{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T05:49:47Z","timestamp":1787982587245,"version":"build-2784847793"},"reference-count":59,"publisher":"Wiley","issue":"15-16","license":[{"start":{"date-parts":[[2023,3,17]],"date-time":"2023-03-17T00:00:00Z","timestamp":1679011200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>The aim of this study was to analyse prevalence of pressure injury in intensive care versus non\u2010intensive care patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Hospital\u2010acquired pressure injury is an enduring problem. Intensive care patients are more susceptible due to multiple risk factors. Several studies have indicated that intensive care patients are more likely than general patients to develop pressure injuries.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Secondary data analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Eighteen general hospitals with intensive care units were included. The sample included all consenting patients. Logistic regression modelling was used to derive prevalence and effect estimates. STROBE reporting guidelines were followed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The sample comprised 15,678 patients; 611 were in intensive care. The crude prevalence estimate of hospital\u2010acquired pressure injury was 9.6% in intensive care and 2.1% in non\u2010intensive care patients. The \u2265Stage II hospital\u2010acquired prevalence estimate in was 8.6% intensive care and 1.2% in non\u2010intensive care patients. Intensive care patients were at markedly increased risk of hospital\u2010acquired pressure injury compared with non\u2010intensive care patients, with risk persisting after adjusting for pressure injury risk score. Risk of \u2265 Stage II hospital\u2010acquired pressure injury was further elevated. Intensive care patients had a higher pressure injury risk level and developed a greater proportion of severe hospital\u2010acquired pressure injuries than non\u2010intensive care patients. In intensive care, most hospital\u2010acquired pressure injuries were found on the sacrum\/coccyx and heels.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There were significant differences between the hospital\u2010acquired pressure injury prevalence of intensive care versus non\u2010intensive care patients, which is consistent with previous studies. Overall, the prevalence of hospital\u2010acquired pressure injury in intensive care is relatively high, indicating that their prevention should remain a high priority within the intensive care setting.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to Clinical Practice<\/jats:title><jats:p>These results may be used for benchmarking and provide a focus for future education and practice improvement efforts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Patient or Public Contribution<\/jats:title><jats:p>Neither patients nor the public were directly involved in the project.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.16687","type":"journal-article","created":{"date-parts":[[2023,3,18]],"date-time":"2023-03-18T04:14:59Z","timestamp":1679112899000},"page":"4947-4961","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":34,"title":["State\u2010wide prevalence of pressure injury in intensive care versus acute general patients: A five\u2010year analysis"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6547-1861","authenticated-orcid":false,"given":"Paul","family":"Fulbrook","sequence":"first","affiliation":[{"name":"School of Nursing, Midwifery &amp; Paramedicine, Faculty of Health Sciences Australian Catholic University  Brisbane Australia"},{"name":"Nursing Research and Practice Development Centre The Prince Charles Hospital  Brisbane Australia"},{"name":"Faculty of Health Sciences University of the Witwatersrand  Johannesburg South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1466-2374","authenticated-orcid":false,"given":"Josephine","family":"Lovegrove","sequence":"additional","affiliation":[{"name":"Nursing Research and Practice Development Centre The Prince Charles Hospital  Brisbane Australia"},{"name":"School of Nursing, Faculty of Health Queensland University of Technology  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8813-5855","authenticated-orcid":false,"given":"Karen","family":"Hay","sequence":"additional","affiliation":[{"name":"QIMR Berghofer Medical Research Institute  Brisbane Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8467-0081","authenticated-orcid":false,"given":"Fiona","family":"Coyer","sequence":"additional","affiliation":[{"name":"School of Nursing, Faculty of Health Queensland University of Technology  Brisbane Australia"},{"name":"School of Nursing, Midwifery and Social Work University of Queensland  Brisbane Australia"},{"name":"Institute for Skin Integrity and Infection Prevention University of Huddersfield  Huddersfield UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,17]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.18502\/npt.v7i1.2296"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12911\u2010020\u201001371\u2010z"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.30886\/estima.v18.849_IN"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.14735\/amcsnn2017S29"},{"key":"e_1_2_13_6_1","volume-title":"National safety and quality health service standards","author":"Australian Commission on Safety and Quality in Health Care","year":"2012"},{"key":"e_1_2_13_7_1","volume-title":"National safety and quality health service standards","author":"Australian Commission on Safety and Quality in Health Care","year":"2017"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.12968\/jowc.2020.29.9.496"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2014.07.005"},{"key":"e_1_2_13_10_1","unstructured":"Centres for Medicare and Medicaid Services. 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