{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T20:52:17Z","timestamp":1788900737037,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,1,30]],"date-time":"2026-01-30T00:00:00Z","timestamp":1769731200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To investigate the specific risk factors associated with the development of hospital\u2010acquired pressure injuries in critically ill patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>A retrospective case\u2013control study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using evidence\u2010based and Delphi methods, 36 potential risk factors for HAPI in critically ill patients were identified. Data were collected from non\u2010COVID patients admitted to the ICU of Huzhou from January 2019 to December 2021. Univariate and multivariate analyses were used to identify significant risk factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 197 patients were included, with 53 (26.9%) developing HAPI. Univariate analysis indicated significant differences across 25 variables, including patient\u2010specific factors, tissue tolerance and correlation scores. Multivariate analysis identified co\u2010morbidities (OR\u2009=\u20093.16), a MEWS score \u2265\u20095 (OR\u2009=\u20095.83), use of sedative drugs (OR\u2009=\u20092.28), low Braden nutritional score (OR\u2009=\u20094.05), skin oedema (OR\u2009=\u20094.60) and faecal incontinence (OR\u2009=\u200913.17) as independent risk factors for HAPI in critically ill patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>No Patient or Public Contribution<\/jats:title>\n                    <jats:p>To mitigate HAPI risks, nursing staff should prioritise monitoring high\u2010risk patients, perform comprehensive risk assessments and implement timely, targeted interventions to enhance patient care and reduce adverse events.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      ID: NCT05564975\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70384","type":"journal-article","created":{"date-parts":[[2026,1,31]],"date-time":"2026-01-31T06:42:13Z","timestamp":1769841733000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Risk Factors for Pressure Injury in\n                    <scp>ICU<\/scp>\n                    Patients"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4879-5426","authenticated-orcid":false,"given":"Yang","family":"Chaonan","sequence":"first","affiliation":[{"name":"Xingtai Medical College  Xingtai China"},{"name":"Department of Emergency Medicine The First Affiliated Hospital of Huzhou University  Huzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chaohui","family":"Ji","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine The First Affiliated Hospital of Huzhou University  Huzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7635-3027","authenticated-orcid":false,"given":"Pan","family":"Huibin","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine The First Affiliated Hospital of Huzhou University  Huzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine The First Affiliated Hospital of Huzhou University  Huzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Luo","family":"Xiaohong","sequence":"additional","affiliation":[{"name":"Department of Hospital Infection The First Affiliated Hospital of Huzhou University  Huzhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,1,30]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2020810"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1590\/0034\u20107167.2016690307i"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2011934"},{"issue":"11","key":"e_1_2_11_5_1","first-page":"30","article-title":"Pressure Injury Risk Factors in Adult Critical Care Patients: A Review of the Literature","volume":"63","author":"Cox J.","year":"2017","journal-title":"Ostomy\/Wound Management"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2020243"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2017.09.003"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/scs.12995"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14091"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.3969\/j.issn.1007\u20103205.2021.05.001"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.390"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/CIN.0000000000000604"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.3969\/j.issn.1006\u20107256.2018.24.012"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.3761\/j.issn.0254\u20101769.2021.08.020"},{"issue":"3","key":"e_1_2_11_15_1","first-page":"178","article-title":"Analysis of Influencing Factors of Pressure Injury in ICU Critically Ill Patients","volume":"8","author":"Jiang S. 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