{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T16:18:14Z","timestamp":1791562694504,"version":"4.3.4"},"reference-count":44,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2022,11,29]],"date-time":"2022-11-29T00:00:00Z","timestamp":1669680000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["International Wound Journal"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Pressure injuries (PIs) are one of the major and costliest medical problems with severe implications for patients. Cardiovascular surgery patients are at the higher risk of developing surgery\u2010related PIs. So this study was conducted with the aim of investigating the prevalence and factors associated with PIs in patients undergoing open heart surgery. We identified articles through electronic databases such as Web of Science, Scopus, PubMed, ProQuest; and Persian Databases: SID, Magiran and Irandoc without restriction on language or publication period (from inception through June 2022). Finally, 17 studies that fulfilled eligibility criteria were included in final systematic review and meta\u2010analysis. Data analyses were conducted using STATA version 14. The pooled prevalence of PI in patients undergoing open heart surgery was 24.06% (95% CI: 17.85\u201330.27). High heterogeneity was observed across the included studies (<jats:italic>I<\/jats:italic><jats:sup>2<\/jats:sup>\u00a0=\u200996.0, <jats:italic>P<\/jats:italic>\u00a0&lt;\u20090.000). The prevalence by gender was reported as 25.19% (95% CI: 13.45\u201336.93) in men and 33.36% (95 CI%: 19.99\u201346.74) in women. The result showed there was statistically significant association between PI and Female sex (Pooled Est: 1.551, 95% CI: 1.199\u20132.006, <jats:italic>z<\/jats:italic>\u00a0=\u20093.345, <jats:italic>P<\/jats:italic>\u00a0=\u20090.001), diabetes (Pooled Est: 1.985, 95% CI: 1.383\u20132.849, <jats:italic>z<\/jats:italic>\u00a0=\u20093.719, <jats:italic>P<\/jats:italic>\u00a0=\u20090.000), advanced age (SMD: 0.33\u2009years; 95% CI: 0.09\u20130.57), Duration of surgery (SMD: 0.47; 95% CI: 0.19\u20130.75) and preoperative serum albumin level (SMD: 0.56; 95% CI: 0.14\u20130.98). The relatively high PIs incidence among patients undergoing open heart surgery suggests that typical PI prevention methods are insufficient for this population. Targeted prevention measures must be developed and implemented.<\/jats:p>","DOI":"10.1111\/iwj.14040","type":"journal-article","created":{"date-parts":[[2022,11,30]],"date-time":"2022-11-30T06:50:17Z","timestamp":1669791017000},"page":"2321-2333","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":22,"title":["Prevalence and factors associated with pressure injury in patients undergoing open heart surgery: A systematic review and meta\u2010analysis"],"prefix":"10.1111","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1328-1895","authenticated-orcid":false,"given":"Hamed","family":"Taghiloo","sequence":"first","affiliation":[{"name":"Department of Operating Room and Anesthesiology School of Nursing and Midwifery, Zanjan University of Medical Sciences  Zanjan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abbas","family":"Ebadi","sequence":"additional","affiliation":[{"name":"Behavioral Sciences Research Centre Life Style Institute, School of Nursing, Baqiyatallah University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaser","family":"Saeid","sequence":"additional","affiliation":[{"name":"Trauma Research Center and Faculty of Nursing Baqiyatallah University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alireza","family":"Jalali Farahni","sequence":"additional","affiliation":[{"name":"Atherosclerosis Research Center Baqiyatallah University of Medical Sciences  Tehran Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Atefeh","family":"Davoudian","sequence":"additional","affiliation":[{"name":"Deputy of Research and Technology Zanjan University of Medical Sciences  Zanjan Iran"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,11,29]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Lexie MillerJG AshleeCruz The Nursing Clinical Effectiveness Committee.Pressure injury prevention and management. Clinical guidelines (nursing) [updated April 2022; cited 2022 08\/16]. https:\/\/www.rch.org.au\/rchcpg\/hospital_clinical_guideline_index\/Pressure_injury_prevention_and_management\/#:~:text=Prolonged%20pressure%20on%20a%20localised obliteration%20and%20eventually%20tissue%20death."},{"key":"e_1_2_10_3_1","unstructured":"Wound SourceNational Pressure Ulcer Advisory Panel (NPUAP) announces a change in terminology from pressure ulcer to pressure injury and updates the stages of pressure injury. 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