ArticleInternational wound journal2020
Risk of readmissions, mortality, and hospital-acquired conditions across hospital-acquired pressure injury (HAPI) stages in a US National Hospital Discharge database.
Article in International wound journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.
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Who cites it
24 citing papers in PubMed, 72 citations in OpenAlex.
- Use of wipes with emollient and barrier properties for the prevention of pressure injuries: a multicentre randomised controlled trial.BMJ open · 2026Trial
- Feasibility of Using Digital Clinical Records to Identify Factors Associated with Nursing-Sensitive Outcomes During Hospitalization: A Pilot Study.Nursing reports (Pavia, Italy) · 2026Article
- Predicting long-term hospital outcomes in older adults with the hospital frailty risk score: a nationwide study of repeated readmissions.BMC geriatrics · 2026Article
- Evolution and economic evaluation of fecal incontinence management in United States intensive care units: from historical containment to automated diversion.Frontiers in medicine · 2026Review
- Large-area and soft magnetoelastic sensing for normal and shear stress distribution toward pressure injury prevention.Nature communications · 2025Article
- Comparative performance of logistic regression, multilayer perceptron and decision tree models for predicting surgical pressure injuries: a retrospective cohort study.BMJ health & care informatics · 2025Article
- Risk factors for hospital-acquired pressure injury in neurosurgery inpatients: a real-world prospective cohort study.Scientific reports · 2025Observational
- Nurses' Knowledge, Attitudes, and Practices in Pressure Injury Prevention: A Systematic Review and Meta-Analysis.Healthcare (Basel, Switzerland) · 2025Review
- Hospital-Acquired Pressure Injury Reduction: A Nurse-Led Quality Improvement Initiative in Qatar.Cureus · 2025Article
- Wearable devices for patient monitoring in the intensive care unit.Intensive care medicine experimental · 2025Review
- Nutritional trajectories in gastric cancer patients with early oral feeding.Frontiers in nutrition · 2025Article
- Economic Evaluation of Multilayer Silicone-Adhesive Polyurethane Foam Dressing for the Prevention of Pressure Ulcers in at-risk Hospitalized Patients: US and Italian Perspective.International journal of health policy and management · 2024Article
- The pressure injury prevalence and practice improvements (PIPPI) study: A multiple methods evaluation of pressure injury prevention practices in an acute-care hospital.International wound journal · 2024Article
- Myoglobin-derived iron causes wound enlargement and impaired regeneration in pressure injuries of muscle.eLife · 2023Article
- Strategies to preventing pressure injuries among intensive care unit patients mechanically ventilated in prone position: a systematic review and a Delphi study.Frontiers in medicine · 2023Article
- Treatment of Stage 4 Pressure Injuries With Autologous Heterogenous Skin Construct: A Single-Center Retrospective Study.Eplasty · 2023Article
- Abnormal thrombosis and neutrophil activation increase hospital-acquired sacral pressure injuries and morbidity in COVID-19 patients.Frontiers in immunology · 2023Article
- The influence of pressure injury risk on the association between left ventricular ejection fraction and all-cause mortality in patients with acute myocardial infarction 80 years or older.World journal of emergency medicine · 2023Article
- A machine learning algorithm for early detection of heel deep tissue injuries based on a daily history of sub-epidermal moisture measurements.International wound journal · 2022Article
- An economic analysis of a wearable patient sensor for preventing hospital-acquired pressure injuries among the acutely ill patients.International journal of health economics and management · 2021Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
Abstract
Pressure injuries are one of the most common and costly complications occurring in US hospitals. With up to 3 million patients affected each year, hospital-acquired pressure injuries (HAPIs) place a substantial burden on the US healthcare system. In the current study, US hospital discharge records from 9.6 million patients during the period from October 2009 through September 2014 were analysed to determine the incremental cost of hospital-acquired pressure injuries by stage. Of the 46 108 patients experiencing HAPI, 16.3% had Stage 1, 41.0% had Stage 2, 7.0% had Stage 3, 2.8% had Stage 4, 7.3% had unstageable, 14.6% had unspecified, and 10.9% had missing staging information. In propensity score-adjusted models, increasing HAPI severity was significantly associated with higher total costs and increased overall length of stay when compared with patients not experiencing a HAPI at the index hospitalisation. The average incremental cost for a HAPI was $21 767. Increasing HAPI severity was significantly associated with greater risk of in-hospital mortality at the index hospitalisation compared with patients with no HAPI, as well as 1.5 to 2 times greater risk of 30-, 60-, and 90-day readmissions. Additionally, increasing HAPI severity was significantly associated with increasing risk of other hospital-acquired conditions, such as pneumonia, urinary tract infections, and venous thromboembolism during the index hospitalisation. By preventing pressure injuries, hospitals have the potential to reduce unreimbursed treatment expenditures, reduce length of stay, minimise readmissions, prevent associated complications, and improve overall outcomes for their patients.
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