{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T03:56:04Z","timestamp":1790654164086,"version":"4.1.0"},"reference-count":51,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,9,28]],"date-time":"2026-09-28T00:00:00Z","timestamp":1790553600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing in Critical Care"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Pressure injuries (PIs) remain a persistent challenge in intensive care units (ICUs), causing pain, extended hospital stays and increased costs. Data from India are limited.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To determine the incidence and risk factors for pressure injuries among adult ICU patients in a tertiary care public hospital.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Study Design<\/jats:title>\n                    <jats:p>A prospective cohort study was conducted from August to October 2024 in the adult ICUs of a public hospital in central India. All eligible patients were enrolled via total enumeration. Demographic and clinical variables, Braden and APACHE\u2010II scores, and nursing hours per patient\u2010day were collected. New PIs were staged per international guidelines by two nurse\u2010researchers. Data were analysed using descriptive statistics and univariable logistic regression.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 324 patients, 50 (15.4%; 95% CI: 11.7\u201319.8) developed 87 new PIs, with an incidence density of 39.1 per 1000 patient\u2010days (95% CI: 31.32\u201348.23). Most lesions were stage I\/II, primarily sacrococcygeal, with a median onset of 4\u2009days. Among the 16 variables examined using univariable analyses, early fever (OR 7.33, 95% CI 3.38\u201315.88), exclusive non\u2010oral feeding (OR 5.73, 95% CI 2.75\u201311.95), needing repositioning assistance (OR 4.56, 95% CI 2.06\u201310.09), medical ICU (OR 3.73, 95% CI 1.87\u20137.46), vasoactive drug\u2010use (OR 2.31, 95% CI 1.21\u20134.44), moderate\u2010to\u2010obese body build (OR 2.84, 95% CI 1.23\u20136.57) and longer ICU stay (OR 1.23\/day, 95% CI 1.15\u20131.31) had the strongest associations with PI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PIs affect approximately one\u2010in\u2010six ICU patients, with several factors associated with higher odds. Multi\u2010centre studies are needed to examine generalisability and validate ICU\u2010specific risk assessment tools.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Clinical Practice<\/jats:title>\n                    <jats:p>High\u2010risk profiles requiring prioritised preventive measures, as early assessment, nutritional optimisation and mobility support include those with prolonged stays, fever, non\u2010oral feeding, medical ICU admission, vasoactive drug\u2010use and non\u2010thin build.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/nicc.70707","type":"journal-article","created":{"date-parts":[[2026,9,29]],"date-time":"2026-09-29T03:16:29Z","timestamp":1790651789000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Incidence and Risk Factors of Pressure Injury in Adult\n                    <scp>ICU<\/scp>\n                    Patients: A Prospective Cohort Study"],"prefix":"10.1111","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6322-7024","authenticated-orcid":false,"given":"Rajini","family":"Peter","sequence":"first","affiliation":[{"name":"College of Nursing All India Institute of Medical Sciences  Nagpur Maharashtra India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-2094-5840","authenticated-orcid":false,"given":"K. N.","family":"Ashwini","sequence":"additional","affiliation":[{"name":"College of Nursing All India Institute of Medical Sciences  Nagpur Maharashtra India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-9941-3057","authenticated-orcid":false,"given":"P.","family":"Dhivya","sequence":"additional","affiliation":[{"name":"College of Nursing All India Institute of Medical Sciences  Nagpur Maharashtra India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aljo","family":"Joy","sequence":"additional","affiliation":[{"name":"College of Nursing All India Institute of Medical Sciences  Nagpur Maharashtra India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4389-2005","authenticated-orcid":false,"given":"E.","family":"Selmar Mellisha","sequence":"additional","affiliation":[{"name":"College of Nursing All India Institute of Medical Sciences  Nagpur Maharashtra India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,9,28]]},"reference":[{"issue":"2","key":"e_1_2_15_2_1","doi-asserted-by":"crossref","first-page":"160","DOI":"10.1007\/s00134-020-06234-9","article-title":"Prevalence, Associated Factors and Outcomes of Pressure Injuries in Adult Intensive Care Unit Patients: The DecubICUs Study","volume":"47","author":"Labeau S. 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