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  1. Montgomery, Aoyjai P. PhD, BSN
  2. Patrician, Patricia A. PhD, RN
  3. Hall, Allyson PhD, MBA, MHS
  4. Miltner, Rebecca S. PhD, RN, CNL, NEA-BC
  5. Enogela, Ene M. MPH
  6. Polancich, Shea PhD, RN


Background: COVID-19 negatively impacts many organ systems including the skin. One of the most significant skin-associated adverse events related to hospitalization are pressure injuries.


Purpose: The aim of this study was to determine 8 risk factors that would place hospitalized patients at a higher risk for hospital-acquired pressure injuries (HAPIs) during the COVID-19 pandemic.


Methods: A retrospective, descriptive analysis was conducted in an urban academic health science center located in the southeastern United States.


Results: There were 247 of 23 093 patients who had pressure injuries and 1053 patients who had a positive COVID-19 diagnosis. Based on the generalized estimating equation model, diagnosis of COVID-19, age, male gender, risk of mortality, severity of illness, and length of stay are statistically significant factors associated with the development of HAPIs.


Conclusions: Further study should explore pathology of COVID-19 skin changes and what interventions are effective against HAPIs in the COVID-19 population taking into consideration current treatments.