The objective was to determine the relationship between time in the operating room (OR) and hospital-acquired pressure ulcers (HAPUs), controlling for temporality. The research team identified 931 HAPUs among surgical patients and matched them to 4 controls by hospital length of stay at the time the pressure ulcer (PU) was documented. A regression model estimated the relationship between OR time and HAPU after controlling for matching, age, sex, admission and current Braden score, weight, year, and American Society of Anesthesiologists physical status score. OR time in the 24 hours prior to PU documentation was associated with PUs. Only 5% of HAPUs occurred within 24 hours of extended (>4 hours) surgery and 58% occurred after hospital day 5. Extended surgery is confirmed as a risk factor for PU development. Most PUs do not appear in the immediate postoperative period, and prevention efforts should focus on postoperative patient care, when most HAPUs develop.

Rachel M. Hayes

Marcia E. Spear

Sheree I. Lee

Buffy E. Krauser Lupear

Richard A. Benoit

Rainy Valerio

Roger R. Dmochowski

American Journal of Medical Quality

美国医学质量杂志 (AJMQ) 专注于让读者了解有助于优质医疗保健服务的资源、流程和观点。这本经过同行评审的期刊提供了一个交流思想、战略和方法的论坛，以改善医疗保健的提供和管理。

The American Journal of Medical Quality focuses on providing readers with resources, processes, and perspectives that contribute to high-quality healthcare services. This peer-reviewed journal serves as a forum for exchanging ideas, strategies, and methods aimed at improving the delivery and management of healthcare.

《美国医学质量杂志》(American Journal of Medical Quality) 专注于为读者提供有助于优质医疗服务的资源、流程和观点。这本经过同行评审的期刊为交流改善医疗服务提供和管理的思想、战略和方法提供了一个平台。

Relationship Between Time in the Operating Room and Incident Pressure Ulcers

Most PUs do not appear in the immediate postoperative period, and prevention efforts should focus on postoperative patient care, when most HAPUs develop.

Category	Quartile
医学	4
医学, 卫生保健与服务	4

Relationship Between Time in the Operating Room and Incident Pressure Ulcers

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Journal Info

Category	Quartile
HEALTH CARE SCIENCES & SERVICES	4