{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T17:08:32Z","timestamp":1777828112768,"version":"3.51.4"},"reference-count":62,"publisher":"Wiley","issue":"5-6","license":[{"start":{"date-parts":[[2020,12,28]],"date-time":"2020-12-28T00:00:00Z","timestamp":1609113600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2021,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>To analyse the prevalence of any\u2010stage pressure injuries at hospital admission and their impact on short\u2010, mid\u2010 and late\u2010term mortality. Patient characteristics associated with pressure injuries and the impact on hospital costs were also investigated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>In medical patients acutely admitted to hospital, no study analysed the presence of pre\u2010existing pressure injuries and the related short\u2010 and long\u2010term mortality according to the overall stages of severity thereof.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Retrospective cohort study following the STROBE guideline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In a population of 7217 acute medical inpatients, the presence and staging of pressure injuries were assessed at hospital admission. The impact of pressure injury on 30\u2010, 180\u2010 and 365\u2010day mortality was analysed by multivariate Cox regression models.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The prevalence of community\u2010acquired pressure injuries was 14.9% (stage\u20101: 8.1%; stage\u20102: 3.5%; stage\u20103: 1.6%; stage\u20104: 1.1%; unstageable: 0.5%). Hemiplegia\/paraplegia, anaemia, poor functional status, high nutritional risk, clinical instability and systemic inflammatory response, but not hydration status, were found to be associated with the occurrence of stage\u20102\u2010and\u2010above pressure injuries. An increasing difference was found in Diagnosis\u2010Related Groups (DRG) weight according to pressure injury stages. A distinct and progressively increasing risk\u2010of\u2010death for any\u2010stage pressure injury was shown after 365\u2010days. A significantly increased mortality risk for all considered time intervals was found for unstageable and stage\u20104 pressure injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In acute medical inpatients, the presence of community\u2010acquired pressure injuries is part of a multidimensional clinical complexity. The presence and staging of pressure injuries have an independent dramatic impact on of early\u2010to\u2010late mortality and hospital costs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>This study documented as community\u2010acquired pressure injuries are highly prevalent and represents an independent predictor of outcomes in strict dependence of the progression of thereof stage. The presence of community\u2010acquired pressure injuries should be interpreted as a critical marker of frailty and increased vulnerability.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.15598","type":"journal-article","created":{"date-parts":[[2020,12,16]],"date-time":"2020-12-16T06:46:46Z","timestamp":1608101206000},"page":"712-724","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Stage\u2010related implications of community\u2010acquired pressure injuries for the acute medical inpatients"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8319-635X","authenticated-orcid":false,"given":"Gianfranco","family":"Sanson","sequence":"first","affiliation":[{"name":"School of Nursing, Clinical Department of Medical, Surgical and Health Sciences University of Trieste Trieste Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilaria","family":"Barbin","sequence":"additional","affiliation":[{"name":"School of Nursing, Clinical Department of Medical, Surgical and Health Sciences University of Trieste Trieste Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniela","family":"De Matteis","sequence":"additional","affiliation":[{"name":"Internal Medicine Department University Hospital Trieste Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilaria","family":"Marzinotto","sequence":"additional","affiliation":[{"name":"School of Nursing, Clinical Department of Medical, Surgical and Health Sciences University of Trieste Trieste Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2634-6363","authenticated-orcid":false,"given":"Michela","family":"Zanetti","sequence":"additional","affiliation":[{"name":"Internal Medicine Department University Hospital Trieste Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2020,12,28]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/16546628.2017.1324230"},{"key":"e_1_2_14_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.13007"},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0007114514003213"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2003.12.1.26453"},{"issue":"2","key":"e_1_2_14_6_1","first-page":"24","article-title":"Pressure ulcers: avoidable or unavoidable? 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