Purpose: Community-acquired pressure injuries (CAPIs) are present among approximately 3% to 8% of patients admitted to acute care hospitals. In the critical care population, little is known about hospital-acquired pressure injury (HAPI) development among patients with CAPIs because most studies exclude patients with CAPIs. The purpose of our study was to determine the incidence of HAPI development and the associated risk factors among surgical critical care patients with CAPIs.
Design: Retrospective cohort study.
Subjects And Setting: We used electronic health record data from adult critical care patients admitted to the surgical and cardiovascular surgical intensive care units (ICUs) at a level 1 trauma center and academic medical center between 2014 and 2018.
Methods: Univariate analysis was used to compare patients with CAPIs who developed a HAPI and those who did not, as well as logistic regression analysis to identify independent risk factors for HAPIs among patients with CAPIs.
Results: Among 5101 patients admitted to 2 surgical critical care units, 167 (3%) patients were admitted with CAPIs. Hospital-acquired pressure injuries were 4 times more common among patients with CAPIs compared to patients without CAPIs. Among the 167 patients with CAPIs, 47 patients (28%) went on to also develop a HAPI, whereas in the 4934 patients without CAPIs, 352 patients (7%) went on to develop a HAPI. Findings from the multivariate logistic regression analysis (n = 151) showed that decreased serum albumin (odds ratio [OR] = 0.47; 95% confidence interval [CI], 0.25-0.85; P = .02) and excessively dry skin (OR = 2.6; 95% CI, 1.1-6.22; P = .03) were independent predictors of HAPI development among patients admitted with CAPIs.
Conclusions: Results from our study show that patients with CAPIs are at high risk for developing a HAPI, particularly among patients with decreased serum albumin or excessively dry skin. Patients with excessively dry skin may benefit from the application of skin moisturizers.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8716003 | PMC |
| http://dx.doi.org/10.1097/WON.0000000000000691 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Community-Acquired Pressure Injuries: Prevalence, Risk Factors and Effect of Care Bundles-An Integrative Review.
J Clin Nurs
December 2024
Health and Social Sciences, Singapore Institute of Technology, Singapore.
Aim And Objectives: To summarise the evidence and present the state of the science on pressure injury care bundles in the community. Specifically, this review examined (i) the extent of pressure injury by studying its prevalence and incidence in the last 10 years, (ii) the risk factors associated with community-acquired pressure injury and (iii) the components and outcomes associated with effective pressure injury care bundles in the community.
Background: PI care bundles have effectively reduced PI rates; however, there is limited evidence of care bundles used in community settings.
Insights into parasites and COVID-19 co-infections in Iran: a systematic review.
Trans R Soc Trop Med Hyg
June 2024
Zoonoses Research Center, Ardabil University of Medical Sciences, Ardabil 56189-53141, Iran.
Background: It is well-documented that using immunosuppressive drugs such as corticosteroids or cytokine blockers in treating coronavirus disease 2019 (COVID-19) increases the risk of co-infections. Here we systematically summarized the cases of COVID-19-associated parasitic infections (CAPIs) in Iran.
Methods: From 19 February 2020 to 10 May 2023, all studies on Iranian patients suffering from CAPIs were collected from several databases using a systematic search strategy.
Socio-economic and environmental factors associated with community-acquired pressure injuries: A mixed method study.
J Tissue Viability
February 2024
Nursing Division, Singapore General Hospital, Singapore. Electronic address:
Aims: To: (1) report on the prevalence of community-acquired pressure injuries (CAPIs) in patients admitted into the acute care setting; (2) examine the socio-economic and home environment associated with CAPIs; and (3) understand the challenges of caring for patients with CAPIs at home.
Methods: This mixed-method study recruited patients admitted with CAPIs in the acute care hospital between March 2021 to June 2022. The hospital's pressure injury (PI) database was used to screen patients admitted with CAPIs.
Risk factors for hospital-acquired and community-acquired pressure injuries: a multicentre mixed case-control study.
BMJ Open
April 2022
Department of Medical Management, The Affiliated Hospital of Qingdao University, Qingdao, Shandong, China
Objectives: To separately examine and comprehensively compare the risk factors for hospital-acquired (HAPIs) and community-acquired pressure injuries (CAPIs).
Design: A mixed case-control study.
Setting: Four medical centres in China.
Community-Acquired Pressure Injuries in the Acute Care Setting.
Adv Skin Wound Care
March 2021
Charleen Singh, PhD, FNP-BC, CWOCN, is Director of Wound Care Services, Regional Medical Center, San Jose, California; Faculty, Betty Irene Moore School of Nursing, University of California Davis; and Nurse Practitioner, Cottage Hospital, Santa Barbara. Noordeen Shoqirat, PhD, RN, is Professor and Dean of Nursing Faculty, Mutah University, Karak, Jordan. Acknowledgments: The authors thank the San Jose Valley Foundation School of Nursing Master's in Nursing Education students and the nurses at Regional Medical Center San Jose for their continued educational and clinical support. The authors have disclosed no financial relationships related to this article. Submitted May 15, 2020; accepted in revised form September 21, 2020.
Objective: To explore the population of patients with a community-acquired pressure injury (CAPI) admitted to an acute care facility from December 2018 to December 2019. The specific aims of the study were to identify the (1) number of patients admitted with a CAPI, (2) type and frequency of pressure injury (PI), (3) location of residence prior to admission, (4) general demographics of the patient, and (5) condition of the PI at discharge.
Methods: In this retrospective descriptive study, participants were identified and pulled from the hospital database at a 260-bed level 2 trauma center.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!