ArticleORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses2024
Global Predictors of Tracheostomy-Related Pressure Injury During COVID-19: Research Protocol.
Article in ORL-head and neck nursing : official journal of the Society of Otorhinolaryngology and Head-Neck Nurses, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Aims: To determine the patient factors associated with tracheostomy-related pressure injury (TRPI) using a multilevel, multivariate logistic regression model and to evaluate how care during the COVID-19 pandemic affected TRPI and its predictors. Design: Secondary data analysis of a tracheostomy patient database and electronic medical records. Methods: This secondary data analysis study will merge and analyze data from the Global Tracheostomy Collaborative and the electronic health records of a large US healthcare system. We will employ a multilevel logistic regression model to investigate the relationships between suspected risk factors for TRPI. Discussion: Given the impact of TRPI on patient outcomes and expenditures, it is imperative to standardize TRPI assessment, increase awareness of at-risk patient populations, and implement novel preventive modalities. This will be the first large-sample study quantifying the risk factors for TRPI and the impact of the COVID-19 pandemic. Conclusion: This study aims to identify risk factors for TRPI, including the impact of the COVID-19 pandemic, using two large, diverse databases, thereby addressing a critical literature gap. The findings from this study will serve to direct future research in this under-researched adverse outcome of tracheostomy care. Implications for patient care: The findings will inform the development of targeted interventions to mitigate the incidence and severity of TRPI, which will translate into improved patient outcomes and reduced healthcare expenditure. Impact: The study protocol addresses the prevalence and risk factors of TRPI and examines the effects of the COVID-19 pandemic. The protocol details harmonizing two data sets of patients with a tracheostomy to provide a diverse global sample. This work serves as a reference for upcoming results manuscript publications and future protocol development. Reporting Method: This research protocol was reported using relevant components of the SPIRIT guidelines. Patient or Public Contribution: Patients, families, and healthcare professionals comprise the learning community of the Global Tracheostomy Collaborative. Patients and family members participate on the Board and inform practices for data usage.
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