRP to albumin ratio as a predictor of in-hospital mortality in the geriatric ED patients. The American journal of emergency medicine, 2021;44:50–55. https://doi.org/10.1016/j.ajem.2021.01.053
Toplam 23 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Aile Hekimliği |
| Bölüm | Araştırma Makalesi |
| Yazarlar | |
| Proje Numarası | yok |
| Erken Görünüm Tarihi | 16 Ağustos 2023 |
| Yayımlanma Tarihi | 30 Ağustos 2023 |
| Gönderilme Tarihi | 1 Şubat 2023 |
| Kabul Tarihi | 19 Temmuz 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 9 Sayı: 2 |
Bu eser Creative Commons Atıf-GayriTicari-AynıLisanslaPaylaş 4.0 Uluslararası Lisansı ile lisanslanmıştır.