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Cross-setting Comparison of Risk Factors for Pressure Injuries Acquired in Post-Acute Care.

Daniel H Barch1, Julie Hayes Seibert2, Amy Kandilov3

  • 1Public Health Analyst, RTI International, Waltham, Massachusetts; Lecturer, Psychology Department, Tufts University, Medford.

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Summary

This study examines risk factors for pressure injuries (PIs) in long-term care settings. Key factors like functional limitation and diabetes significantly impact PI development in these vulnerable populations.

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Area of Science:

  • Clinical nursing research
  • Patient safety in long-term care

Background:

  • Pressure injuries (PIs) are a significant concern in long-term care facilities.
  • Understanding risk factors is crucial for preventing new or worsened PIs.

Purpose of the Study:

  • To identify associations between clinical risk factors and the development of stage 2 to 4 pressure injuries.
  • To analyze PI incidence across skilled nursing facilities (SNFs), inpatient rehabilitation facilities (IRFs), and long-term care hospitals (LTCHs).

Main Methods:

  • Comparative analysis of PI incidence based on patient populations in SNFs, IRFs, and LTCHs.
  • Evaluation of specific risk factors including functional limitation, incontinence, diabetes, and body mass index.

Main Results:

  • Functional limitation, bowel incontinence, diabetes, and low BMI are linked to increased PI development.
  • Advanced age and dual incontinence also correlate with higher PI incidence.

Conclusions:

  • Specific patient characteristics and clinical conditions significantly increase the risk of pressure injuries in long-term care.
  • Targeted interventions addressing these risk factors are essential for improving patient outcomes and reducing PI prevalence.