Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Dec;31(4):174-181.
doi: 10.33235/wpr.31.4.174-181.

Characteristics of United States nursing homes with high percentages of stage 2-4 pressure injuries among high-risk nursing home residents with obesity

Holly C Felix  1 , Clare C Brown  1 , Marie-Rachelle Narcisse  2 , Jennifer L Vincenzo  3 , Jennifer A Andersen  4 , Christine W Bradway  5 , Robert Weech-Maldonado  6
Affiliations

Characteristics of United States nursing homes with high percentages of stage 2-4 pressure injuries among high-risk nursing home residents with obesity

Holly C Felix et al. Wound Pract Res. 2023 Dec.

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.

Keywords: nursing homes; obesity; pressure injuries.

PubMed Disclaimer

Conflict of interest statement

Conflict of interest The authors declare no conflicts of interest.

Similar articles

See all similar articles

Cited by

References

    1. CMS. Quality measures’ 2023. Available from: https://www.cms.gov/medicare/quality-initiatives-patient-assessment-inst...
    1. Kottner J, Cuddigan J, Carville K, Balzar K, Berlowitz D, Law S, et al. Pressure ulcer/injury classification today: an international perspective. J Tissue Viab 2020;29:197–203. - PubMed
    1. Edsberg LE, Black JM, Goldberg M, McNichol L, Moore L, Sieggreen M. Revised National Pressure Ulcer Advisory Panel pressure injury staging system: revised pressure injury staging system. Wound Ostomy Continence Nurs J 2016;43(6):585–97. - PMC - PubMed
    1. CMS. Nursing home data compendium 2015. In: DHHS, editor. Baltimore, MD: CMS; 2015. p. 1–243.
    1. Chen Z, Gleason LJ, Sanghavi P. Accuracy of pressure ulcer events in US nursing home ratings. Medical Care 2022;60(10):775–83. - PMC - PubMed