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Operative Positioning and Intraoperative-Acquired Pressure Injury: A Retrospective Cohort Study.

Xin Xu1, Miao Miao, Guirong Shi

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The prone operative position significantly increases the risk of intraoperative-acquired pressure injury (IAPI). Patients in the prone position may benefit from dressings, especially in Chinese populations.

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Area of Science:

  • Surgical Patient Safety
  • Pressure Injury Prevention
  • Clinical Outcomes Research

Background:

  • Intraoperative-acquired pressure injuries (IAPI) are a significant concern in surgical patient care.
  • Understanding the impact of operative positioning on IAPI development is crucial for risk mitigation.

Purpose of the Study:

  • To investigate the association between operative positioning and the development of intraoperative-acquired pressure injuries (IAPI).
  • To identify specific intraoperative factors that may interact with positioning to influence IAPI risk.

Main Methods:

  • Retrospective cohort study of 455 surgical patients.
  • Comparison of IAPI development between prone and nonprone operative positions.
  • Propensity-score matching and multivariable logistic regression analysis were employed.

Main Results:

  • The prone position was associated with a 2.92 times higher risk of IAPI compared to the nonprone position (OR, 2.92; P = .026).
  • A significant interaction between operative positioning and foam dressing use was observed for IAPI development (P < .05).

Conclusions:

  • Prone operative positioning is a risk factor for increased IAPI development.
  • The use of dressings may be particularly beneficial for patients in the prone position, especially within Chinese populations.
  • Further large-scale longitudinal studies are warranted to validate these findings.