Characteristics of United States Nursing Homes with High Percentages of Stage 2-4 Pressure Injuries Among High-risk Nursing Home Residents with Obesity

Overview

Journal Wound Pract Res

Date 2024 May 13

PMID 38737330

Authors

Holly C Felix

Clare C Brown

Marie-Rachelle Narcisse

Jennifer L Vincenzo

Jennifer A Andersen

Christine W Bradway

Robert Weech-Maldonado

Affiliations

Soon will be listed here.

Abstract

Obesity rates in nursing homes (NHs) are increasing. Residents with obesity are at risk for poor outcomes such as pressure injuries (PIs) due to special care needs such as bariatric medical equipment and special protocols for skin care. PIs among resident populations is a sign of poor quality NH care. The purpose of this retrospective observational study was to identify characteristics of NHs with high rates of stage 2-4 PIs among their high-risk residents with obesity. Resident assessment data were aggregated to the NH level. NH structure and process of care and antecedent conditions of the residents and environment measures were used in bivariate comparisons and multivariate logistic regression models to identify associations with NHs having high rates of stage 2-4 PIs among high-risk residents with obesity. We identified three characteristics for which the effect on the odds was at least 10% for clinical significance - for-profit status, large facilities, and the hours of certified nursing assistants (CNAs) per patient day (HRPPD). This study identified several NH characteristics that are associated with higher risk for PIs, which can be targeted with evidence-based interventions to reduce the risk of these adverse safety events occurring.

Citing Articles

Characteristics of Nursing Homes with High Rates of Urinary Tract Infections among Their Residents with Obesity.

Felix H, Brown C, Narcisse M, Vincenzo J, Andersen J, Weech-Maldonado R Urol Nurs. 2024; 46(3):273-303.

PMID: 38774393 PMC: 11105761. DOI: 10.7257/2168-4626.2023.43.6.273.

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