• Lucas Sato, Letícia Olandin Heck, Karina de Fátima Bimbatti, Bruno Cesar Petroski-Moraes, Christiane Becari, Anibal Basile-Filho, Maria Auxiliadora-Martins, and Gonçalves MeneguetiMayraMRibeirão Preto Nurse School, University of São Paulo, Ribeirão Preto, Brazil..
• Division of Intensive Care Medicine, Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Ribeirão Preto, Brazil.
• Medicine (Baltimore). 2023 May 5; 102 (18): e33615e33615.

AbstractCritical patients have conditions that may favor the occurrence of hospital-acquired pressure injury (HAPI). The objective of this study was to identify the incidence and factors associated with the occurrence of HAPI in patients with coronavirus disease 2019 admitted to the intensive care unit (ICU) who used the prone position. Retrospective cohort study carried out in an ICU of a tertiary university hospital. Two hundred four patients with positive real-time polymerase chain reactions were evaluated, of which 84 were placed in the prone position. All patients were sedated and submitted to invasive mechanical ventilation. Of the prone patients, 52 (62%) developed some type of HAPI during hospitalization. The main place of occurrence of HAPI was the sacral region, followed by the gluteus and thorax. Of the patients who developed HAPI, 26 (50%) had this event in places possibly associated with the prone position. The factors associated with the occurrence of HAPI in patients prone to coronavirus disease 2019 were the Braden Scale and the length of stay in the ICU. The incidence of HAPI in prone patients was extremely high (62%), which denotes the need to implement protocols in order to prevent the occurrence of these events.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.

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