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Pressure injuries in COVID-19 patients: A tertiary center experience

Charalampos Siotos1, Sydney H Arnold1, Amir Aminzada1

  • 1Division of Plastic and Reconstructive Surgery, Rush University Medical Center, Chicago, IL 60607, USA.

Journal of Plastic, Reconstructive & Aesthetic Surgery : JPRAS
|June 4, 2023
PubMed

Insights

This study identified key risk factors for pressure ulcers in COVID-19 patients, including older age, peripheral artery disease, and low albumin levels. Prone positioning was not found to be a significant risk factor.

Area of Science:

  • Medical research
  • Clinical outcomes
  • Patient safety

Background:

  • Pressure ulcers significantly affect patient outcomes and healthcare costs.
  • Understanding risk factors is crucial for preventing pressure ulcers in vulnerable populations.
  • COVID-19 patients represent a unique group with potential for increased pressure ulcer development.

Purpose of the Study:

  • To determine the incidence of pressure ulcers in COVID-19 patients.
  • To identify specific risk factors associated with pressure ulcer development in this cohort.
  • To inform preventative strategies for pressure ulcers in hospitalized COVID-19 patients.

Main Methods:

  • Retrospective study design.
  • Inclusion of 4608 patients diagnosed with COVID-19 between March 2020 and April 2021.
  • Statistical analysis including chi-square, Fischer's exact test, and logistic regression.

Main Results:

  • Eighty-three out of 4608 patients (1.8%) developed new pressure ulcers.
  • Significant risk factors identified: increased age, peripheral artery disease, and abnormal albumin levels.
  • Prone positioning was not identified as a statistically significant risk factor for pressure ulcers in this cohort.

Conclusions:

  • Older age, peripheral artery disease, and abnormal albumin levels are associated with a higher risk of pressure ulcers in COVID-19 patients.
  • The findings highlight the need for targeted preventative measures for high-risk individuals.
  • Further research may explore the specific mechanisms linking these factors to pressure ulcer development in the context of COVID-19.

Keywords:
COVID-19IncidencePressure ulcerRetrospective studies

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