{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T06:13:02Z","timestamp":1778825582403,"version":"3.51.4"},"reference-count":32,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T00:00:00Z","timestamp":1761609600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100005762","name":"National Taiwan University Hospital","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005762","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Advanced Nursing"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>To investigate the clinical outcomes and predictors associated with the severity of new\u2010onset pressure injuries in hospitalised patients with multiple comorbidities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively collected data on hospitalized patients. The severity of pressure injury was defined as per the National Pressure Injury Advisory Panel. Outcome measures included short\u2010term mortality and discharge to extended care facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 2150 hospitalised patients were screened, and 186 (8.7%) developed new\u2010onset pressure injuries, including 84 classified as stage I and 102 as stage II. The Braden scale score and time from admission to pressure injury onset were significantly associated with new\u2010onset stage II pressure injuries. Patients with stage II pressure injuries had a significantly higher risk of being discharged to extended care facilities compared to those with stage I pressure injuries (24% vs. 12%,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.041). The short\u2010term mortality rate was high in the total cohort (34%) but was not significantly different between the two groups. The worse Braden scale, lower body mass index, history of stroke and presence of stage II pressure injuries were significant predictors of discharge to extended care facilities.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>New\u2010onset Stage II pressure injuries significantly increased the risk of discharge to extended care facilities. Furthermore, this study expands the potential clinical utility of the Braden Scale by demonstrating its association not only with the risk of pressure injury development but also with the initial severity of injuries once they occur. These findings support its role in early risk stratification and targeted nursing interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Impacts<\/jats:title>\n                    <jats:p>This study highlights the importance of early identification and prevention of pressure injuries and the potential role of the Braden scale in minimizing injury severity, reducing healthcare utilization, and improving quality of life.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Reporting Methods<\/jats:title>\n                    <jats:p>STROBE guidelines.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>None.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jan.70287","type":"journal-article","created":{"date-parts":[[2025,10,28]],"date-time":"2025-10-28T15:09:15Z","timestamp":1761664155000},"page":"6195-6204","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Clinical Impact of New\u2010Onset Stage\n                    <scp>II<\/scp>\n                    Pressure Injuries in Hospitalised Patients With Multiple Comorbidities"],"prefix":"10.1111","volume":"82","author":[{"given":"Wan\u2010Lun","family":"Wu","sequence":"first","affiliation":[{"name":"Department of Nursing National Taiwan University Hospital  Taipei Taiwan"},{"name":"Division of Hospital Medicine, Department of Internal Medicine National Taiwan University Hospital  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jia\u2010Ling","family":"Yang","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Internal Medicine National Taiwan University Hospital  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pei\u2010Hsuan","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Nursing National Taiwan University Hospital  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chun\u2010Ta","family":"Huang","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Internal Medicine National Taiwan University Hospital  Taipei Taiwan"},{"name":"Division of Pulmonology Medicine, Department of Internal Medicine National Taiwan University Hospital and National Taiwan University College of Medicine  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu\u2010Yung","family":"Lin","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Internal Medicine National Taiwan University Hospital  Taipei Taiwan"},{"name":"Division of Pulmonology Medicine, Department of Internal Medicine National Taiwan University Hospital and National Taiwan University College of Medicine  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jen\u2010Fang","family":"Cheng","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Internal Medicine National Taiwan University Hospital  Taipei Taiwan"},{"name":"Division of Cardiology, Department of Internal Medicine National Taiwan University Hospital and National Taiwan University College of Medicine  Taipei Taiwan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2859-5117","authenticated-orcid":false,"given":"Cheng\u2010Hsuan","family":"Tsai","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Internal Medicine National Taiwan University Hospital  Taipei Taiwan"},{"name":"Division of Cardiology, Department of Internal Medicine National Taiwan University Hospital and National Taiwan University College of Medicine  Taipei Taiwan"},{"name":"Center for Adrenal Disorders, Division of Endocrinology, Diabetes, and Hypertension Brigham and Women's Hospital, Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tzung\u2010Dau","family":"Wang","sequence":"additional","affiliation":[{"name":"Division of Hospital Medicine, Department of Internal Medicine National Taiwan University Hospital  Taipei Taiwan"},{"name":"Division of Cardiology, Department of Internal Medicine National Taiwan University Hospital and National Taiwan University College of Medicine  Taipei 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