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Modeling Patient Risk for Hospital-Acquired Pressure Injuries During COVID-19: A Retrospective Study
Aoyjai P Montgomery1, Patricia A Patrician, Allyson Hall
1School of Nursing (Drs Montgomery, Patrician, Miltner, and Polancich), Department of Health Services Administration (Dr Hall), and School of Public Health (Ms Enogela), University of Alabama at Birmingham; and University of Alabama at Birmingham Hospital (Dr Polancich).
Hospitalized patients with COVID-19 face increased risk of hospital-acquired pressure injuries (HAPIs). Key risk factors include COVID-19 diagnosis, older age, male gender, and longer hospital stays.
Area of Science:
- Medical research
- Public health
- Infectious diseases
Background:
- COVID-19 affects multiple organ systems, including the skin.
- Hospital-acquired pressure injuries (HAPIs) are a significant concern for hospitalized patients.
Purpose of the Study:
- To identify eight risk factors for HAPIs in hospitalized patients during the COVID-19 pandemic.
- To analyze the association between COVID-19 and HAPI development.
Main Methods:
- Retrospective, descriptive analysis.
- Conducted at an urban academic health science center in the southeastern United States.
Main Results:
- 247 out of 23,093 patients developed pressure injuries.
- 1053 patients had a positive COVID-19 diagnosis.
- COVID-19 diagnosis, advanced age, male gender, high mortality risk, severe illness, and extended length of stay were significant HAPI risk factors.
Conclusions:
- Further research is needed on the dermatological pathology of COVID-19.
- Investigate effective interventions for HAPIs in COVID-19 patients, considering current treatments.
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