Predictors of Pressure Injuries in Older Residents Living in Nursing Homes in Sri Lanka: A Prospective Multi-Site Cohort Study.
R D Udeshika Priyadarshani Sugathapala, Sharon Latimer, Brigid M Gillespie and 2 others
PMID 40556478WHAT IT FOUND
In Sri Lankan nursing homes, having a pressure injury at baseline and having more medical devices were the only factors that predicted a new pressure injury in the final analysis.
Check skin and device placement closely.
Key findings
01Having a pressure injury at baseline was associated with a 2.1 times higher likelihood of a new pressure injury.
02Each additional medical device was associated with a 2.3 times higher probability of pressure injury occurrence.
03During the 12-week follow-up, 36 of 202 residents developed a new pressure injury.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The study included 202 residents and 36 new pressure injuries, so it had limited information for testing many possible predictors. Most homes were in the Colombo district, and the authors say results may not generalise to other nursing homes in Sri Lanka. Residents receiving end-of-life care and residents expected to be discharged were excluded, so the findings may not apply to them. Almost all residents had darker skin tones, so the study could not test whether skin tone affected pressure injury risk. The study observed risk factors over 12 weeks; it did not test whether removing devices or adding preventive measures prevents pressure injury. The final analysis kept only baseline pressure injury, number of medical devices, and number of preventive measures, so other screened variables were not evaluated in the final model.
Declared interests
The authors declared no conflicts of interest. Funding was provided by Griffith University Postgraduate Research Scholarship and Griffith University International Postgraduate Research Scholarship.
The easy way to misread this
Do not conclude that removing a device prevents a pressure injury. The study observed residents and reported a higher likelihood with more devices. It did not test device removal.