Post-discharge evaluation of patients with hospital-acquired pressure injuries: prospective cohort study.
Michelle Venâncio Hong, Bruna Cristina Velozo, Isabela Novello and 3 others
PMID 42307343WHAT IT FOUND
Stroke was associated with slower early healing of hospital-acquired pressure injuries after discharge.
Among those interviewed at day 60, 48 of 57 improved or healed, but 22.1% of the group died and 10.6% to 16.8% were readmitted within 60 days.
Key findings
01Stroke was associated with slower early healing of hospital-acquired pressure injuries (hazard ratio 0.6; 95% CI 0.3-1.0; p=0.021).
02At day 60, 48 of 57 interviewed patients (84.2%) had improvement or complete healing of pressure injuries.
03During the 60-day post-discharge period, 25 of 113 patients (22.1%) died, and readmission rates ranged from 10.6% to 16.8%.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Healing was judged by patient or caregiver reports of signs such as granulation tissue, exudate, pain, odor and wound area, not by a validated wound assessment. Only 57 of 113 patients were interviewed at day 60, because of death, readmission or unanswered phone calls, so the healing estimate applies mainly to those who remained reachable. Patients who died during hospitalization were excluded, including 248 patients, so the study does not describe those patients. The sample came from two public teaching hospitals in one Brazilian city and was chosen by convenience, so it may not apply to other services. The analysis did not adjust for multiple factors together, so the stroke association may be affected by other differences between patients. Education and housing conditions were not collected, although they may influence home care and healing.
Declared interests
The work was supported by CAPES, Finance Code 001, Brazil. The supplied text does not state a commercial sponsor or author conflicts.
The easy way to misread this
Do not read the 84.2% improvement or healing at day 60 as proof that discharge instructions worked. This was an observational study, healing was based on caregiver reports, and 25 of 113 patients died during follow-up.