Pressure injury prevalence and incidence in acute inpatient care and related risk factors: A cross‐sectional national study

Abstract

The aim of this national cross‐sectional study was to explore the prevalence of pressure injuries and incidence of hospital‐acquired pressure injuries, and the relating factors in somatic‐specialised inpatient care in Finland. The study was conducted in 16 (out of 21) Finnish health care organisations offering specialised health care services. Data were collected in 2018 and 2019 from adult patients (N = 5902) in inpatient, emergency follow‐up, and rehabilitation units. Pressure injury prevalence (all stages/categories) was 12.7%, and the incidence of hospital‐acquired pressure injuries was 10%. Of the participants, 2.6% had at least one pressure injury at admission. The risk of hospital‐acquired pressure injuries was increased for medical patients with a higher age, the inability to move independently, mode of arrival, being underweight, and the absence of a skin assessment or pressure injury risk assessment at admission. For surgical patients, the risk was associated with the inability to move independently, mode of arrival, and lack of skin assessment at admission, while being overweight protected the patients. Overall, medical patients were in greater risk of hospital‐acquired pressure injuries than the surgical patients. An assessment of the pressure injury risk and skin status should be carried out more systematically in Finnish acute care hospitals.

Evaluation of a Pressure Injury Prevention Care Bundle in an ICU in Turkey

“…1 The literature reports prevalences of 9.2% in the US and Canada, 8.7% in Australia, 14.7% in Italy, and 5.76% in Portugal. 2 A multicenter study conducted in Turkey reported the prevalence of PI to be 9.5% and found that 65.1% of PIs developed in hospital settings. Inadequate nutrition, perfusion changes, diabetes mellitus, mechanical ventilation, and comorbid conditions can decrease soft tissue tolerance for pressure and accelerate PI development.…”

“…Pressure injury (PI) prevalence varies by country and by the clinical condition of the patient 1 . The literature reports prevalences of 9.2% in the US and Canada, 8.7% in Australia, 14.7% in Italy, and 5.76% in Portugal 2 . A multicenter study conducted in Turkey reported the prevalence of PI to be 9.5% and found that 65.1% of PIs developed in hospital settings.…”

Pressure injury prevalence and characteristics in patients with COVID-19 admitted to acute inpatient rehabilitation unit

“…Because pressure injuries are most commonly caused by immobility or prolonged direct pressure, there is a high incidence of pressure injury development in patients in the ICU ( 8 ). Patients who are bedridden have a 5-fold increased risk and patients who required the use of wheelchairs had a 4-fold increased risk of developing pressure injuries ( 9 ). Furthermore, medical device related pressure injuries account for approximately 35% of hospital-acquired pressure injuries (HAPI) ( 10 ).…”

Development and validation of a machine learning algorithm–based risk prediction model of pressure injury in the intensive care unit

“…4,5 An upsurge of PI incidence in aggressive ICU was observed in recent years. 6 Owing to the abysmal prognosis and curative rates, there was a diffuse thought to take a holistic preventive approach, particularly in the nursing field. 7,8 The Braden scale to predict and assess the hazards developing PIs is worldwide used in nowadays clinical settings, which was attributed to a kind of bedside nursing.…”

“…An upsurge of PI incidence in aggressive ICU was observed in recent years 6 . Owing to the abysmal prognosis and curative rates, there was a diffuse thought to take a holistic preventive approach, particularly in the nursing field 7,8 .…”