فهرست نشریات علمی دسترسی آزاد ایران

Background and Objectives: Intraoperative acquired pressure injuries (IAPI) remains a critical preventable complication, necessitating systematic investigation of modifiable risk factors to optimize perioperative patient safety. To investigate the incidence and risk factors of IAPI in surgical patients, and to provide clinical reference for the prevention and treatment of patients with IAPI.   Methods: Retrospective analysis of the clinical data of 354 patients who underwent surgical treatment (surgical duration >2H) from 1 May 2020 to 1 March 2022 in the Department of Surgery of the People's Hospital. The CORN Intraoperative Acquired Pressure Injury Risk Assessment Scale was used to collect factors such as patient-related demographic data, type of surgery, and intraoperative characteristics. Statistical methods were applied for descriptive analysis, univariate analysis, and multivariate logistic regression analysis.   Results: The incidence of IAPI in surgical patients was 12.99%, with stage I being the most common (91.24%). The sites with a higher frequency of IAPI were sacrococcygeal (36.96%), foot (19.57%), and head and face (10.87%), in that order. Anaesthesia classification (P=0.023, OR=1.324, 95%CI: 1.002-1.529), body mass index(BMI) (P=0.001, OR=1.898, 95%CI: 1.68-2.154), skin condition of the compression site (P=0.000, OR=1.799, 95%CI: 1.385-2.512), preoperative limb activity (P=0.050, OR=1.210, 95%CI: 1.001-1.469), high-risk disease (diabetes mellitus) (P=0.000, OR=1.529, 95%CI: 1.398-1.993), intra-operative hemorrhage (P=0.001, OR=0.742, 95%CI: 0.532-0.779) and actual duration of surgery (P=0.000, OR=1.934, 95%CI: 1.397-2.267) were risk factors for IAPI.   Conclusion: There are many risk factors for intraoperative acquired pressure injury. We recommend individualised prevention and control measures for patients at high risk of developing IAPI, which can reduce the incidence of IAPI to some extent.