The Outcomes associated with a pressure injury prevention prone positioning Protocol
on Pressure Injuries in SARS-CoV-2 infected Acute Respiratory Distress Syndrome patients:
a multi-center observational study

Purpose. During the COVID-19, patients were placed in a prone position. The purpose of this study was to evaluate the effectiveness of a certified wound and skin care nurse leading the prevention of pressure injuries in SARS-CoV-2 prone positioned ARDS patients. Relevance/Significance (Why) Aim: To evaluate the effectiveness of a certified wound and skin care nurse leading the prevention of pressure injuries and assuring skin integrity in intubated SARS-CoV-2 infected ARDS patients. Research Question: What are the odds of reducing pressure injuries in prone positioned SARS-CoV-2 infected ARDS patients when a certified wound and skin care nurse uses a patient-centered approach to lead pressure injury prevention strategies while utilizing a Pressure Injury Prevention Protocol? Strategy/Implementation/MethodsStudy Design: Multi-Center Observational Cohort Study guided by a patient- and family-centered care model Sample: Consisted of patients who were admitted to the critical care units of the Large Academic Health System of the United States; were aged 21 years or older; were intubated and had a diagnosis of ARDS; and were infected with SARS-CoV-2. Data Collection: Retrospective review of existing data in the electronic health record. Two groups were analyzed: Intervention Group and Comparison Group. Analytical Approach: Adjusted Model Analysis (Multivariable Logistic Regression Mixed Effects Model) Evaluation/Outcome/Results (So What)Patients in the intervention group had 97% lower AOR of developing a pressure injury compared to the comparison group (AOR: 0.03; 95% CI: 0.01-0.14; p