A Retrospective Analysis of Deep Tissue Pressure Injury Prevalence and Incidence Using a Large-scale Wound Care Database in Long-term Care Settings Across North America.

The study used existing wound-care documentation, not confirmed clinical examination or imaging, so DTPIs may be misclassified, underreported, or resolved before being recorded. One lesion was counted as a unique case rather than aggregating multiple wounds per resident, so wound-level rates may not equal resident-level rates. Data were limited to skilled nursing facilities in the United States and Canada that used one vendor platform, so results may not apply to hospitals, home care, or other systems. Comorbidities, staffing levels, care protocols, and organizational factors were not analysed, although they could affect detection and reporting. Several authors were current or former employees of the vendor whose database supplied the data.

Swift Medical Inc. stored the de-identified data. Several authors are current employees of Swift Medical, some are former employees, and some completed placements at Swift Medical. No other conflicts were declared.

Do not conclude that digital wound-care technology lowered DTPI rates after 2021. The study only observed records from facilities already using the platform, did not test the technology, and did not compare facilities that adopted it with facilities that did not.