Hallmarks of Pressure Injury Occurrence Among Older Adult Critically Ill Patients Receiving Hemodialysis.

Patients in the intensive care unit (ICU) are at increased risk of developing hospital-acquired pressure injuries (HAPrIs) due to various factors. Immobility, severity of illness, and medical interventions place these patients at higher HAPrI risk. Patients with acute or chronic kidney conditions receiving intermittent hemodialysis are at an increased risk of HAPrI development due to illness severity and the toll hemodialysis takes on an individual's body. Data from a publicly available database were used in a retrospective study to examine characteristics of 457 older adult (>= 60 years) patients undergoing hemodialysis, including 86 (19%) who developed a HAPrI during their ICU admission. Significant findings show the association of sepsis, diabetes, and smoking with increased HAPrI risk. Findings underscore the need for vigilant monitoring and proactive management of these high-risk patients to improve patient outcomes.

Duke Scholars

Author Tracey L. Yap School of Nursing