Evidence map›Paper›PMID 42293372›Full record

ArticleFrontiers in rehabilitation sciences2026

Pressure injuries beyond acute care hospitals: a multicenter cohort study across rehabilitation settings.

Luciana Bevilacqua, Lorenzo Brambilla, Guya Devalle, Letizia Oreni, Romina Puce, Davide Bertoletti, Luca Donati, Anna Pia Barberio, Cristina Messa

Abstract read
In one paragraph

Article in Frontiers in rehabilitation sciences, 2026. 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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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

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

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

9 authors.

Luciana BevilacquaIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
Lorenzo BrambillaIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
Guya DevalleIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
Letizia OreniIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
Romina PuceIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
Davide BertolettiIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
Luca DonatiIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
Anna Pia BarberioIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.
Cristina MessaIRCCS Fondazione Don Carlo Gnocchi, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Pressure injuries (PIs) are widely recognized as indicators of patient safety and quality of care in acute hospitals, yet their burden in rehabilitation settings remains underexplored. Patients admitted to rehabilitation often present with high clinical complexity and functional dependency, potentially increasing PI-related risks. Methods: This multicenter retrospective cohort study was conducted across 15 inpatient rehabilitation facilities of the Fondazione Don Gnocchi network in Italy. All adult patients admitted for full-time rehabilitation between March 23 and April 23, 2024, were included, excluding those with stays shorter than 5 days. Data extracted from medical records included demographic and clinical characteristics, functional status (Barthel index), PI risk (Braden Scale), presence and characteristics of PIs at admission, incident PIs during hospitalization, healing outcomes, length of stay, and discharge destination. Prevalence and cumulative incidence were estimated, and cause-specific Cox regression models were applied to evaluate the association between PIs and time to routine discharge. Results: Among 1,013 patients, 175 had at least one PI at admission, corresponding to a prevalence of 17.3% [95% confidence interval (CI): 15.0%-19.8%]. Most lesions were stage 1-2 and primarily located at the sacrum and heels. Patients with PIs were older, more functionally dependent, and had higher rates of neurological comorbidities, dysphagia, incontinence, and medical device use. During rehabilitation, patients with PIs at admission showed a higher cumulative incidence of new PIs than those without (14.3% vs. 4.2%). Overall, 41.5% of lesions present at admission healed during hospitalization, with substantially lower healing rates for advanced-stage injuries. In multivariable analysis, the presence of PIs at admission was independently associated with prolonged time to routine discharge (adjusted hazard ratio 0.67, 95% CI: 0.54-0.83). Conclusions: Pressure injuries are highly prevalent at admission to rehabilitation and are associated with poorer clinical outcomes and increased resource utilization. These findings support the need for integrated preventive and management strategies spanning acute and rehabilitation care pathways.

Indexed as

length of stayolder adultspatient safetypressure injuriesrehabilitation

Identifiers

PMID42293372
PMCPMC13260522

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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.