Risk Factors for Pressure Injury in ICU Patients

Aim To investigate the specific risk factors associated with the development of hospital‐acquired pressure injuries in critically ill patients. Design A retrospective case–control study. Methods Using evidence‐based and Delphi methods, 36 potential risk factors for HAPI in critically ill patients were identified. Data were collected from non‐COVID patients admitted to the ICU of Huzhou from January 2019 to December 2021. Univariate and multivariate analyses were used to identify significant risk factors. Results A total of 197 patients were included, with 53 (26.9%) developing HAPI. Univariate analysis indicated significant differences across 25 variables, including patient‐specific factors, tissue tolerance and correlation scores. Multivariate analysis identified co‐morbidities (OR = 3.16), a MEWS score ≥ 5 (OR = 5.83), use of sedative drugs (OR = 2.28), low Braden nutritional score (OR = 4.05), skin oedema (OR = 4.60) and faecal incontinence (OR = 13.17) as independent risk factors for HAPI in critically ill patients. No Patient or Public Contribution To mitigate HAPI risks, nursing staff should prioritise monitoring high‐risk patients, perform comprehensive risk assessments and implement timely, targeted interventions to enhance patient care and reduce adverse events. Trial Registration ClinicalTrials.gov ID: NCT05564975