ArticleAnesthesia and pain medicine2021
An exploratory study of risk factors for pressure injury in patients undergoing spine surgery.
Article in Anesthesia and pain medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.
- Prevalence of pressure ulcer and related factors in orthopaedic wards: A systematic review and meta-analysis.International wound journal · 2023Pooled it
- Risk factors for position-related injuries in adult surgical patients: a systematic review and meta-analysis.International journal of nursing studies advances · 2026Review
- Impact of a quality improvement model to reduce pressure injury and skin integrity incidences in the operating theatre.BMJ open quality · 2026Article
- 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
- Perioperative Risk Factors of Postoperative Pressure Injuries in Patients after Surgical Hematoma Evacuation of Intracranial Hemorrhage: A Retrospective Cohort Study.Advances in skin & wound care · 2025Article
- A retrospective cohort study of a PIRFAS- and ultrasound-guided program for pressure ulcers in prone orthopedic surgery.Frontiers in medicine · 2025Article
- Response to Letter to the Editor: Patient Positioning in Spine Surgery: What Spine Surgeons Should Know?Asian spine journal · 2023Article
- Patient Positioning in Spine Surgery: What Spine Surgeons Should Know?Asian spine journal · 2023Article
- Analysis of the clinical features and risk factors of device-related pressure injuries in the operating room.International wound journal · 2023Article
- Relationship between predisposing and facilitating factors: Does it influence the risk of developing peri-operative pressure injuries?International wound journal · 2022Article
- Pressure injury in the perioperative period during COVID-19 pandemic: Incidence and patient-related risk factors in a hospital in Turkey.Journal of tissue viability · 2022Article
- Magnitude of position-related soft tissue injuries and associated factors among elective adult surgical patients at Tikur anbessa specialized hospital, Addis ababa, Ethiopia.Annals of medicine and surgery (2012) · 2022Article
- Effect of Nurse-Applied Aloe Vera and Rosemary Oil Combination on Pressure Injury Prevention in Orthopaedic Surgery: A Triple-Blind Randomized Trial.SAGE open nursingArticle
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
backgroundPerioperative patients are potentially at risk for pressure injuries due to anesthetic agents and surgical positioning. Pressure injury increases discomfort and pain in patients and causes complications, which lead to an increase in mortality and hospitalization duration. Most previous studies did not focus on specific types of surgery or surgical positioning. We tried to identify the incidence of perioperative pressure injury during spinal surgery and perioperative risk factors that contribute to pressure injury.
methodsWe retrospectively analyzed electronic medical records of 663 patients who underwent spinal surgery between March 2016 and May 2018. The primary outcome was occurrence of pressure injury. Potential risk factors of pressure injury were selected based on previous studies and expert opinion, and divided into two sub-categories: preoperative and intraoperative risk factors. We compared the clinical characteristics of patients in the pressure injury and non-injury groups. Perioperative risk factors for pressure injury were analyzed by logistic regression.
resultsAmong 663 patients, the incidence of all stages of pressure injury was 5.9%. The face and inguinal regions were the most injured sites (both 28.6%). The pressure injury group showed a 13% longer hospitalization period. Preoperative plasma concentration of protein was associated with 0.5-fold lower pressure injury (OR: 0.50; 95% CI: 0.27 to 0.95; P = 0.034).
conclusionsThe incidence of pressure injury was similar to that previously reported and occurred in the direct weight-bearing areas, which led to longer hospitalization. We found that a lower preoperative serum protein level is significantly associated with intraoperative pressure injury occurrence during spinal surgery.
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