The prevalence, characteristics, and related factors of pressure injury in medical staff wearing personal protective equipment against COVID‐19 in China: A multicentre cross‐sectional survey
Open Access
- 12 May 2020
- journal article
- research article
- Published by Wiley in International Wound Journal
- Vol. 17 (5), 1300-1309
- https://doi.org/10.1111/iwj.13391
Abstract
Since December 2019, the medical staff fighting against COVID‐19 frequently reported the device‐related pressure injury (DRPI) caused by personal protective equipment (PPE). We conducted a cross‐sectional survey online to investigate the prevalence and characteristics of DRPI among medical staff. Univariate and multivariate logistic regression analyses were employed to explore the risk factors associated with DRPI. A total of 4308 participants were collected and 4306 participants were valid from 161 hospitals in China. The overall prevalence of DRPI caused by PPE among medical staff was 30.03% (95% CI 28.69%‐31.41%). The prevalence of male was more than that of female (42.25%, 95% CI 37.99‐46.51% vs 26.36%, 95% CI 26.93‐29.80%, P < .001).The categories were mainly stages 1 and 2, and the common anatomical locations were nose bridge, cheeks, ears, and forehead. Logistic regression analysis revealed that the risk factors were sweating (OR = 43.99, 95% CI 34.46‐56.17), male (OR = 1.50, 95% CI 1.12‐1.99), level 3 PPE (OR = 1.44, 95% CI 1.14‐1.83), and longer wearing time (OR = 1.28, 95% CI 0.97‐1.68). The prevalence of DRPI was high among medical staff wearing PPE against COVID‐19, and the risk factors were sweating, male, wearing level 3 PPE, and longer wearing time. Comprehensive preventive interventions should be taken.Keywords
Funding Information
- Shanghai Wang Zhengguo Trauma Medicine Development Foundation Project (20WQ027, WZGF20200101)
This publication has 12 references indexed in Scilit:
- Medical device-related pressure ulcers: A systematic review and meta-analysisInternational Journal of Nursing Studies, 2019
- Prevalence and Analysis of Medical Device-Related Pressure Injuries: Results from the International Pressure Ulcer Prevalence SurveyAdvances in Skin & Wound Care, 2018
- Management of Moisture-Associated Skin Damage: A Scoping ReviewAdvances in Skin & Wound Care, 2017
- Medical device-related pressure injuries: An exploratory descriptive study in an acute tertiary hospital in AustraliaJournal of Tissue Viability, 2017
- Understanding Moisture-Associated Skin Damage, Medical Adhesive-Related Skin Injuries, and Skin TearsAdvances in Skin & Wound Care, 2017
- Prevention of Medical Device–Related Pressure Injuries Associated With Respiratory Equipment Use in a Critical Care UnitJournal of Wound, Ostomy & Continence Nursing, 2017
- [Preventing Facial Pressure Injuries in Patients Who Use Noninvasive Positive Pressure Ventilators: The Efficiency of Dressings].2016
- Pressure Ulcer Incidence in Patients Wearing Nasal-Oral Versus Full-Face Noninvasive Ventilation Masks.American Journal of Critical Care, 2015
- The incidence, risk factors and characteristics of pressure ulcers in hospitalized patients in China.2014
- Systematic review of the use of prophylactic dressings in the prevention of pressure ulcersInternational Wound Journal, 2014