Hospital-acquired pressure injury among COVID-19 patients admitted to the intensive care unit: Frequency and factors associated with injury stage
4 affiliations
- 1Anesthesiology Research Center, Department of Anesthesiology, Alzahra Hospital, Guilan University of Medical Sciences, Rasht, Iran
- 2Reproductive Health Research Center, Guilan University of Medical Sciences, Rasht, Iran
- 3Burn and Regenerative Medicine Research Center, Guilan University of Medical Sciences, Rasht, Iran
- 4Department of Nursing, School of Nursing and Midwifery, Guilan University of Medical Sciences, Rasht, Iran
Abstract
Hospital-acquired pressure injury (HAPI) is a clinically important complication among critically ill patients. This study aimed to determine HAPI frequency and factors associated with pressure injury stage among patients with coronavirus disease 2019 (COVID-19) admitted to the intensive care unit (ICU). This retrospective observational study reviewed medical records of patients aged >16 years admitted to Razi Hospital, Rasht, Iran, from early 2020 to the end of June 2021. Patients with pressure injury or other wounds present at admission or acquired outside the hospital were excluded. Of 652 ICU admissions, 215 patients developed pressure injury (33.0%), while 437 had no documented pressure injury. Clinical and laboratory variables were compared across the four injury stages using chi-square and Kruskal–Wallis tests. Stage II was the most common (47.4%), followed by Stage I (46.5%), Stage III (5.1%), and Stage IV (0.9%); the sacral region was the most frequent site (62.8%). Injury stage was significantly associated with hospital length of stay (P<0.001), hemoglobin (P=0.003), albumin (P<0.001), level of consciousness (P=0.003), and mobility status (P=0.042). These findings indicate associations between selected clinical characteristics and injury stage among patients who developed HAPI and should not be interpreted as causal relationships or independent predictors of HAPI occurrence.
Related
- Clinical Factors and Composite Biomarkers Associated with Intensive Care Unit-Acquired Weakness: A Retrospective Cohort Study
- Recurrent gene conversions and subcluster-specific variants are associated with Mycobacterium tuberculosis adaptation to intensive host pressure: a comparative genomic study
- Optimizing Polymyxin B Exposure in Carbapenem-Resistant Organism-Associated Hospital-Acquired Pneumonia: A Retrospective Observational Study.
- Acute Kidney Injury in Hospitalized Patients with Community-Acquired Pneumonia: Frequency, Factors Associated with AKI, and Clinical Outcomes
- The lived experience of critical care nurses caring for patients with intensive care unit-acquired weakness: a qualitative study
BibTeX
@article{haghighi2026hospitalacquired,
title = {{Hospital-acquired pressure injury among COVID-19 patients admitted to the intensive care unit: Frequency and factors associated with injury stage}},
author = {Mohammad Haghighi and Siamak Rimaz and Parissa Bagheri Toolaroud and Maryam Roshanparvar and Latif Panahi and Somaye Pouy},
journal = {Iranian Journal of Burns and Wound Research},
year = {2026},
month = sep,
doi = {10.66224/ijbwr.2.3.74},
url = {https://doi.org/10.66224/ijbwr.2.3.74},
note = {CC BY-NC},
}
RIS
TY - JOUR
TI - Hospital-acquired pressure injury among COVID-19 patients admitted to the intensive care unit: Frequency and factors associated with injury stage
AU - Mohammad Haghighi
AU - Siamak Rimaz
AU - Parissa Bagheri Toolaroud
AU - Maryam Roshanparvar
AU - Latif Panahi
AU - Somaye Pouy
PY - 2026
DA - 2026/09/01
JO - Iranian Journal of Burns and Wound Research
DO - 10.66224/ijbwr.2.3.74
UR - https://doi.org/10.66224/ijbwr.2.3.74
AB - Hospital-acquired pressure injury (HAPI) is a clinically important complication among critically ill patients. This study aimed to determine HAPI frequency and factors associated with pressure injury stage among patients with coronavirus disease 2019 (COVID-19) admitted to the intensive care unit (ICU). This retrospective observational study reviewed medical records of patients aged >16 years admitted to Razi Hospital, Rasht, Iran, from early 2020 to the end of June 2021. Patients with pressure injury or other wounds present at admission or acquired outside the hospital were excluded. Of 652 ICU admissions, 215 patients developed pressure injury (33.0%), while 437 had no documented pressure injury. Clinical and laboratory variables were compared across the four injury stages using chi-square and Kruskal–Wallis tests. Stage II was the most common (47.4%), followed by Stage I (46.5%), Stage III (5.1%), and Stage IV (0.9%); the sacral region was the most frequent site (62.8%). Injury stage was significantly associated with hospital length of stay (P<0.001), hemoglobin (P=0.003), albumin (P<0.001), level of consciousness (P=0.003), and mobility status (P=0.042). These findings indicate associations between selected clinical characteristics and injury stage among patients who developed HAPI and should not be interpreted as causal relationships or independent predictors of HAPI occurrence.
SN - 3060-8414
ER -