Admission Braden Skin Score Independently Predicts Mortality in Cardiac Intensive Care Patients.
Publication/Presentation Date
10-1-2019
Abstract
OBJECTIVE: To determine whether a low Braden skin score (BSS), reflecting increased risk for skin pressure injury, would predict lower survival in cardiac intensive care unit (CICU) patients after adjustment for illness severity and comorbidities.
PATIENTS AND METHODS: This retrospective cohort study included consecutive unique adult patients admitted to a single tertiary care referral hospital CICU from January 1, 2007, through December 31, 2015, who had a BSS documented on CICU admission. The primary outcome was all-cause hospital mortality, using elastic net penalized logistic regression to determine predictors of hospital mortality. The secondary outcome was all-cause post-discharge mortality, using Cox proportional hazards models to determine predictors of post-discharge mortality.
RESULTS: The study included 9552 patients with a mean age of 67.4±15.2 years (3589 [37.6%] were females) and a hospital mortality rate of 8.3%. Admission BSS was inversely associated with hospital mortality (unadjusted odds ratio, 0.70; 95% CI, 0.68-0.72; P
CONCLUSION: The admission BSS, a simple inexpensive bedside nursing assessment potentially reflecting frailty and overall illness acuity, was independently associated with hospital and post-discharge mortality when added to established multiparametric illness severity scores among contemporary CICU patients.
Volume
94
Issue
10
First Page
1994
Last Page
2003
ISSN
1942-5546
Published In/Presented At
Jentzer, J. C., Anavekar, N. S., Brenes-Salazar, J. A., Wiley, B., Murphree, D. H., Bennett, C., Murphy, J. G., Keegan, M. T., & Barsness, G. W. (2019). Admission Braden Skin Score Independently Predicts Mortality in Cardiac Intensive Care Patients. Mayo Clinic proceedings, 94(10), 1994–2003. https://doi.org/10.1016/j.mayocp.2019.04.038
Disciplines
Medicine and Health Sciences
PubMedID
31585582
Department(s)
Department of Medicine, Cardiology Division
Document Type
Article