Evidence map›Paper›PMID 40190890›Full record

ArticleCureus2025

Incidence and Risk Factors for Hospital-Acquired Pressure Ulcers in Patients With COVID-19.

Hideharu Nakamura, Takaya Makiguchi, Yumi Yamada, Aya Tsunoda, Nana Tomaru, Satoshi Yokoo

Abstract read
In one paragraph

Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Hideharu NakamuraDepartment of Plastic and Reconstructive Surgery, National Hospital Organization (NHO) Takasaki General Medical Center, Takasaki, JPN.
Takaya MakiguchiDepartment of Oral and Maxillofacial Surgery, and Plastic Surgery, Gunma University Graduate School of Medicine, Maebashi, JPN.
Yumi YamadaDepartment of Plastic and Reconstructive Surgery, National Hospital Organization (NHO) Takasaki General Medical Center, Takasaki, JPN.
Aya TsunodaDepartment of Oral and Maxillofacial Surgery, and Plastic Surgery, Gunma University Graduate School of Medicine, Maebashi, JPN.
Nana TomaruDepartment of Oral and Maxillofacial Surgery, and Plastic Surgery, Gunma University Graduate School of Medicine, Maebashi, JPN.
Satoshi YokooDepartment of Oral and Maxillofacial Surgery, and Plastic Surgery, Gunma University Graduate School of Medicine, Maebashi, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHospital-acquired pressure ulcers (HAPU) are a major challenge in healthcare settings, especially in vulnerable populations such as patients with COVID-19. The aim of this study is to examine the association of COVID-19 infection with occurrence of HAPU, with the goal of enhancing care protocols and reducing HAPU incidence in at-risk populations.

methodsA retrospective analysis was conducted for 8,158 hospitalized patients aged 20 years and older who were treated from April 2022 to March 2023. The study included COVID-19-positive patients and non-COVID-19 patients. Data were collected for age, sex, body mass index, total protein, albumin (ALB), hemoglobin, COVID-19 infection, and independence in activities of daily living (ADL). For patients with COVID-19, surgical history, intensive care unit admission, physical restraints, mechanical ventilation, and prone positioning therapy were also examined. Risk factors for HAPU were evaluated based on these variables.

resultIn all 8,158 patients, low ALB and COVID-19 infection were independent risk factors for HAPU. In the COVID-19 cohort (n=412), low independence in ADL was also an independent risk factor. These findings underscore the importance of targeted interventions to mitigate the occurrence of HAPU, particularly for high-risk COVID-19 patients.

conclusionThis study showed that advanced age, low ALB, and COVID-19 infection are significant independent risk factors for HAPU. For COVID-19 patients, isolation policies may have reduced caregiver-patient interactions and hindered the delivery of frequent care, thereby increasing the risk of HAPU, particularly in patients with low ADL independence. For high-risk patients, a multidisciplinary approach is essential, with tailored PU prevention strategies implemented early to address individual needs and reduce the risk of HAPU.

Indexed as

covid-19hospital-acquired pressure ulcerindependence in activities of daily livingisolationmultidisciplinary care

Identifiers

PMID40190890
PMCPMC11971420

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.