Dreyfus J, Gayle J, Trueman P, Delhougne G, Siddiqui A, et al.
American journal of medical quality : the official journal of the American College of Medical Q.... Date of publication 2018 Jul 1;volume 33(4):348-358.
1. Am J Med Qual. 2018 Jul;33(4):348-358. doi: 10.1177/1062860617746741. Epub 2017
Dec 20.
Assessment of Risk Factors Associated With Hospital-Acquired Pressure Injuries
and Impact on Health Care Utilization and Cost Outcomes in US Hospitals.
Dreyfus J(1), Gayle J(1), Trueman P(2), Delhougne G(2), Siddiqui A(3).
Author information:
(1)1 Premier Applied Sciences, Premier, Inc, Charlotte, NC.
(2)2 Smith & Nephew, Fort Worth, TX.
(3)3 Henry Ford Hospital, Wayne State University, Detroit, MI.
Hospital-acquired pressure injuries (HAPI) are a societal burden and considered
potentially preventable. Data on risk factors and HAPI burden are important for
effective prevention initiatives. This study of the 2009-2014 US Premier
Healthcare Database identified HAPI risk factors and compared outcomes after
matching HAPI to non-HAPI patients. The cumulative incidence of HAPI was 0.28%
(47 365 HAPI among 16 967 687 total adult inpatients). Among the matched sample
of 110 808 patients (27 702 HAPI), the strongest risk factors for HAPI were prior
PI (odds ratio [OR] = 12.52, 95% confidence interval [CI] = 11.93-13.15), prior
diabetic foot ulcer (OR = 3.43, 95% CI = 3.20-3.68), and malnutrition (OR = 3.11,
95% CI = 3.02-3.20). HAPI patients had longer adjusted length of stay (3.7 days,
P < .0001), higher total hospitalization cost ($8014, P < .0001), and greater
odds of readmissions through 180 days (OR = 1.60, 95% CI = 1.55-1.65). This study
demonstrates how big data may help quantify HAPI burden and improve internal
hospital processes by identifying high-risk patients and informing best practices
for prevention.
DOI: 10.1177/1062860617746741
PMID: 29262690
