Interview Finalist
Incidence and Predictors of HA Pressure Injuries Among ICU Patients with CA Pressure Injuries: A Retrospective Study at Tertiary Hospital
KING FAISAL SPECIALIST HOSPITAL AND RESAERCH CENTRE
Track 1 - Students and Researchers
Official Nominee Badge
8th Edition · Click to verify
Hospital-acquired pressure injuries (HAPI) are a major yet preventable patient-safety concern in intensive care units, where critically ill patients are exposed to immobility, hemodynamic instability, impaired perfusion, and nutritional compromise. Patients admitted with community-acquired pressure injuries (CAPI) represent an especially vulnerable subgroup, as pre-existing tissue damage combined with critical illness significantly increases the risk of deterioration and new injury development. Despite this heightened risk, evidence focusing specifically on ICU patients with CAPI—particularly in the Middle East—remains limited. This project was undertaken to address this gap and to evaluate whether strong, standardized prevention systems can effectively protect even the highest-risk patients from additional harm.
A retrospective observational study was conducted in a tertiary Medical-Surgical ICU, reviewing 136 admissions between July and December 2022, including 36 patients (26%) admitted with CAPI. Clinical data encompassing demographics, Braden Scale scores, Glasgow Coma Scale, comorbidities, laboratory markers, CAPI characteristics, ICU length of stay, and development of new Stage 2 or higher HAPI were analyzed using internationally recognized NPIAP staging guidelines. Despite significant baseline risk, the incidence of new HAPI among CAPI patients was only 5.6%, substantially lower than national and international benchmarks. Patients who developed HAPI shared consistent risk factors such as very low Braden scores, declining neurological status, prolonged ICU stay, hypoalbuminemia, and multiple comorbidities, with heels identified as the most common injury site. These findings demonstrate that consistent adherence to evidence-based prevention bundles, early risk identification, and multidisciplinary collaboration can successfully prevent avoidable harm, reinforcing Zero Harm principles and providing valuable regional patient-safety evidence.