Objective: This study was conducted to identify the predictive factors of pressure injury in patients hospitalized for non-small cell lung cancer.
Method: This research was conducted in 645 adults who were hospitalized into the tertiary medical center for non-small cell lung cancer for Jun. 1, 2015 to Jun. 30, 2020. The clinical characteristics were analyzed retrospectively using their electronic medical records. The clinical characteristics were compared between patients with pressure injury and those without pressure injury and the risk factors were identified and based on this, major predictive factors were identified using the logistic regression analysis.
Result: Among total 645 patients, 180(27.91%) showed pressure injury. Patients with pressure injury were more in the Ⅲ & Ⅳ of non-small cell lung cancer than those without pressure injury (p<0.001) and showed increased serum C-reactive protein level (p<0.001), increased neutrophil-lymphocyte ratio (p=0.002), and increased platelet-lymphocyte ratio (p=0.001) more often. Moreover, patients with pressure injury were significantly higher in the death after discharge than those without pressure injury (p<0.001). Finally, multivariable analysis was conducted to identify if ER increase was the major predictive factor of pressure injury occurrence (OR=1.61, 95%CI=1.00-2.57, p=0.049).
Conclusion: The high risk of pressure injury can be identified in advance by monitoring C-reactive protein, the predictive factor of pressure injury occurrence in non-small cell lung cancer patients and the occurrence of pressure injury can be reduced by applying more positive preventive nursing. Furthermore, this finding can contribute to developing a tool for evaluating the risk of pressure injury for non-small cell lung cancer patients. This study was based on academic journal paper submitted as an author and described with the consent of related researchers.