{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,10]],"date-time":"2026-06-10T08:10:19Z","timestamp":1781079019992,"version":"3.54.1"},"reference-count":20,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2020,5,12]],"date-time":"2020-05-12T00:00:00Z","timestamp":1589241600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"name":"Shanghai Wang Zhengguo Trauma Medicine Development Foundation Project","award":["20WQ027"],"award-info":[{"award-number":["20WQ027"]}]},{"name":"Shanghai Wang Zhengguo Trauma Medicine Development Foundation Project","award":["WZGF20200101"],"award-info":[{"award-number":["WZGF20200101"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2020,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Since December 2019, the medical staff fighting against COVID\u201019 frequently reported the device\u2010related pressure injury (DRPI) caused by personal protective equipment (PPE). We conducted a cross\u2010sectional survey online to investigate the prevalence and characteristics of DRPI among medical staff. Univariate and multivariate logistic regression analyses were employed to explore the risk factors associated with DRPI. A total of 4308 participants were collected and 4306 participants were valid from 161 hospitals in China. The overall prevalence of DRPI caused by PPE among medical staff was 30.03% (95% CI 28.69%\u201031.41%). The prevalence of male was more than that of female (42.25%, 95% CI 37.99\u201046.51% vs 26.36%, 95% CI 26.93\u201029.80%, <jats:italic>P<\/jats:italic>\u2009&lt;\u2009.001).The categories were mainly stages 1 and 2, and the common anatomical locations were nose bridge, cheeks, ears, and forehead. Logistic regression analysis revealed that the risk factors were sweating (OR = 43.99, 95% CI 34.46\u201056.17), male (OR = 1.50, 95% CI 1.12\u20101.99), level 3 PPE (OR = 1.44, 95% CI 1.14\u20101.83), and longer wearing time (OR = 1.28, 95% CI 0.97\u20101.68). The prevalence of DRPI was high among medical staff wearing PPE against COVID\u201019, and the risk factors were sweating, male, wearing level 3 PPE, and longer wearing time. Comprehensive preventive interventions should be taken.<\/jats:p>","DOI":"10.1111\/iwj.13391","type":"journal-article","created":{"date-parts":[[2020,5,12]],"date-time":"2020-05-12T18:53:26Z","timestamp":1589309606000},"page":"1300-1309","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":55,"title":["The prevalence, characteristics, and related factors of pressure injury in medical staff wearing personal protective equipment against <scp>COVID<\/scp>\u201019 in China: A multicentre cross\u2010sectional survey"],"prefix":"10.1111","volume":"17","author":[{"given":"Qixia","family":"Jiang","sequence":"first","affiliation":[{"name":"Department of Burns and Plastic Surgery Jinling Hospital  Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuxiu","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Medical Statistics Jinling Hospital  Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Wei","sequence":"additional","affiliation":[{"name":"Medical School, Nanjing University  Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dongmei","family":"Zhu","sequence":"additional","affiliation":[{"name":"Nursing Department Jinling Hospital  Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aihua","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Anorectic Surgery Wenzhou Medical University Second Affiliated Hospital  Wenzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haiying","family":"Liu","sequence":"additional","affiliation":[{"name":"Nursing Department Wuxi Second People's Hospital  Wuxi Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jing","family":"Wang","sequence":"additional","affiliation":[{"name":"Nursing Department Shanghai Yangpu District Central Hospital  Shanghai China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhixia","family":"Jiang","sequence":"additional","affiliation":[{"name":"Nursing Department Zunyi Medical College Affiliated Hospital  Zunyi Guizhou China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiuying","family":"Han","sequence":"additional","affiliation":[{"name":"Nursing Department Zhongshan Hospital Xiamen University  Xiamen Fujian China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuxuan","family":"Bai","sequence":"additional","affiliation":[{"name":"Clinical Academic Department Zhejiang Top\u2010medical Dressing Co. Ltd.  Wenzhou Zhejiang China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jiao","family":"Hua","sequence":"additional","affiliation":[{"name":"Nursing Department Wuxi Third People's Hospital  Wuxi Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yanhong","family":"Zhang","sequence":"additional","affiliation":[{"name":"Nursing Department Dalang Hospital of Dongguan  Dongguan Guangdong China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinli","family":"Guo","sequence":"additional","affiliation":[{"name":"Nursing Department Shanxi Medical University Second Affiliated Hospital  Taiyuan Shanxi China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Li","family":"Li","sequence":"additional","affiliation":[{"name":"Depertment of General Surgery Xinyang Central Hospital  Xinyang Henan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Juan","family":"Li","sequence":"additional","affiliation":[{"name":"Orthopaedics Department Jinling Hospital  Nanjing Jiangsu China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2020,5,12]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"National Health Commission of the People's Republic of China.New coronavirus pneumonia prevention and control plan (fourth edition) [EB\/OL].http:\/\/www.nhc.gov.cn\/jkj\/s3577\/202002\/573340613ab243b3a7f61df260551dd4\/files\/c791e5a7ea5149f680fdcb34dac0f54e.pdf."},{"key":"e_1_2_8_3_1","unstructured":"National Health Commission of the People's Republic of China.New coronavirus pneumonia prevention and control plan (fifth edition) [EB\/OL].http:\/\/www.nhc.gov.cn\/jkj\/s3577\/202002\/a5d6f7b8c48c451c87dba14889b30147\/files\/3514cb996ae24e2faf65953b4ecd0df4.pdf."},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2002032"},{"issue":"2","key":"e_1_2_8_5_1","first-page":"145","article-title":"Prevention epidemiological group of emergency response mechanism of new coronavirus pneumonia in Chinese Center for Disease Control. Epidemiological characteristics of new coronavirus pneumonia","volume":"41","year":"2020","journal-title":"Chinese J Epidemiol"},{"key":"e_1_2_8_6_1","unstructured":"National Health Commission of the People's Republic of China. Guidelines for the use of common medical protective products in the prevention and control of pneumonitis due to new coronavirus infection [EB\/OL].http:\/\/www.nhc.gov.cn\/yzygj\/s7659\/202001\/e71c5de925a64eafbe1ce790debab5c6.shtml."},{"key":"e_1_2_8_7_1","unstructured":"Bureau of Disease Control and Prevention Ministry of Health of the People's Republic of China. Technical guidelines on selection and use of new coronavirus masks for different populations [EB\/OL].http:\/\/www.nhc.gov.cn\/jkj\/s7916\/202002\/485e5bd019924087a5614c4f1db135a2.shtml."},{"key":"e_1_2_8_8_1","unstructured":"Panel European Pressure Ulcer Advisory Panel National Pressure Injury Advisory Guideline Pan Pacific Pressure Injury Alliance The International. Prevention and treatment of pressure ulcers\/injuries: Clinical practice guideline. The International Guideline.EmilyHaesler(Ed.). EPUAP\/NPIAP\/PPPIA:2019."},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtv.2017.09.008"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2019.02.006"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.4037\/ajcc2015386"},{"key":"e_1_2_8_12_1","unstructured":"National Health Commission of the People's Republic of China.Notice on further strengthening the protection of medical staff during epidemic prevention and control [EB\/OL].http:\/\/www.nhc.gov.cn\/yzygj\/s7659\/202002\/75c6e88ecbeb42a9a26acb538383e2fc.shtml."},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000532475.11971.aa"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2019.28.8.512"},{"issue":"5","key":"e_1_2_8_15_1","first-page":"2587","article-title":"The incidence, risk factors and characteristics of pressure ulcers in hospitalized patients in China","volume":"7","author":"Jiang Q","year":"2014","journal-title":"Int J Clin Exp Pathol"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000311"},{"key":"e_1_2_8_17_1","unstructured":"Panel National Pressure Ulcer Advisory. Best practices forprevention of medical device\u2010related pressure ulcers in criticalcare[EB\/OL].http:\/\/www.npuap.org\/wp-content\/uploads\/2013\/04\/BestPractices-CriticalCare1.pdf."},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12212"},{"issue":"5","key":"e_1_2_8_19_1","first-page":"86","article-title":"Preventing facial pressure injuries in patients who use noninvasive positive pressure ventilators: the efficiency of dressings","volume":"63","author":"Tai CH","year":"2016","journal-title":"J Nursing"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000525627.54569.da"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000521048.64537.6e"}],"container-title":["International Wound Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fiwj.13391","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iwj.13391","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/iwj.13391","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/iwj.13391","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,17]],"date-time":"2025-04-17T03:31:20Z","timestamp":1744860680000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/iwj.13391"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,12]]},"references-count":20,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2020,10]]}},"alternative-id":["10.1111\/iwj.13391"],"URL":"https:\/\/doi.org\/10.1111\/iwj.13391","archive":["Portico"],"relation":{},"ISSN":["1742-4801","1742-481X"],"issn-type":[{"value":"1742-4801","type":"print"},{"value":"1742-481X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,12]]},"assertion":[{"value":"2020-03-28","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-04-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2020-05-12","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}