Abstract:

Objective To investigate the risk factors for pressure sores in patients with acute cerebral hemorrhage during hospital stay. Methods The data were from China National Stroke Registry (CNSR) study. Patients with acute cerebral hemorrhage within 14 days after symptoms onset were included in this analysis. The baseline data were collected. Patients were divided into two groups according to whether patients occurred pressure sore or not during hospitalization. Multivariate Logistic regression model was used to identify the related risk factors for pressure sore in patients with acute cerebral hemorrhage. Results Finally, 3255 patients were included in this analysis, of whom 31 (0.95%) had pressure sores during hospitalization. Multivariate analysis showed that mRS (3-5 points) (OR 4.41, 95%CI 1.60-12.17) and hemoglobin level on admission (10 units per reduction, OR 1.36, 95%CI 1.17-1.66) were independent risk factors for pressure sores in patients with acute cerebral hemorrhage. Conclusions The mRS (3-5 points) and hemoglobin level on admission (10 units per reduction) were risk factors for pressure sores in inpatients with acute cerebral hemorrhage.

Key words: Risk factor; Pressure Sore; Acute cerebral hemorrhage

摘要：

目的 分析脑出血急性期患者住院期间压力性损伤的危险因素。 方法 本研究数据来自中国国家卒中登记（China National Stroke Registry，CNSR）研究中发病14 d内 就诊的脑出血急性期患者。收集患者的基线数据。根据患者在住院期间是否出现过压力性损伤分为 两组，采用多因素回归模型分析与压力性损伤相关的危险因素。 结果 研究共纳入3255例脑出血急性期患者，其中31例（0.95％）住院期间患有压力性损伤。多因素 分析显示，入院时mRS（3～5分）（OR 4.41，95%CI 1.60～12.17）和入院时血红蛋白（每降低10个单位） （OR 1.36，95%CI 1.17～1.66）是脑出血急性期患者压力性损伤的独立危险因素。 结论 入院时mRS（3～5分）和入院时血红蛋白（每降低10个单位）是脑出血急性期患者住院期间 压力性损伤的危险因素。

关键词: 危险因素; 压力性损伤; 脑出血急性期