{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T15:38:22Z","timestamp":1759333102438,"version":"3.40.5"},"reference-count":36,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,6,2]],"date-time":"2022-06-02T00:00:00Z","timestamp":1654128000000},"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":["Wound Repair Regeneration"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>There are two types of pressure injuries: self\u2010load\u2010related pressure injuries (PIs) and medical device\u2010related pressure injuries (MDRPIs), but the differences in risk factors between PIs and MDRPIs have not yet been clarified. If risk factors for PIs and MDRPIs differ, preventive interventions should take this into account. This is a prospective cohort study aimed to determine the cumulative incidence of PIs and MDRPIs in critically ill patients and to identify corresponding risk factors. The study included 1418 patients who were admitted to the critical care medical center of a single university hospital in Tokyo, Japan, between 1 December 2019 and 31 August 2020. The Kaplan\u2013Meier method was used to calculate the cumulative incidence of PIs and MDRPIs. Furthermore, the Cox proportional hazards model was used to analyse the predictors in both the PI and MDRPI incidence and non\u2010incidence groups. Predictors were based on data from the 0th disease day. The cumulative incidence of PIs and MDRPIs was 4.6\/1000 person\u2010days and 3.6\/1000 person\u2010days, respectively. Multivariate analysis using the Cox proportional hazards model showed that common risk factors for the occurrence of PIs and MDRPIs were possession of PI on admission, higher blood lactate, blood purification therapy, and positional restriction. The risk factors for PIs only were diabetes mellitus, septic shock, and a lower serum albumin level, while the risk factors for MDRPIs only were the D\u2010dimer level and extracorporeal membranous oxygenation treatment. Therefore, prophylactic interventions need to consider these different risk factors.<\/jats:p>","DOI":"10.1111\/wrr.13022","type":"journal-article","created":{"date-parts":[[2022,5,14]],"date-time":"2022-05-14T13:42:47Z","timestamp":1652535767000},"page":"453-467","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Incidence of and risk factors for self\u2010load\u2010related and medical device\u2010related pressure injuries in critically ill patients: A prospective observational cohort study"],"prefix":"10.1111","volume":"30","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7695-9566","authenticated-orcid":false,"given":"Tomoko","family":"Shimura","sequence":"first","affiliation":[{"name":"Division of Health Sciences Graduate School of Medical Science, Kanazawa University  Ishikawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9650-2464","authenticated-orcid":false,"given":"Gojiro","family":"Nakagami","sequence":"additional","affiliation":[{"name":"Department of Gerontological Nursing\/Wound Care Management, Division of Health Science and Nursing Graduate School of Medicine, The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3658-555X","authenticated-orcid":false,"given":"Rei","family":"Ogawa","sequence":"additional","affiliation":[{"name":"Plastic, Reconstructive and Aesthetic Surgery Nippon Medical School  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2152-5645","authenticated-orcid":false,"given":"Shimpei","family":"Ono","sequence":"additional","affiliation":[{"name":"Plastic, Reconstructive and Aesthetic Surgery Nippon Medical School  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5724-4784","authenticated-orcid":false,"given":"Toshiaki","family":"Takahashi","sequence":"additional","affiliation":[{"name":"Global Nursing Research Center Graduate School of Medicine, The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4236-6695","authenticated-orcid":false,"given":"Misako","family":"Nagata","sequence":"additional","affiliation":[{"name":"Department of Imaging Nursing Science Graduate School of Medicine, The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3103-8055","authenticated-orcid":false,"given":"Kosuke","family":"Kashiwabara","sequence":"additional","affiliation":[{"name":"Biostatistics Division The University of Tokyo Hospital  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4050-074X","authenticated-orcid":false,"given":"Junko","family":"Sugama","sequence":"additional","affiliation":[{"name":"Research Center for Implementation Nursing Science Initiative Fujita Health University  Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1912-1251","authenticated-orcid":false,"given":"Hiromi","family":"Sanada","sequence":"additional","affiliation":[{"name":"Department of Gerontological Nursing\/Wound Care Management, Division of Health Science and Nursing Graduate School of Medicine, The University of Tokyo  Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4433-1608","authenticated-orcid":false,"given":"Makoto","family":"Oe","sequence":"additional","affiliation":[{"name":"School of Health Science, College of Medical, Pharmaceutical and Health Sciences Kanazawa University  Ishikawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,2]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"European Pressure Ulcer Advisory Panel National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury Alliance. 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