Hospital-Acquired Pressure Injuries in Critical and Progressive Care: Avoidable Versus Unavoidable

• DOI: 10.4037/ajcc2019264
• Publication Date: 2019-09-01T13:19:07Z
• Authors: Joyce Pittman; Terrie Beeson; Jill Dillon; Ziyi Yang; Janet Cuddigan
• Keywords: Odds; Pressure injury

Despite prevention strategies, hospital-acquired pressure injuries (HAPIs) continue to occur, especially in critical care, raising the question whether some are unavoidable.To determine proportion of HAPIs among patients and progressive care units that unavoidable, identify risk factors differentiate avoidable from unavoidable HAPIs.This study used a descriptive retrospective design. Data collected included demographic information, Braden Scale scores, clinical factors, preventive interventions. The Pressure Ulcer Prevention Inventory was categorize as or unavoidable.A total 165 participated study. Sixty-seven (41%) were unavoidable. Participants who had congestive heart failure (odds ratio [OR], 0.22; 95% CI, 0.06-0.76; P = .02), chemically sedated (OR, 0.38; 0.20-0.72; .003), systolic blood below 90 mm Hg 0.52; 0.27-0.99; .047), received at least 1 vasopressor 0.44; 0.23-0.86; .01) less likely have an HAPI. Those with bowel management devices more HAPI 2.19; 1.02-4.71; .04). When length stay incorporated into regression model, for each 1-day increase stay, odds injury developing increased by 4% 1.04; 1.002-1.08; previous 5 times 5.27; 1.20-23.15; .03).Unavoidable do occur; moreover, when interventions not documented implemented appropriately, occur.