Professional Practice-Clinical Practice Outcomes; Standards of Care; Clinical Pathways

Trevellini, Chenel; Smith, Juliet

doi:10.1097/01.won.0000351969.58650.26

Cited by 1 publication

(2 citation statements)

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“…During the 2020 European Pressure Ulcer Advisory Panel deliberation, Trevellini 5 reported that the prevalence of HAPIs among ICU patients in New York was significantly higher in patients with COVID-19 versus those without. A second study investigating 143 ICU patients with COVID-19 found that 47.6% developed HAPIs 6 .…”

Section: Introductionmentioning

confidence: 99%

“…For example, patients with obesity experience dysregulated immunity, and this independently exacerbates COVID-19 infection outcomes 12,13 . Further, there is an increased likelihood of extended hospital stays due to weakened COVID-19 response 1,5 . Similarly, age and sex are additional intrinsic factors that can independently worsen HAPI and COVID-19 outcomes while also worsening HAPI risk via COVID-19 14,15 …”

Section: Introductionmentioning

confidence: 99%

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COVID-19 and Hospital-Acquired Pressure Injuries: A Systematic Review

Bourkas

Zaman

Sibbald

2023

Adv Skin Wound Care

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OBJECTIVE To investigate the relationship between COVID-19-related variables and hospital-acquired pressure injury (HAPI) incidence. DATA SOURCES The authors searched four databases: Cochrane, MEDLINE, EMBASE, and CINAHL. The literature search contained key terms such as “COVID-19,” “hospital-acquired pressure injuries,” “pressure ulcer,” “pressure injury,” “decubitus ulcer,” and “hospitalization.” STUDY SELECTION The systematic search of the literature identified 489 publications that matched the inclusion criteria. Articles were included in the review if they were peer-reviewed publications that reported HAPI incidence for patients who were hospitalized and COVID-19 positive. Two reviewers performed the screen simultaneously, and 19 publications were included. DATA EXTRACTION Two reviewers followed a standardized extraction form that included study and patient characteristics, COVID-19 status, HAPI characteristics, prone positioning, length of hospitalization, and HAPI prevention and treatment strategies. DATA SYNTHESIS The authors carried out a narrative synthesis of the extracted data because the data obtained were too heterogeneous for meta-analysis. The primary outcome was HAPI incidence. CONCLUSIONS This review identified that HAPI incidence was high among men who were COVID-19 positive, had longer hospital stays, experienced prone positioning, and had care teams without a skin and wound care expert. Future research should use more robust methodology and focus on quantitative modeling to iteratively improve inpatient HAPI guidelines.

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Section: Introductionmentioning

confidence: 99%