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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).
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.
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