Prevalence, associated factors and outcomes of pressure injuries in adult intensive care unit patients: the DecubICUs study
Authors: Sonia O. Labeau, Elsa Afonso, Julie Benbenishty, Bronagh Blackwood, Carole Boulanger, Stephen J. Brett, Silvia Calvino-Gunther, Wendy Chaboyer, Fiona Coyer, Mieke Deschepper, Guy François, Patrick M. Honore, Radmilo Jankovic, Ashish K. Khanna, Mireia Llaurado-Serra, Frances Lin, Louise Rose, Francesca Rubulotta, Leif Saager, Ged Williams, Stijn I. Blot, Dritan Muzha, Antoni Margarit Ribas, Fernando Lipovesty, Cecilia Loudet, Fiona Coyer, Philipp Eller, Nafseen Mostafa, Patrick M. Honoré, Vanesa Mercado Telleria, Jasmina Smajic, Paula Cristina Nogueira, Khalid Mahmood Khan Nafees, Romuald Hentchoya, Louise Rose, Javiera Soledad, Frances Lin, Yenny Cardenas, Amylkar Garay Reyes, Alan Sustic, Meropi Mpouzika, Tamas Vymazal, Hanne Irene Jensen, Hernan Aguirre-Bermeo, Liivi Maddison, Maija Valta, Silvia Calvino-Gunther, Frank Bloos, Faustina Excel Adipa, Vasilios Koulouras, Judy Enamorado, Zsuzsann Ágoston, Hrönn Birgisdóttir, Amit Gupta, Mohan Gurjar, Bram Kilapong, Seyed Mohammadreza Hashemian, Ignacio Martin-Loeches, Julie Benbenishty, Andrea Cortegiani, Kelly Fletcher, Yoshiro Hayashi, Wangari Waweru-Siika, Khalid Abidi, Sang-Min Lee, Burhan Hadri, Mihails Dolgusevs, Fayez François Abillama, Tomas Jovaisa, Cyril Thix, Muhammed Elhadi, Basri Mat Nor, Shanti Ratnam, Mohd Zulfakar Mazlan, Sundaresan Maiyalagan, Luis Sánchez-Hurtado, Adrian Belii, Mendsaikhan Naranpurev, Prabha Gautam, Dylan De lange, Rachael Parke, Rose Ekama Ilesanmi, Mirjana Shosholcheva, Antonija Petosic, Ranveig Lind, Madiha Hashmi Ffarcsi, Javier Bogarin, Aaron Mark Hernandez, Malgorzata Mikaszewska-Sokolewicz, Bruno Sousa, Dana Tomescu, Dorel Sandesc, Theogene Twagirumugabe, Vitaly Gusarov, Maie Ebaid, Radmilo Jankovic, Gari Slobodianiuk, Andrea Martonova, Rihard Knafelj, Mervyn Mer, Emilio Maseda, Bernardo Panka, Joerg C. Schefold, Eva Joelsson-Alm, Konlawij Trongtrakul, Lorna Merritt-Charles, Lamia Ouanes Besbes, Yalım Dikmen, Lesia Zgrzheblovska, Mark Fielding, Francesca Rubulotta, Ashish K. Khanna, Leif Saager, Ingrid von der Osten, Dritan Muzha, Alban Greca, Alma Cani, Nordian Xhindi, Genci Hyska, Antonio Margarit Ribas, Susana Pinto, Paulo Alves, Romina Esposito, Emanuel Valgolio, John Thomas Sanchez Minope, Antonio Abdala, Maria Ayala, Silvina Bravo, Ana Bantar, Patricia Delgado, Gustavo Badariotti, Fernando Lipovestky, Ana Diaz, Pablo Saul, Mariano Setten, Alejandra Aucapina, Ysica Acosta, Victor Gonzalez, Luis Camputaro, Fernando Baccaro, Robert Villa, Ana Diaz, Marcela Mastantuono, Emiliano Dean, Oscar Fernández Rostello, Patricia Brizuela, Julio Ricardo Bartoli, Matias Guereschi, Cristian Quiroga, Sofia Putruele, Paula Villegas, Veronica Curilen, Ruben Fernandez, Mariangeles Gabriela Nocheretti, Rosana Gabriela Escalante, Cecilia Inés Loudet, Silvia Fernandez, Ana Laura Gonzalez, Gustavo Andres Alvarez, Federico Iglesias, Silvia Chaparro, Graciela Zakalik, Gonzalo Pagella, Matías Baini, Pierina Arias Campos, Ignacio Sabbag, Armando Schmukler, Imelda Perdomo Fonseca, Gonzalo Martín Alvarez, Mario Ramirez, Fernando Tapia, Carlos Alejandro Bascary, Graciela del Valle Gimenez, Fernando Pablo Bertoletti, Esteban Milioto, Pablo Julio Maldonaldo Bonsignore, Maria Alejandra Fernandez, Julie Smith, Tim Chimunda, Lorraine Thompson, Teena Maguire, Frances Lin, Wendy Chaboyer, Fiona Coyer, Stacey Watts, Marion Mitchell, Madeleine Powell, India Lye, Leanne Parsons, Nerilee Baker, Claire Reynolds, Amy Thompson, Kristy Masters, Kellie Sosnowski, Lynette Morrison, Gavin D. Leslie, Ramanathan Lakshmanan, Alexis Tabah, Wendy Brown, Sharon McDowell-Skaines, Andrea McLucas, Chris Smith, Mandy Tallot, Sarah Jones, Michelle Barakat-Johnson, Thomas Leong, Rand Butcher, Kerrie Martin, Philipp Douschan, Dirk von Lewinski, Philipp Eller, René Schmutz, Uta Kolussi, Fatema Salman, Zainab Ateya, Nafseen Mostafa, Koen De Decker, Niels Van Regenmortel, Anita Jans, Patricia Wijnands, Stefano Coremans, Patrick M. Honore, David De Bels, Tanja Depuydt, Caroline Paillet, Luc-Marie Jacquet, Walter Swinnen, Francis Hannes, Matthia Mergeay, Stijn Van de Velde, Silvie Allaert, Pieter Hoste, Christophe Borin, Sandrine Balon, Vincent Fraipont, Patrick Biston, Nicolas De Schryver, Thierry Dugernier, Ilse Van Cotthem, Vanesa Mercado Telleria, Jasmina Smajic, Angelica Olivetto de Almeida, Silvia Angelica Jorge, Delmiro Becker, Raysa Cristina Schmidt, Evellyn Oliveira, Aline Ramalho, Eliane Mazocoli, Audrey Fioretti, Elaine Barros, Leticia Serpa, Suzana Bianchini, Ticiane Campanili, Taís Pantaleao, Paulo Carlos Garcia, Ana Lucia Vitti Ronchini, Rayanne Santos, Khalid Mahmood Khan Nafees, Nurulhuda Binti A. Manap, Romuald Hentchoya, Sean Bagshaw, Dominic Carney, Sean Bagshaw, Jon Davidow, Sean Bagshaw, Ella Rokosh, Sean Bagshaw, Andréa Maria Laizner, Samantha Smith, Megan McQuirter, Betty Star Kampayana, René Favre, Martin Sills, Andréa Maria Laizner, Julie Dallaire, Andréa Maria Laizner, Cathy Becker, Sherissa Microys, Bonnie Bowes, Jennifer Lajeunesse, Rishi Ghosh, Jacqueline Baptiste-Savoie, Rose Raizman, Sean Bagshaw, Gabriel Suen, Noushin Taghavi, Orla Smith, Clare Fielding, Louise Rose, Julieta Canales, Pia Molina, Javiera Chaparro, Maria Idalia Sepulveda, Matias Jesús Flamm Zamorano, Pamela Rocha, Ximena Villanueva, Paola Araya, Meneses Dayan, Fernando Avalos, Xiaohan Li, Yu Liu, Xinxia Li, Xiaoyan Chen, Zhixia Jiang, Jing Yang, Jingfang Chen, Lei Yang, Kefang Wang, Jie Gao, Xiuhua Fang, Ronghua Zhao, Xinhua Xia, Hongmei Liu, Jing Li, Haiyan Wang, Gen Meng, Yanhong Di, Damei Wang, Rong Hua Zhao, Li Ping Hu, Xiuhua Fang, Xu Peipei, Qing Feng Jiao, Hai Yun Wang, Chun Jie Xia, Yan Liu, Mei Ye, Yan Wan, Wenmei Wang, Yajun Ding, Aiua Ren, Yan Gao, Qi Li, Guifang Du, Jing Yang, Yanling Shen, Yanming Ding, Ning Li, Cui Yuan, Jing Li, Lei Tan, Qiang Lin, Hailing Guo, Howe Yan, Xiao Xu, Wei Zhang, Jinxian Liang, Libing Zhang, Eryun Tian, Qian Zhao, Lin InSu, Jingwen Dong, Yanmei Gu, Ying Liu, Lina Zhao, Wei Wang, Hongmei Qiao, Lili Tuo, Mengmeng Lv, Jin Yu Zhu, JiFen Zhu, Ying Wei, Man Liu, Yin He, Jiyin Cheng, Jin Liu, Na Jia, Dongfang Wei, Qing Li, Xiaoying Wu, Huan Duan, Dongliang Lin, Qiong Liang, Xiaofang Luo, Yunfeng Xiong, Rong Fen Huang, Jing Fu, Tao Zan, Man Ye, Zeya Shi, Yanfei Long, Yang Lei, Xiaodi Liu, Chen Yumei, LingLing Wang, Yali Zhang, Yan Xu, None Cheng, Wang Zhijuan, Chengxia Sun, JinHui Song, Yingli Wang, XiuMei Liu, Yupeng Liu, Yuxia Yuan, Qingping Huang, Fengling Yang, Yun Wu, Xianping Luo, Xiaowu Bai, Hong Zheng, Min Song, Yue Sun, ZhangShuangzi Li, Feifei Luo, Miao Liu, Li Chuntang Li, Xinjian Li, Guiping Zhang, Lina Xiao, Tingting Yu, Guangyuan Gao, Wei Wei, Fanglan Wang, Ting Han, Tingting Li, Qi Zeng, Jing Mei Zeng, Yan Long, Fuqun Pan, Jing Wang, Guoxue He, Haiyan Chen, Feifei Zhang, Yu Chao, Gao Chunhua, Xiuying Yao, Dongmei Bai, Lu Liu, Xuelian Xu, Yan Wang, Xuejuan Liang, Na Zhang, Xinxia Li, Aizhi Zhang, Xiaoyan Chen, XiaoChun Hu, Hui Zhang, RuiXia Wang, Poon Shing Tak, Sung Wai Ho, Qun Xia Jiang, Xinran Ding, Liu Hong, Limei Miao, Zhaoxia Feng, LiPing Huang, Juan Wu, Yuping Wang, Jiye Guo, Baoke Zhang, Chaoqun Ma, Yu Han, Congcong Liu, Min Ding, Linlin Luan, Jing Zheng, Shanshan Lv, Shumin Jiang, Wenzhen Cao, Xiujuan Xue, Jing Li, Guangyan Liu, Jing Wang, Xiyan Wei, Wei Zhang, Youru Jiang, Zhiru Yao, Li Gao, Jinhua Li, Wenwen Zhao, Mei Jiang, Junping Hao, Jing Zhang, Caiju Song, Feifei Chen, Shuhui Wang, Lili Hu, Deyan Cao, Yan Liu, Jianhong Wan, Xiaomin Wang, Hongyan Shao, Zhenxia Zhang, Xia Cui, Jingyu Liu, Lijuan Zhao, Xingguo Li, Limei Fan, Ling Zhang, Min Yu, Biyan Li, Chunxia Li, Ling Liu, XueLian Liu, Wenmin Chen, Yan Li, Zhang Zhigang, Wu Yuchen, Chenghau Mu, Guoyan Zhu, Fan Yang, Qi Bo, Ling Li, Meili Chen, Jing Hua Jiang, Hai Yin, Xuelian Pang, Yue Ying Gong, Shunzhu Yang, Xiaoli Yan, Xianhong Zheng, DeHong Lei, Lei Lei, Yinhua Guo, Lihong Liu, Jing Yu, Wei Sun, AiPing Bi, Weiwei Li, Yang Wu, Ji Li, Dongshu Ni, Xiaohan Li, Yu Liu, Zijing Wu, Bing Song, Jingfang Chen, Qin Fei, Yang Xiaoyan, Qiong Ran, Li Xixi, Xueping Jiao, Hua Ji, Sun Zhiping, Ma Hong, Mu Jianhong, Yanhua Hao, Li Yin, Ying Wang, Caihong Hui, Wenjie Ju, Xinhua Xia, Yuxia Huo, Yuxia Wang, Lei Chen, Yan Yan, Qingli Zhao, Hongjuan Chen, Guijun Bao, Ying Cao, Li Hong, Hong Zhang, Ying Zhang, Lina Xu, Jia Guixiang, Ying Li, Hui Min Zhao, Xia Huang, Zhaoxing Dai, Yanman Jian, Hongsu Zhang, Zhixia Tian, Zu Qing Cao, Miao Li, Yang Liu, Fei Ouyang, Fuying Ma, Wangyan Jin, Liuyan Ge, ShiFen Wu, Jing Li, Weilian Yuan, Tianfei Chen, Guanxiu Shi, Zhihong Chen, Kewei Liu, Xue Lin, Ly Yuemen, Sun Lijuan, Xiao Fang Tian, Shuo Wang, ZhangXia Feng, XiaoZhe Liu, Yunchun Dong, Jundi Zhang, Nie Bocui, ZhiXia Jiang, Jing Yang, GuoXian Wang, Yingjuan Zhao, Xiaojun Wu, Qiao Yang, Rongjun Ling Hu, Xue Qin Li, Zhu Jun Yu, Yanlan Yao, Xiaoqiong Deng, Yan Xiao, Yan Xie, Yanping Yang, Huai Yang, Yuming Zhou, Zhuqing Li, Min Xiao, YongXia Yang, Yani Tian, Luz Marina Silva Gama, Juan Sebastian Hernandez, Yenny Cardenas, Nestor Caicedo, Jorge Marin, Maria-Elena Ochoa, Monica Gomez, José Rojas-Suarez, Jeniffer Gonzalez, Amylkar José Garay Reyes, Edwin Chapeta, Estefania Orozco, Ina Filipović-Grčić, Anita Vuković, Suzana Pečenković, Aleksandar Šuput, Alan Sustic, Gordana Zivanovic-Posilovic, Armanda Bozena, Nikolina Udiljak, Morena Milic, Renata Curic Radivojevic, Slobodan Mihaljevic, Marijana Matas, Dinko Tonkovic, Hemena Čuljak, Ivana Herceg, Gordana Pavlisa, Milena Dobric, Tatjana Beker, Višnja Nesek Adam, Tanja Goranovic, Chrysanthos Markoulias, Mina Mathaios, Maria Mylordou, Eleni Achilleos, Pavlina Kleanthous, Veronika Kotanidi, Maria Foka, Iwy Charalabous, Anna Alexandrou, Marios Georgiou, Artemis Patsalos, Sofia Zepoy, Constantina Constantinou, Petr Piza, Tomas Vymazal, Elisabeth Wiborg, Louise Bruhn, Karin Kaasby, Karin Rehnholt Pedersen, Sanne Mikkelsen, Marie Collet, Anne Langvad, Hanne Andresen, Susanne Fischer, Inger Ebbesen Kjærgård, Britta Jepsen, Birthe Husted, Morten Bestle, Anne Marie Kodal, Tina Charlotte Bitsch Hansen, Anne Sofie Bomholt Pedersen, Tina Damgaar Thomsen, Anisette Hoegenhaven, Mette From, Tine Melgaard Frandsen, Grit Henning, Anja Hansen, Hanne Irene Jensen, Inger Abildgaard Bliksted, Luis Mario Tamayo, Pedro Mogrovejo, Hernan Aguirre-Bermeo, Carolina Palaez, Diego Rolando Morocho Tutillo, Cintia Valencia Hurtado, Maria Fernanda García, Diana Alvarez, Fausto Guerrero, Alexandra Vasquez, Martin Kütimets, Kadri Tamme, Liivi Maddison, Eneli Anvelt, Lomangisi Dlamini-Sserumaga, Carita Löfqvist, Virpi Lusenius, Outi Kauppi, Jenni-Katarina Sakki, Tarja Tervo-Heikkinen, Ulla Kesti, Merja Merilainen, Elina Karjula, Minna Peltomaa, Auli Palmu, Maarit Ahtiala, Maija Anniina Valta, Hervé Mentec, Gaëtan Plantefève, Guillaume Besch, Sébastien Pili-Floury, Stanislas Ledochowski, Marc Danguy des Déserts, Christophe Giacardi, Cédric Daubin, Audrey Massard, Yann Le Guen, Agnès Blanc, Simon Mandaroux, Silvia Calvino Günther, Prune Avogadro, Anthony Radavidson, Jean Turc, Sébastien Jochmans, Hervé Quintard, Laetitia Boyer, Cédric Bruel, François Philippart, Philippe Montravers, Enora Atchade, Nadine Flessel, Benoît Chinardet, Léa Soulisse, Cindy Pillard, Delphine Ngo, Benjamin Bongiorno, Nathalie Heitzler, Virginie Souppart, Nathalie Gautheret, Jean-Francois Timsit, Fatiha Essardy, Muriel Fartoukh, Daisy Mehay, Fabienne Etourneau, Jean-christophe Farkas, Pascal Beuret, Gabriel Preda, Etienne De Montmollin, Vincent Castelain, Ulrich Jaschinski, Monika Rothenfusser, Detlef Kindgen-Milles, Thomas Dimski, Christine Fiedler, Tobias Heinicke, Patrick Meybohm, Tobias Schulze, Marc Bota, Sabrina Pelz, Tobias Odenthal, Martin Christ, Frank Bloos, Kathrin Bösl, Achilleas Chovas, Sebastian Stehr, Philipp Simon, Sarah Grotheer, Sebastian Schüppel, Stefan Schaller, Lea Albrecht, Andeas Stübner, Stephan Graeser, Nina Kolbe, Martina Lausch, Anja Diers, Ulf Guenther, Reimer Riessen, Martin Roller, Irene Pearl Osei, Anita-Chrysolyte Kusi-Appiah, Yakubu H. Yakubu, Belinda Guadi-Gosh, Christos Dragoumanis, Christos Christofis, Nikolaos Kazakos, Styliani Bastani, Charalampos Martinos, Vasileios Bekos, Metaxia Papanikolaou, Theonymfi Papavasilopoulou, Anna Efthymiou, Vasiliki Chantziara, Anna Kyriakoudi, Nikolaos Kakaras, Chrisi Diakaki, Aikaterini Flevari, Charikleia Nikolaou, Kounougeri Katerina, Lamprini Avramopoulou, Kyriaki Tsikritsaki, Georgios Gkiokas, Eirini Pantiora, Chrysostomos Katsenos, Eirini-Chysovalanto Patsiou, Paraskevi Alexandropoulou, Ioannis Koutsodimitropoulos, Epaminontas Farmakis, Konstantina Nestora, Marinos Chatzis, Eumorfia Kondili, Stella Soundoulounaki, Ourania Mousafiri, Dimitra Lepida, Antonia Liarmakopoulou, Vasilios Koulouras, Georgios Papathanakos, Mrina Oikonomou, Panagiotis Ioannides, Dimitrios Papadopoulos, Ioannis Staikos, Maria Stafylaraki, Bogdan Raitsiou, Konstantinos Mandis, Ifigenia Ravani, Styliani Kourelea, Aikaterini Efthimiou, Giannoula Thoma, Apostolos Bakas, Konstantinos Psarulis, Souzana Anisoglou, Eirini Papageorgiou, Evangelia Michailidou, Thomai Tholioti, Athena Lavrentieva, Evdokia Sourla, Anastasia Spyropoulou, Nikolaos Pantelas, Kristina Mariana Matei Stalika, Ioannis Georgakas, Antigoni Karathanou, Syragoula Tsikriki, Aikaterini Dimoula, Sofia Kanakaki, Aristeidis Vakalos, Konstantinos Pagioulas, Judy Enamorado Enamorado, Gabor Nardai, Fatime Hawchar, Asbjorn Blondal, Brynja Rygvadottir, Rannveig J. Jonasdottir, Hrönn Birgisdottir, Bhagyesh Shah, Shuchi Kaushik, Swagata Tripathy, Mukta Singh, Sonika Agarwal, Manish Gupta, Meraj Ahmad, Kishore Mangal, Vaibhav Bhargava, Vilas Kushare, Simant Jha, Lakshay Bhakhtiani, Amit Gupta, Manoj Kamal, Mohan Gurjar, Arvind Baronia, Bram Kilapong, Ade Susanti, Mayang Indah Lestari, Zulkifli Zulkifli, Windu Baskoro, Farid Zand, Fatemeh Zarei, Ata Mahmoodpoor, Farshad Heidari, Fateme Jafaraghaee, Aidan O’Shea, Fiona O’Shea, Caroline O’Donnell, Geraldine Craig, Gerry Fitzpatrick, Lisa Dunne, Jennifer Hastings, Brian Marsh, Caitriona Cody, Elizabeth Campbell, Deirdre Doyle, Michelle Pacturanan, Christine Sheehan, Annette Carey, Charlotte Carter, Regina Mulvey, Damien O’Connell Rosemary Finn, Catherine Motherway, Amy Walsh, Jennifer Kehoe, Shella Delossantos, Jennifer Lalor, Siobhan O’Nuallain, Helena Behan, Sandra McPherson, Ailesh Corcoran, Patricia Gordon, Glenda Rooney, Dassy Levy, Mazal Azencot, Julie Benbenishty, Vladimir Gurevich, Alinoy Lavy, Valentina Bendelari, Romina Marconi, Antonio Barone, Chiara Gatti, Andrea Giampaoletti, Cinzia Borgognoni, Davide Massimo Ghioldi, Arena Raimondo, Giacomo Castiglione, Anna Vita Bruno, Giorgia Rubulotta, Antonella Mo, Amalia Corso, Salvatore Girianni, Andrea Bruni, Eugenio Garofalo, Salvatore Maurizio Maggiore, Alessandro Di Risio, Italo Calamai, Rosario Spina, Savino Spadaro, Carlo Alberto Volta, Antonella Cotoia, Lucia Mirabella, Laura Maulicino, Giancarlo Abregal, Maria Donvito, Paolo D’Ambrosio, Filipo Binda, Ileana Adamina, Alessandro Galazzi, Alessandra Negro, Rosanna Vaschetto, Fabio Capuzzi, Margherita Boschetto, Lucia Stivanello, Luciano Bonaccorso, Chiara Megna, Andrea Cortegiani, Pasquale Iozzo, Antonino Rizzo, Giovanni Scire, Maria Rosa Taibi, Francesca Paola Tranello, Antonio Manzo, Lidia Traina, Beatrice Pastore, Attilio Quaini, Gian Domenico Giusti, Gloria Montaldi, Federica Piergentili, Federica Mancini, Simona Casaioli, Francesco Uccelli, Fabio Guarracino, Adriana Onelli, Valentina Di Gravio, Maria Cossu, Oliva Matrona, Monica Rocco, Daniela Alampi, Federica Dellafiore, Flavia Ranalli, Matteo Bossolasco, Elisabetta Brizio, Pina Migliorino, Paolo Cortellazi, Moris Rosati, Francesco D’Ambrosio, Catia Quagliotto, Erik Roman-Pognuz, Alberto Peratoner, Silvia De Rosa, Marina Alessandra Martin, Francesca De Sanctis, Paolo Ciorba, Kelly Fletcher, Patrick Toppin, Hyacinth Harding-Goldson, Shunsuke Taito, Nobuaki Shime, Ryohey Yamamoto, Fumiya Kanda, Akemi Hirao, Moritoki Egi, Ayako Noguchi, Satoru Hashimoto, Umeda Aya, Hideaki Sakuramoto, Akira Ohuchi, Jun Kataoka, Kumi Maruyama, Izumi Nakayama, Yoshimasa Nishime, Koji Fujimoto, Kenji Takahashi, Mayumi Tsujimoto, Masako Shimizu, Wangari Waweru-Siika, Eunice Tole, Malcolm C. Correia, Je Hyeong Kim, Sunghoon Park, Kyung Chan Kim, Jonghyun Baek, Jung-Min Bae, So Young Park, Tai Sun Park, Heung Bum Lee, Seung Yong Park, Jisoo Park, Lee Yeon-Joo, Cho Young-Jae, Sang-Miin Lee, Kyeongman Jeon, Seok Chan Kim, Jongmin Lee, Hyun Keun Chee, Jin Won Huh, Yun Su Sim, Junghyun Kim, Youjin Chang, Jong-Joon Ahn, Byung Ju Kang, Won-Yeon Lee, Seok Jeong Lee, Burhan Hadri, Nehat Baftiu, Ivasr Krastins, Mihails Dolgusevs, Fayez François Abillama, Sonia Stiban, Michel El Feghaly, Elie Gharios, Marie Merheb, Mohamed Benlamin, Ala Khaled, Wesal Ali Belkhair, Majd Tabib, Firas Ashour, Ahmed Elhadi, Osama Wanees Emhemid Tababa, Taha Khaled, Soad Imhmed R. Alkhumsi, Abdualhamid I Alshrif, Ahmed Ali Aboufray, Aya Alabuzidi, Ahmed Ramadan Triki, Mala Elgammudi, Hajer Ben Zahra, Enas Soula, Maram Milud Said Al-Alawi, Hazem Ahmed, Mohamed Abdurazzag Ali Ghula, Saulius Vosylius, Lucie Mouton, Touraj Rastegar, Claude Sertznig, Gilles Martin, Cyril Thix, Christian Theisen, Christian Ferretti, Fränk Gils, Marc Gallion, Asmah Zainudin, Laila Kamaliah Kamalul Bahrin, Shanti Rudra Deva, Azmin Huda Abdul Rahim, Sherliza Wahab, Mohd Zulfakar Mazlan, W. Nazaruddin W. Hassan, Wan Nasrudin Wan Ismail, Mohd Nazri Ali, Tien Meng Khoo, Noryani Mohd Samat, Jenny May Geok Tong, Nik Azman Nik Adib, Mohd Basri Mat Nor, Shanthi Ratnam, Nahla Ismail, Shanthi Ratnam, Siti Rohayah Sulaiman, Kit Weng Foong, Anita Alias, Ngu Pei Hua, Sundaresan Maiyalagan, Sundaresan Maiyalagan, Jorge Macias Zermeno, Daniel Blanco, Karely Duran, Claudia Lizbeth Lopez Nava, San Juan Roman Nandyelly, Luis Alejandro Sanchez-Hurtado, Brigitte Tejeda-Huezo, Mario Del Moral Armengol, Luis Pedro Ambriz Nava, Jorge Guerra Herrera, Gilberto Felipe Vazquez de Anda, Humberto Gallegos-Perez, Nancy Hernandez-Sanchez, Lucia Hernandez-Ponce, Luis Gorordo-Delsol, Marcos Hernandez-Romero, Saira Gomez, Fernando Molinar, Silvio A. Ñamendys-Silva, Juan P. Romero-Gonzalez, Daira Gonzalez, Antonio Landaverde, Miguel Ángel Sosa, Berenice Navarro, José Ivan Rodriguez de Molina Serrano, Sergio Reyes Iburrigarro, Alejandro Ibarra, Joaquin Aguirre, Mayra Martinez-Gonzalez, Nayeli Rocio Cañas Padilla, Ana Alícia Velarde Pineda, Missael Vladimir Espinoza Villafuerte, María Ocotlan Gonzalez Herrera, Adrian Belii, Mendsaikhan Naranpurev, Battsetseg Baasanjav, Abdelhamid Hachimi, Mina Elkhayari, Khalid Abidi, Tarek Dendane, Nisha Bhandari Subedi, Sabina Dhakal Pathak, Prabha Gautam, Meena Manandhar, Laura Van Gulik, Mark Van Den Brink, Peter Van Vliet, Benjamin Gerretsen, Lettie Van Den Berg, Marina De Haan, Binny Tuinstra, Paul Kuijpers, Jennifer Reijntjens, Jan Wytze Vermeijden, Martin Rinket, Margijske Vanroest, Auke Reidinga, Bert Loef, Willem Dieperink, Marisa Onrust, Tom Dormans, Laura Bormans, Matty Koopmans, Rik T. Gerritsen, Arlette Van Den Elst, Mirjam Evers, Oscar Oiting, Rob Wilting, Bart Ramaker, Mark van der Kuil, Jan-Willem Fijen, Lenneke Haas, Dylan De Lange, Jasper Haringman, Lynette Newby, Rachael Parke, Eileen Gilder, Danielle Hacking, Rica Dagooc, Rima Song, Hansjoerg Waibel, Frances Dawn, Jackie Rapley, Llesley Chadwick, Carmel Chapman, Petra Crone, Jonathan Albrett, Peter Marko, Jennifer Goodson, Troy Browne, Richard Whitticase, Cheryl Davidson, Harriet Judd, Daniel Owens, Tonia Onyeka, Innocent Ugwu, Rose Ilesanmi, Prisca Olabisi Adejumo, Afolabi Owojuyigbe, Anthony Adenekan, Stella Uba, Christiana Chime, Deborah Jibrin, Babangida John Sankey, Oyebola Adekola, Simeon Olanipekun, Simeon Olanipekun, Oyebola Adekola, Mirjana Shosolcheva, Vanja Gievski, Andrijan Kartalov, Filip Naumovski, Biljana Kuzmanovska, Angela Trposak, Zaneta Bogoevska-Miteva, Rodney Rosalia, Brita Fosser Olsen, Britt Sjobo, Karianne Dale Jensen, Drammen Sykehus, Birgitte Fosser Johansen, Esben Straede, Edda Johansen, Inger Johanne Finnstrom, Annette Toellefsen, Hege Ostenjo, Hege Bjorgen, Bjorn Bratsberg, Elin Kristoffersen, Elin Mari Skorstad, Siri Hansen, Sylvi Vullum, Gro Anne Lunde, Wenche Arntsen, Mette Lund, Gro Ringstad Akselsen, Kristina Reinertsen Monstad, Ane Stenset, Hanne Haugom, Bjoern Monsen, Lisa Høgvall, Siw Trudvang, Britt Galaaen, Siv Karin Malmin, Marit Hildegunn Andersen, Rita Foss Hargott, Yvonne Andersen, Elin Steffenak, Marit Nyhus, Barbro Meland, Madiha Hashmi, Noelia Rivas, Elizabeth Maidana, Alberto de Jesús Ortiz, Dolly Mabel Bordon Cabral, Marcelo Simi, Cesar Aponte, Juan Carlos Rivas, Sirley Gill, Amilcar Garcia, Gloria Alvarenga, Laura Cespedes, Hugo Perez, Maria Liz Moreira, Fidelina Canete, Roberto Gonzalez, Natalia Monges, Amilcar Garcia, Mary Coman, Marcelo Pederzani, Natalia Franco, Ferdinand Aganon, Regina Martinez, Debbie Noblezada-Uy, Chris Gerome Ellazar, Franklin Dean Cerezo, Aaron Mark Hernandez, Jose Emmanuel Palo, Cristal April Jane Aperocho, Michael Isanan, Marta Tubacka, Przemyslaw Jasiewicz, Miroslaw Czuczwar, Michal Borys, Aleksandra Gutysz-Wojnicka, Lidia Glinka, Ryszard Gawda, Malgorzata Mikaszewska-Sokolewicz, Jan Bilawicz, Paula Cabrita, João Vieira, Margarida Ferreira Figueiredo, Cristiana Mota Pinheiro, Nelson Antunes, Laura Pedro, Fatima Ferreira, Isabel Parente, Maria Varela, Fatima Fernandes, Claudia Martins, Abel Viveiros, Raquel Cavaco, Clara Santa Rita, Sofia Dias, Ana Margarida Feranandes, Pedro Silva, Catarina Nunes, João Cabral, Bruno Sousa, Filpe Pires, Hilaryano Ferreira, Jacinta Santos, Vitor Manuel Vaz Pinto, Bruno Miguel Bispo, Amelia Ferreira, Elena Molinos, Estevão Lafuente, Ricardo Gregorio, Humberto Costa, Ângela Lima, Susana Ferreira, Vanda Seromenho, Eulália Luis, Idália Valerio, Helena Cesar, Ana Tavares, Ahmed Subhy Alsheikhly, Saeed Mahmood, Catalin Traian Guran, Alida Moise, Daniela Carmen Filipescu, Mihail Luchian, Dana Tomescu, Mihai Popescu, Monica Adriana Scutariu, Cristina Petrisor, Natalia Hagau, Ioana Grigoras, Tatiana Patrichi, Vitaly Gusarev, Alexandra Pivkina, Vladimir Kulakov, Olga Ignatenko, Julia Kovaleva, Trina Zhivotneva, Marina Zhedaeva, Nikita Matiushkov, Olga Ershova, Natalya Egorova, Victoria Khoronenko, Danil Baskakov, Dmitry Sergeev, Michael Piradov, Liudmila Grishina, Marat Magomedov, Evgeniy Zuev, Uri Gorokhovatsky, Anna Leonova, Liudmila Fadeeva, Vladislav Belskiy, Dmitriy Galishevskiy, Nadezhda Zubareva, Maksim Tribulev, Oksana Zueva, Alexander Kiselev, Nikolaj Kamenshchikov, Ekaterina Tokareva, Maxim Petrushin, Irina Starchenko, Theogene Twagirumugabe, Isaac Nshimyumuremyi, Jerome Muhizi, Egide Buregeya, Josue Nzarora, Amer Assiri, Maie Salem Ebaid, Ghaleb Almekhlafi, Yasser Mandourah, Jelena Velickovic, Dejan Veličković, Bojan Jovanovic, Adi Hadzibegovic, Branislava Stefanovic, Vanja Misic, Vesna Bumbasirevic, Marija Rajković, Radmilo Jankovic, Milena Stojanovic, Srđan Gavrilovic, Maja Stanojević, Andrea Martonova, Aktham Yaghi, Anton Turčan, Peter Firment, Garri Slobodianiuk, Daria Rabarova, Danca Lančaričová, Janko Vlaovic, Matjaž Groznik, Milica Lukic, Janja Perme, Maja Sostaric, Nejc Umek, Tomislav Mirkovic, Simon Dolenc, Rihard Knafelj, Misa Fister, Nika Zorko, Andrej Markota, Nomhle Princess Yeni, Phumele Jali, Shelley Schmollgruber, Muhommed Ridwaan Syed, Nivisha Parag, Robert Wise, Maria Galiana, José Alejandro Navarro, Ana María De Pablo, Patricia Albert, Pilar Martinez, Yolanda Mendiara, Barbara Garcia, Ana Alabart Llinas, Marilyn Riveiro, Elisabet Gallart, Alba Riera, Miquel Sanz, Swagotika Salo, Miguel Angel Gimenez Lajara, Montserrat Venturas Nieto, Rosa Garcia, José Manuel Garcia Pena, Maria Carmen Gorgolas, Maria Aranzazu Isasi, Rafael Sierra, Federico Gordo, Isabel Conejo, Vicent Salvà-Costa, Carolina Garzón-Tovar, Sara Lospitao, Rafael Gonzalez, Pedro Gutierrez, Mercè Girona, Jordi Adamuz, Pablo Garcia Olivares, José Peral Gutierrez de Ceballos, Celia Tirado, Irene De Wit, Ana Belén Curto Polo, Maria del Mar Diaz Salcedo, Javier Ripolles-Melchor, Eugenio Martinez-Hurtado, Jorge Duerto Alvarez, María Luisa Bravo Arcas, Juan Ignacio Torres Gonzalez, Ana Belén Sánchez de la Ventana, Pablo Lopez-Arcas Calleja, Raquel Garcia Alvarez, Purificacion Sanchez Zamora, Alvaro Ortega Guerrero, Rosario Cosano, Jonathan Perez-Vacas, Margarita Campos-Perez, Emma Moreno Barreiro, Losune Cano Sanchez, Monica Garcia Diaz, Raquel Jimenez, Lorena Del Rio Cabajo, Daniel Sancho Muriel, Helena Fernandez Alonso, Ana Wensell Fernández, Isabel Santín Piñan, Guillermo Muñiz Albaiceta, Maria Cristina Iglesias Fernandez, Francisco Javier Saenz Abos, Pablo Monedero, Ramon Molina Chueca, Lydia Gallego Aguirre, Silvia Call Manosa, Carmen Partera Luque, Neus Calpe, Monica Recio Losilla, Meritxell Tapia Fores, Olga Farre, Oscar Fernandez, M. del Rosario Villar Redondo, Donaldo S. Arteta Arteta, Maria Angeles Hurtado Sanchez, Cristina Paños Espinosa, Laura Martinez Reyes, Laura Claramunt Domenech, Carmen Velasco Guillén, Josep Trenado Alvarez, Mercedes del Cotillo, Jesus Emilio Barrueco-Francioni, Belen Burgos Conde, Maria Pilar Sogues Blanco, Maria Luisa Blasco, Ana Isabel Clement, Clara Hurtado, Luz Coronado Sanz, David Perez-Torres, Estefanía Prol-Silva, Jorge Pereira, Iván Areán González, Anastasio Espejo Cano, Cesar Rodriguez Nuñez, Inmaculada Lorenzo Fernadez, Alejandra Azahara Marguello Fernandez, Rosa Del Bosque Diez, Badiola Hilario, Begoña Zalba-Etayo, Ana Pascual-Bielsa, Bernardo Panka, Preveen Banwarie, Dick Nahar, Alisha van Axel, Naraindath N. Boedjawan, Erika Backlund Jansson, Ann-Sofie Malvemyr, Lotta Johansson, Ulla Sandberg, Catarina Tingsvik, Gunilla Mattsson, Gun Löf, Martin Spångfors, Mona Ringdal, Sebastian Geijer, Lotti Orvelius, Mia Hylen, Caroline Lagerhäll, Eva Joelsson-Alm, Eva Åkerman, Viveca Hamback Hellkvist, Ulrica Mickelsson, Eva Åkerman, Ewa Wahlbom, Ing-Marie Larsson, Ewa Wallin, Filippo Boroli, Solenne Ory, Joerg C. Schefold, Margaret Lynn Jong, Alexander Dullenkopf, Martin Lang, Yvan Fleury, Marianne Maus, Nawfel Ben-Hamouda, Anne Fishman, Mei Yu Hsu, Shu Chuan Chang, Konlawij Trongtratul, Chaiwut Sawawiboon, Sunthiti Morakul, Bodin Khwannimit, Lorna Merritt-Charles, Keevan Singh, Dale Ventour, Dianne Figaro-Barclay, Sasha Sankar-Maharaj, Mhamed Sami Mebazaa, Salma Kamoun, Souheil Elatrous, Lamia Besbes, Fekri Abroug, Walid Naija, Youssef Zied Elhechmi, Walid Sellami, Zied Hajjej, Takoua Merhabene, Imen Talik, Ozlem Ozkan Kuscu, Ozcengiz Dilek, Avşar Zerman, Hayriye Cankar Dal, Sema Turan, Semih Aydemir, Hakan Yilmaz, Duygu Kayar Calili, Seval İzdes, Melike Cengiz, Ayça Gümüş, Banu Taşdemir, Ali Kağnıcı, Mustafa Ay, Serap Avcı Ay, Gulbahar Caliskan, Turkay Akbas, Abidin Oner Balbay, Serdar Efe, Volkan Inal, Gülseren Elay, Pınar Karabacak, Boğaç Özserezli, Evren Şentürk, Oktay Demirkiran, Suha Bozbay, Yalım Dikmen, Elif Erdogan, Mustafa Akker, Nebia Peker, Asu Ozgultekin, Sibel Ocak Serin, Can Turan, Gulsah Karaoren, Senay Goksu, Sait Karakurt, Huseyin Arikan, Fethi Gül, İsmail Cinel, Iskender Kara, Hasan Nabi Undar, Yesim Serife Bayraktar, Jale Bengi Çelik, Murat Emre Tokur, Demet Tok Aydin, İsmail Yildiz, Beysim Özcan, Başar Erdivanli, Başar Erdivanli, Beysim Özcan, Ahmet Eroglu, Devrim Akdağ, Nurdan Ünlü, Mark Fielding, Adonis Dungca, Ashwaq Ali, Bindu Thankamma, Paul Eric Reyes, Sini John, Ajitha Rajendran, Fatima Kasem El Ahmad, Kathleen Ann Smiley, Susanna Hojden, Mia Thorning Miller, Vishnu Das Sasidharan Nair, Maria Gracia San Antonio, Khaled Al Qawasmeh, Sabah Abu Shawish, Hilary Twiggs, Ines Rosado, Volodymyr Babych, Faye Morren, Charlotte Young, Nicola Vaughan-Jones, Stephanie Harris, Karen Burns, Carmel Georgiev, Rosina Shayamano, Ian Kerslake, Peter Creber, Ana Vochin, Catherine O’Brien, Paul Caddell, Samantha Hagan, Mandy Hughes, Tomasz Torlinski, James Sherwin, Santhana Kannan, Amber Markham, Richard Lebon, Jason Cupitt, Julius Cranshaw, Nigel White, Victoria Marriott, Wendy Milner, Casiano Barrera Groba, Joao Azoia, Petra Polgarova, Shaly George, Ritoo Kapoor, Ceri Lynch, Nathalie Fox, Karen Cranmer, Natalie Fox, Thomas Llewellym, Kelly Matthews, Louise Maltby, Jowena Ibao, Karen Boulton, Rachel Jarman, Karen Baxter, Ashok Sundai Raj, Arif Moghal, Joanne White, Suzanne Barrowcliffe, Mark Pulletz, Vaarisan Ganeshalingam, Rosaleen Baruah, Carole Boulanger, Helen Baker, Justin Woods, Poe Poe Ei, Vongayi Ogbeide, Paul Hayden, Kelly Matthews, Jennifer Hughes, Madhu Balasubramanian, Armorel Salberg, Rajnish Saha, Dagmar Holmquist, Charlotte Young, Claire Derbyshire, Neil Smith, Elizabeth Stones, Jane Ademokun, Monica Popescu, Maria Schofield Legorburo, Samantha North, Carole Brett, Helen Jaundoo, Jayne Craig, Simon Whiteley, Clare Howcroft, Liz Wilby, Peter Delve, David Shaw, Karen Williams, Ingeborg D. Welters, Jane McMullen, Stephen Brett, Leah Flores, Treiza Trueman-Dawkins, Francesca Rubulotta, Mae Templeton, John Adams, Catherine Smith, John Prowle, Heather Byers, Andrea McDonnell, Bernd Oliver Rose, Rosie Reece-Anthony, Luis Mendes, Marcela Vizcaychipi, Rhian Bull, Grace Lacaden, Eleanor Santiago, Carlos Castro Delgado, Sarah Farnell-Ward, Elaine Thorpe, Justine Somerville, Anne Williams, Donna Cummings, Helen Derrick, Sarah Brumwell, Claire Randell, Nicola McCann, Emma Aves, Gillian Berry, Tamas Szakmany, Una Gunter, Paul Pulak, Nikki Sarkar, Kerry Wright, Vitor Gomes, Jo Jones, Ruth Palfrey, Julie Camsooksai, Abby Lewis, Antony Eneas, Ascanio Tridente, Louise Barr, Tomas Jovaisa, Beverley Thomas, Emma Parkin, Daniel Horner, Christian Frey, Suzanne Bench, Rachel Baumber, Phil Broadhurst, Matthew Jackson, Lynne Williams, Michele Clark, Jonathan Paddle, Sarah Bean, Sarah Buckley, Christopher Palfreeman, Sophie Liu, Nicola Allison, Ben Attwood, Penny Parsons, Victoria Houghton, Sarah Jane Turner, David Higgins, Egidija Bielskute, Nicola Horrigan, Reni Jacob, Karen Habgood, Ahmed Zaki, Amy Collins, Jenny Lord, Charalice Ramiro, Agnieszka Kubisz-Pudelko, Michelle Kotze, Helen Williams, Ihor Iovenko, Alexander Tsarev, Lesia Zgrzheblovska, Arturo Briva, Gabriela Mendez, Lena Napolitano, Leif Saager, Magnus Teig, Jarone Lee, Gabriel Enrique Rodriguez, Talia Ben-Jacob, Christopher Potestio, Timothy Eng, Dea Mahanes, Ashish Khanna, Abhijit Duggal, Masakatsu Nananmori, Manuel Lois, Anna Diaz, Kunal Karamchandani, Cheryl Bealer, Cindy Barefield, Dorothy Terry, Pauline Fivecoat, Olakunle Idowu, Juan Cata, Tara Clesi, Jessica Peterson, Kevin Hatton, Jasdeep Dhaliwal, Dorothee Mueller, Jing Tao, Ashley Szabo Eltorai, Stephen M. Pastores, Natalie Remor, Janel Salazar, Javier Bogarin, Diane Barkas, Aaron Joffe, Christopher Barnes, Christopher Barnes, Carrie Sona, Marilyn Schallom, Jack Short, Javier Lorenzo, Ingrid Von Der Osten, Marta Borkowska, Mireia Llaurado-Serra, Liesbet Demarré, Vincianne Pleitinckx, Frances Lin, Cynthia Xing, Jing Li, Anne-Sophie Debue, Stefan Goller, Andrea Cortegiani, Chiara Megna, Elsa Afonso, V. Gusarov, Eugeniya Larina, M. Llaurado-Serra, Konlawij Trongtrakul, Yalim Dikmen, Elif Erdogan
Journal: Intensive Care Medicine (2020)

Intensive care unit (ICU) patients are particularly susceptible to developing pressure injuries. Epidemiologic data is however unavailable. We aimed to provide an international picture of the extent of pressure injuries and factors associated with ICU-acquired pressure injuries in adult ICU patients. International 1-day point-prevalence study; follow-up for outcome assessment until hospital discharge (maximum 12 weeks). Factors associated with ICU-acquired pressure injury and hospital mortality were assessed by generalised linear mixed-effects regression analysis. Data from 13,254 patients in 1117 ICUs (90 countries) revealed 6747 pressure injuries; 3997 (59.2%) were ICU-acquired. Overall prevalence was 26.6% (95% confidence interval [CI] 25.9–27.3). ICU-acquired prevalence was 16.2% (95% CI 15.6–16.8). Sacrum (37%) and heels (19.5%) were most affected. Factors independently associated with ICU-acquired pressure injuries were older age, male sex, being underweight, emergency surgery, higher Simplified Acute Physiology Score II, Braden score < 19, ICU stay > 3 days, comorbidities (chronic obstructive pulmonary disease, immunodeficiency), organ support (renal replacement, mechanical ventilation on ICU admission), and being in a low or lower-middle income-economy. Gradually increasing associations with mortality were identified for increasing severity of pressure injury: stage I (odds ratio [OR] 1.5; 95% CI 1.2–1.8), stage II (OR 1.6; 95% CI 1.4–1.9), and stage III or worse (OR 2.8; 95% CI 2.3–3.3). Pressure injuries are common in adult ICU patients. ICU-acquired pressure injuries are associated with mainly intrinsic factors and mortality. Optimal care standards, increased awareness, appropriate resource allocation, and further research into optimal prevention are pivotal to tackle this important patient safety threat.