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

Rehabil Nurs. 2024 Jul-Aug;49(4):125-133. doi: 10.1097/RNJ.0000000000000466.

Abstract

General purpose: To provide information on the association between risk factors and the development of new or worsened stage 2 to 4 pressure injuries (PIs) in patients in long-term care hospitals (LTCHs), inpatient rehabilitation facilities (IRFs), and skilled nursing facilities (SNFs).

Target audience: This continuing education activity is intended for physicians, physician assistants, nurse practitioners, and nurses with an interest in skin and wound care.

Learning objectives/outcomes: After participating in this educational activity, the participant will:1. Compare the unadjusted PI incidence in SNF, IRF, and LTCH populations.2. Explain the extent to which the clinical risk factors of functional limitation (bed mobility), bowel incontinence, diabetes/peripheral vascular disease/peripheral arterial disease, and low body mass index are associated with new or worsened stage 2 to 4 PIs across the SNF, IRF, and LTCH populations.3. Compare the incidence of new or worsened stage 2 to 4 PI development in SNF, IRF, and LTCH populations associated with high body mass index, urinary incontinence, dual urinary and bowel incontinence, and advanced age.

MeSH terms

  • Aged
  • Aged, 80 and over
  • Female
  • Humans
  • Incidence
  • Male
  • Middle Aged
  • Pressure Ulcer* / epidemiology
  • Pressure Ulcer* / prevention & control
  • Risk Factors
  • Skilled Nursing Facilities / organization & administration
  • Skilled Nursing Facilities / statistics & numerical data
  • Subacute Care / methods
  • Subacute Care / standards
  • Subacute Care / statistics & numerical data
  • Urinary Incontinence / complications
  • Urinary Incontinence / epidemiology