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Under Pressure: A Quality Improvement Initiative to Reduce Rhabdomyolysis and Hospital-Acquired Pressure Injuries After Retroperitoneal Surgery

Year: 2025

Type: article

Abstract: INTRODUCTION: The purpose of this study was to present a retrospective quality improvement analysis assessing the incidence and factors associated with elevated creatine kinase (CK) levels, clinical rhabdomyolysis, and hospital-acquired pressure injuries (HAPIs) after complex retroperitoneal surgeries before and after the implementation of The Pink Pad for intraoperative positioning. METHODS: We performed a retrospective analysis of 364 patients who underwent renal or retroperitoneal surgery in the lateral decubitus position between July 2018 and July 2023; 19 patients were excluded. The 2 cohorts-pre-Pink Pad and post-Pink Pad utilization-were analyzed, each with 2.5 years of prospectively maintained data available for analysis. RESULTS: < .001) was significantly lower in The Pink Pad group. CONCLUSIONS: Implementation of The Pink Pad significantly reduced rates of postoperative CK value elevation and HAPIs caused by lateral decubitus positioning. Further studies should be performed to confirm these findings.

Source: Urology Practice

DOI: 10.1097/upj.0000000000000852