State-wide prevalence of pressure injury in intensive care versus acute general patients: A five-year analysis
Description
Aim
The aim of this study was to analyse prevalence of pressure injury in intensive care versus non-intensive care patients.
Background
Hospital-acquired pressure injury is an enduring problem. Intensive care patients are more susceptible due to multiple risk factors. Several studies have indicated that intensive care patients are more likely than general patients to develop pressure injuries.
Design
Secondary data analysis.
Methods
Eighteen general hospitals with intensive care units were included. The sample included all consenting patients. Logistic regression modelling was used to derive prevalence and effect estimates. STROBE reporting guidelines were followed.
Results
The sample comprised 15,678 patients; 611 were in intensive care. The crude prevalence estimate of hospital-acquired pressure injury was 9.6% in intensive care and 2.1% in non-intensive care patients. The ≥Stage II hospital-acquired prevalence estimate in was 8.6% intensive care and 1.2% in non-intensive care patients. Intensive care patients were at markedly increased risk of hospital-acquired pressure injury compared with non-intensive care patients, with risk persisting after adjusting for pressure injury risk score. Risk of ≥ Stage II hospital-acquired pressure injury was further elevated. Intensive care patients had a higher pressure injury risk level and developed a greater proportion of severe hospital-acquired pressure injuries than non-intensive care patients. In intensive care, most hospital-acquired pressure injuries were found on the sacrum/coccyx and heels.
Conclusions
There were significant differences between the hospital-acquired pressure injury prevalence of intensive care versus non-intensive care patients, which is consistent with previous studies. Overall, the prevalence of hospital-acquired pressure injury in intensive care is relatively high, indicating that their prevention should remain a high priority within the intensive care setting.
Relevance to Clinical Practice
These results may be used for benchmarking and provide a focus for future education and practice improvement efforts.
Patient or Public Contribution
Neither patients nor the public were directly involved in the project.
Impact and interest:
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| ID Code: | 238748 | ||
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| Item Type: | Contribution to Journal (Journal Article) | ||
| Refereed: | Yes | ||
| ORCID iD: |
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| Additional Information: | Acknowledgements: The combined effort of all auditors in all the participating hospitals is acknowledged, and the authors thank the Programs and Survey and Audit, Patient Safety and Quality Improvement Service, Queensland Health for providing the de-identified database used in this study. Open access publishing facilitated by Australian Catholic University, as part of the Wiley - Australian Catholic University agreement via the Council of Australian University Librarians. | ||
| Measurements or Duration: | 15 pages | ||
| DOI: | 10.1111/jocn.16687 | ||
| ISSN: | 0962-1067 | ||
| Pure ID: | 128013894 | ||
| Divisions: | Current > Research Centres > Centre for Healthcare Transformation Current > QUT Faculties and Divisions > Faculty of Health Current > Schools > School of Nursing |
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| Copyright Owner: | 2023 The Authors | ||
| Copyright Statement: | This work is covered by copyright. Unless the document is being made available under a Creative Commons Licence, you must assume that re-use is limited to personal use and that permission from the copyright owner must be obtained for all other uses. If the document is available under a Creative Commons License (or other specified license) then refer to the Licence for details of permitted re-use. It is a condition of access that users recognise and abide by the legal requirements associated with these rights. If you believe that this work infringes copyright please provide details by email to qut.copyright@qut.edu.au | ||
| Deposited On: | 21 Mar 2023 23:51 | ||
| Last Modified: | 15 Jul 2024 16:57 |
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