| Abstract | Background: Hospital acquired pressure injury (HAPI) is a serious patient safety issue
that adversely affects patient's well-being and increases healthcare costs dramatically.
Prevalence and incidence studies estimate the burden of PI to allow decision-makers to
set priorities and allocate financial resources. However, the evidence of prevalence and
incidence in pediatric population is scarce. This study is expected to systematically
quantify the burden and identify the most frequently occurring HAPI stage(s) and
anatomical location(s).
Methods: Observational studies were searched on databases including PubMed,
Medline (via Ovid), EMBASE, SCOPUS, Cochrane Library, CINAHL (via EBSCO),
and ProQuest Nursing & Allied Health. The quality of the studies was appraised. The
Random effect models, subgroup analysis and meta-regression were employed due to
substantial heterogeneity.
Results: Seventeen studies were included. The pooled prevalence and
incidence of HAPI was 11.1% (95% CI 7.8 to 14.5) and 14.2% (95%CI 7.3 to
21.1) respectively. Stage I accounted for 54.5%. The most affected body sites
were head, face, ankle and foot.
Conclusion: Study findings revealed that HAPIs are serious adverse events.
iv
The majority of these injuries are avoidable as they are superficial. Results
recommended using appropriate assessment tools for different pediatric age
groups and implementing effective preventive measures and treatment strategies. |
