Reduction in the Incidence Density of Pressure Injuries in Intensive Care Units after Advance Preventive Protocols

Ru Yu Lien, Chien Ying Wang, Shih Hsin Hung, Shu Fen Lu, Wen Ju Yang, Shu I. Chin, Dung Hung Chiang, Hui Chen Lin, Chun Gu Cheng, Chun An Cheng

Research output: Contribution to journalArticlepeer-review

1 Citation (Scopus)


(1) Background: Patients who are critically ill or undergo major surgery are admitted to intensive care units (ICUs). Prolonged immobilization is the most likely cause of pressure injuries (PrIs) in the ICU. Previous studies of Western populations found that effective protocols could reduce the incidence of PrIs, and the efficacy of systemic targeted intervention protocols in preventing PrIs in the Chinese population needs to be surveyed. (2) Methods: We reviewed cases of PrIs in the ICUs of Taipei Veterans General Hospital from 2014 to 2019. The ICU nurses at the hospital began to implement targeted interventions in January 2017. The incidence density of PrIs was calculated by dividing the number of PrIs by person days of hospitalizations in the pre-bundle (2014–2016) and post-bundle (2017–2019) stages. Poisson regression was performed to compare the trend of incidence densities. (3) Results: The incidence density of PrIs was 9.37/1000 person days during the pre-bundle stage and 1.85/1000 person days during the post-bundle stage (p < 0.001). The relative risk (RR) was 0.197 (95% confidence interval: 0.149–0.26). The incidence densities of iatrogenic PrIs and non-iatrogenic PrIs decreased as the RRs decreased. (4) Conclusions: Targeted interventions could significantly reduce the incidence of PrIs. Healthcare providers must follow the bundle care protocol for PrI prevention to improve the quality of healthcare and promote patient health.

Original languageEnglish
Article number2116
JournalHealthcare (Switzerland)
Issue number15
Publication statusPublished - Aug 2023


  • bundle care
  • incidence density reduction
  • pressure injury

ASJC Scopus subject areas

  • Leadership and Management
  • Health Policy
  • Health Informatics
  • Health Information Management


Dive into the research topics of 'Reduction in the Incidence Density of Pressure Injuries in Intensive Care Units after Advance Preventive Protocols'. Together they form a unique fingerprint.

Cite this