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Modeling Patient Risk for Hospital-Acquired Pressure Injuries During COVID-19: A Retrospective Study

J Nurs Care Qual. 2021 Oct 4. doi: 10.1097/NCQ.0000000000000602. Online ahead of print.

ABSTRACT

BACKGROUND: COVID-19 negatively impacts many organ systems including the skin. One of the most significant skin-associated adverse events related to hospitalization are pressure injuries.

PURPOSE: The aim of this study was to determine 8 risk factors that would place hospitalized patients at a higher risk for hospital-acquired pressure injuries (HAPIs) during the COVID-19 pandemic.

METHODS: A retrospective, descriptive analysis was conducted in an urban academic health science center located in the southeastern United States.

RESULTS: There were 247 of 23 093 patients who had pressure injuries and 1053 patients who had a positive COVID-19 diagnosis. Based on the generalized estimating equation model, diagnosis of COVID-19, age, male gender, risk of mortality, severity of illness, and length of stay are statistically significant factors associated with the development of HAPIs.

CONCLUSIONS: Further study should explore pathology of COVID-19 skin changes and what interventions are effective against HAPIs in the COVID-19 population taking into consideration current treatments.

PMID:34611108 | DOI:10.1097/NCQ.0000000000000602

By Nevin Manimala

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