Community versus Hospital Acquired Pressure Injuries: An Assessment of Predisposing Risk Factors

ABSTRACT

@#Introduction: Pressure injuries are a common problem in acute and chronic healthcare settings with critical morbidity and mortality consequences on patients and healthcare systems. The objective of this study was to assess the predisposing risk factors associated with patients with community acquired pressure injuries and hospital acquired pressure injuries. Methods: Data were drawn from patients' electronic medical records from two hospitals with a total of 784 beds in the North Texas area and 94 records of HAPI and 206 records of CAPI patients were assessed. The measures examined included patients' socio-demographic variables, admission diagnosis, and Braden scale measures. Results: Scores for Albumin, weight, body mass index, length of stay and Braden measures were significantly higher for HAPI than CAPI patients at α < 0.05. Higher total Braden scores (OR=1.25, 95%CI 1.15, 1.41), friction (OR=2.44, 95%CI 1.39, 4.27), and longer length of stay (OR=1.13, 95%CI 1.09, 1.18) were associated with a higher likelihood of HAPI. Conclusions: Interventions aimed at prevention of pressure injuries should target reducing friction and length of stay at care facilities.