Objective:This study aimed to investigate the longitudinal trajectories of cumulative fluid balance(CFB)in intensive care unit(ICU)patients and analyze the relationship between different trajectory groups and the occu...Objective:This study aimed to investigate the longitudinal trajectories of cumulative fluid balance(CFB)in intensive care unit(ICU)patients and analyze the relationship between different trajectory groups and the occurrence of pressure injuries(PIs).Methods:In this retrospective longitudinal study,we obtained health-related data from the Medical Information Mart for Intensive Care IV database,including sociodemographic,disease-related variables,and ICU treatment variables.The daily CFB adjusted for body weight was calculated,and the occurrence of PIs during the ICU stay was recorded.A group-based trajectory model was used to explore the different CFB trajectories.Binary logistic regression was used to analyze the relationship between the CFB trajectory group and PIs.Results:Among the 4,294 included participants,we identified four distinct trajectories of CFB in ICU patients:the rapid accumulation group(12.5%),the slow accumulation group(28.5%),the neutral balance group(41.7%),and the negative decrease group(17.3%).After adjusting for some sociodemographic,disease-related variables,and ICU treatment variables,the rapid accumulation group had an OR of 1.63(95%CI:1.30,2.04)for all stages of PIs and an OR of 1.36(95%CI:1.08,1.72)for stage II or higher PIs compared to the neutral balance group.Conclusions:Four unique trajectories of CFB were identified among patients in the ICU,including rapid accumulation,slow accumulation,neutral balance,and negative decrease.Rapid accumulation independently increased the risk of PIs during ICU stay.展开更多
文摘Objective:This study aimed to investigate the longitudinal trajectories of cumulative fluid balance(CFB)in intensive care unit(ICU)patients and analyze the relationship between different trajectory groups and the occurrence of pressure injuries(PIs).Methods:In this retrospective longitudinal study,we obtained health-related data from the Medical Information Mart for Intensive Care IV database,including sociodemographic,disease-related variables,and ICU treatment variables.The daily CFB adjusted for body weight was calculated,and the occurrence of PIs during the ICU stay was recorded.A group-based trajectory model was used to explore the different CFB trajectories.Binary logistic regression was used to analyze the relationship between the CFB trajectory group and PIs.Results:Among the 4,294 included participants,we identified four distinct trajectories of CFB in ICU patients:the rapid accumulation group(12.5%),the slow accumulation group(28.5%),the neutral balance group(41.7%),and the negative decrease group(17.3%).After adjusting for some sociodemographic,disease-related variables,and ICU treatment variables,the rapid accumulation group had an OR of 1.63(95%CI:1.30,2.04)for all stages of PIs and an OR of 1.36(95%CI:1.08,1.72)for stage II or higher PIs compared to the neutral balance group.Conclusions:Four unique trajectories of CFB were identified among patients in the ICU,including rapid accumulation,slow accumulation,neutral balance,and negative decrease.Rapid accumulation independently increased the risk of PIs during ICU stay.
