Year: 2026
Type: article
Study design: Observational Study
Abstract: AIM: To investigate the specific risk factors associated with the development of hospital-acquired pressure injuries in critically ill patients. DESIGN: A retrospective case-control study. METHODS: Using evidence-based and Delphi methods, 36 potential risk factors for HAPI in critically ill patients were identified. Data were collected from non-COVID patients admitted to the ICU of Huzhou from January 2019 to December 2021. Univariate and multivariate analyses were used to identify significant risk factors. RESULTS: A total of 197 patients were included, with 53 (26.9%) developing HAPI. Univariate analysis indicated significant differences across 25 variables, including patient-specific factors, tissue tolerance and correlation scores. Multivariate analysis identified co-morbidities (OR = 3.16), a MEWS score ≥ 5 (OR = 5.83), use of sedative drugs (OR = 2.28), low Braden nutritional score (OR = 4.05), skin oedema (OR = 4.60) and faecal incontinence (OR = 13.17) as independent risk factors for HAPI in critically ill patients. NO PATIENT OR PUBLIC CONTRIBUTION: To mitigate HAPI risks, nursing staff should prioritise monitoring high-risk patients, perform comprehensive risk assessments and implement timely, targeted interventions to enhance patient care and reduce adverse events. TRIAL REGISTRATION: ClinicalTrials.gov ID: NCT05564975.
Source: Nursing Open
DOI: 10.1002/nop2.70384
Authors: Yang Chaonan, Chaohui Ji, Pan Huibin, Li Shen, Luo Xiaohong
Institutions: Huzhou Normal University, Xingtai Medical College
Language: English
Subfield: Occupational Therapy
Field: Health Professions
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $3,390
OpenAlex ID: W7126156178