Modeling Patient Risk for Hospital-Acquired Pressure Injuries During COVID-19: A Retrospective Study. Issue 2 (4th April 2022)

• Record Type: Journal Article
• Authors: Montgomery, Aoyjai P.; Patrician, Patricia A.; Hall, Allyson; Miltner, Rebecca S.; Enogela, Ene M.; Polancich, Shea
• Is Part Of: Journal of nursing care quality. Volume 37:Issue 2(2022)
• Page Start: 162
• Page End: 167
• Publication Date: 2022-04-04
• Subjects: coronavirus -- COVID-19 -- hospital-acquired pressure injuries -- pressure injury -- skin changes; Nursing -- Standards -- Periodicals; Nursing audit -- Periodicals; Health facilities -- Safety measures -- Periodicals; Nurse administrators -- Periodicals; 610.73
• DOI: 10.1097/NCQ.0000000000000602
• Languages: English
• ISSNs: 1057-3631

Abstract

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.