Medical Device-Related Pressure Injuries During the COVID-19 Pandemic

J Wound Ostomy Continence Nurs. 2020 Sep/Oct;47(5):430-434. doi: 10.1097/WON.0000000000000689.


Background: Medical device-related pressure injuries (MDRPIs) account for more than 30% of all hospital-acquired pressure injuries. The COVID-19 pandemic introduced a large population of patients at risk for MDRPIs due to prolonged intubation and prone positioning. We reviewed our experience with MDRPIs during the 2020 COVID-19 pandemic at an Academic Medical Center.

Cases: We evaluated 30 cases of MDRPIs acquired during the peak of our pandemic, April 1 to May 31, 2020, and compared these to injuries seen over a similar time period prior to the pandemic.

Conclusions: Our experiences with MDRPIs during this time has led the WOC team to begin development of a quality improvement project aimed at improving management of high-risk respiratory illness patients requiring intubation and prone positioning.

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Betacoronavirus*
  • COVID-19
  • Coronavirus Infections / complications
  • Coronavirus Infections / therapy*
  • Equipment and Supplies / adverse effects*
  • Female
  • Humans
  • Male
  • Middle Aged
  • Pandemics
  • Patient Positioning
  • Pneumonia, Viral / complications
  • Pneumonia, Viral / therapy*
  • Pressure Ulcer / etiology*
  • Pressure Ulcer / pathology*
  • Pressure Ulcer / prevention & control
  • Prone Position*
  • Quality Improvement
  • Respiration, Artificial / adverse effects
  • Respiration, Artificial / instrumentation
  • Retrospective Studies
  • SARS-CoV-2
  • Young Adult