Development and validation of the Pressure Injury after
Hospital Admission (PIAHA) screening tool for early assessment
of hospital-acquired pressure injuries: a multiphase
multicentre study protocol in acute care settings

J 2026

Development and validation of the Pressure Injury after Hospital Admission (PIAHA) screening tool for early assessment of hospital-acquired pressure injuries: a multiphase multicentre study protocol in acute care settings

BAHRAMNEZHAD, Fatemeh; Sebastian PROBST; Ali MORADI; Keivan GOHARI-MOGHADAM; Farshid RAHIMI-BASHAR et al.

Základní údaje

Originální název

Development and validation of the Pressure Injury after Hospital Admission (PIAHA) screening tool for early assessment of hospital-acquired pressure injuries: a multiphase multicentre study protocol in acute care settings

Autoři

BAHRAMNEZHAD, Fatemeh; Sebastian PROBST; Ali MORADI; Keivan GOHARI-MOGHADAM; Farshid RAHIMI-BASHAR; Ata MAHMOODPOOR; Ali Akbar GHAMARI; Iman JAFARI; Amir VAHEDIAN-AZIMI a Andrea POKORNÁ

Vydání

BMJ Open, London, BMJ PUBLISHING GROUP, 2026, 2044-6055

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30307 Nursing

Stát vydavatele

Velká Británie a Severní Irsko

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Impakt faktor

Impact factor: 2.300 v roce 2024

Označené pro přenos do RIV

Ano

Organizační jednotka

Lékařská fakulta

Klíčová slova anglicky

Wounds and Injuries; Hospitals; Preventive Health Services

Štítky

14110611, rivok

Příznaky

Mezinárodní význam, Recenzováno

Změněno: 4. 6. 2026 12:00, Mgr. Tereza Miškechová

Anotace

V originále

Introduction Early prediction of hospital-acquired pressure injuries (HAPIs) is crucial for delivering prompt therapeutic interventions and personalised preventive measures to hospitalised patients. However, existing pressure injury (PI) assessment tools often lack transparency, objectivity, comprehensiveness and reliability. This study protocol aims to identify risk factors, develop a screening tool (Pressure Injury after Hospital Admission - PIAHA), and conduct a two-step validation for the early prediction of PI after hospital admission.Methods and analysis This multiphase, multicentre, sequential research design comprises five phases. The first phase involves an umbrella review to synthesise comprehensive information on PI risk factors in hospitalised patients from published review studies. The second phase will use conventional content analysis and qualitative interviews with national and international experts to identify context-specific predictors of HAPIs. The third phase will employ a three-round E-Delphi method to integrate findings and establish a structured list of potential predictors. In the fourth phase, a cross-sectional study will evaluate the predictive value of identified risk factors for HAPI development among hospitalised patients, contributing to the development of the PIAHA screening tool. The final phase consists of a two-step validation: (1) a cross-sectional comparison of the PIAHA tool against the gold standard and (2) a cluster randomised controlled trial to compare the effectiveness and cost-effectiveness of the novel 'IDEAL SKIIN CARES' prevention bundle, administered by trained wound specialist nurses, vs routine standard care.Ethics and dissemination Ethical approval was granted by Baqiyatallah University of Medical Sciences (IR.BMSU.REC.1402.059) covering all study phases. Written informed consent will be obtained from participants or their legal representatives. The study follows the Declaration of Helsinki. Results will be disseminated via peer-reviewed publications, conferences, webinars, policy briefs and public engagement through social media, educational videos and podcasts.Implications for clinical practice The PIAHA tool promises to enhance early detection of HAPI risk, facilitating individualised prevention and optimising clinical resource allocation. Implementation of the IDEAL SKIIN CARES bundle may improve patient outcomes and reduce healthcare costs by standardising evidence-based preventive care.PROSPERO registration number CRD42024532133.Trial registration number NCT06369688.

Citovat

BAHRAMNEZHAD, Fatemeh; Sebastian PROBST; Ali MORADI; Keivan GOHARI-MOGHADAM; Farshid RAHIMI-BASHAR; Ata MAHMOODPOOR; Ali Akbar GHAMARI; Iman JAFARI; Amir VAHEDIAN-AZIMI a Andrea POKORNÁ. Development and validation of the Pressure Injury after Hospital Admission (PIAHA) screening tool for early assessment of hospital-acquired pressure injuries: a multiphase multicentre study protocol in acute care settings. BMJ Open. London: BMJ PUBLISHING GROUP, 2026, roč. 16, č. 3, s. 1-18. ISSN 2044-6055. Dostupné z: https://doi.org/10.1136/bmjopen-2025-114550.

@article{2577006,
   author = {Bahramnezhad, Fatemeh and Probst, Sebastian and Moradi, Ali and GohariandMoghadam, Keivan and RahimiandBashar, Farshid and Mahmoodpoor, Ata and Ghamari, Ali Akbar and Jafari, Iman and VahedianandAzimi, Amir and POKORNÁ, Andrea},
   article_location = {London},
   article_number = {3},
   doi = {https://doi.org/10.1136/bmjopen-2025-114550},
   keywords = {Wounds and Injuries; Hospitals; Preventive Health Services},
   language = {eng},
   issn = {2044-6055},
   journal = {BMJ Open},
   title = {Development and validation of the Pressure Injury after Hospital Admission (PIAHA) screening tool for early assessment of hospital-acquired pressure injuries: a multiphase multicentre study protocol in acute care settings},
   url = {https://bmjopen.bmj.com/content/16/3/e114550},
   volume = {16},
   year = {2026}
}

TY  - JOUR
ID  - 2577006
AU  - Bahramnezhad, Fatemeh - Probst, Sebastian - Moradi, Ali - Gohari-Moghadam, Keivan - Rahimi-Bashar, Farshid - Mahmoodpoor, Ata - Ghamari, Ali Akbar - Jafari, Iman - Vahedian-Azimi, Amir - POKORNÁ, Andrea
PY  - 2026
TI  - Development and validation of the Pressure Injury after Hospital Admission (PIAHA) screening tool for early assessment of hospital-acquired pressure injuries: a multiphase multicentre study protocol in acute care settings
JF  - BMJ Open
VL  - 16
IS  - 3
SP  - 1-18
EP  - 1-18
PB  - BMJ PUBLISHING GROUP
SN  - 20446055
KW  - Wounds and Injuries
KW  - Hospitals
KW  - Preventive Health Services
UR  - https://bmjopen.bmj.com/content/16/3/e114550
N2  - Introduction Early prediction of hospital-acquired pressure injuries (HAPIs) is crucial for delivering prompt therapeutic interventions and personalised preventive measures to hospitalised patients. However, existing pressure injury (PI) assessment tools often lack transparency, objectivity, comprehensiveness and reliability. This study protocol aims to identify risk factors, develop a screening tool (Pressure Injury after Hospital Admission - PIAHA), and conduct a two-step validation for the early prediction of PI after hospital admission.Methods and analysis This multiphase, multicentre, sequential research design comprises five phases. The first phase involves an umbrella review to synthesise comprehensive information on PI risk factors in hospitalised patients from published review studies. The second phase will use conventional content analysis and qualitative interviews with national and international experts to identify context-specific predictors of HAPIs. The third phase will employ a three-round E-Delphi method to integrate findings and establish a structured list of potential predictors. In the fourth phase, a cross-sectional study will evaluate the predictive value of identified risk factors for HAPI development among hospitalised patients, contributing to the development of the PIAHA screening tool. The final phase consists of a two-step validation: (1) a cross-sectional comparison of the PIAHA tool against the gold standard and (2) a cluster randomised controlled trial to compare the effectiveness and cost-effectiveness of the novel 'IDEAL SKIIN CARES' prevention bundle, administered by trained wound specialist nurses, vs routine standard care.Ethics and dissemination Ethical approval was granted by Baqiyatallah University of Medical Sciences (IR.BMSU.REC.1402.059) covering all study phases. Written informed consent will be obtained from participants or their legal representatives. The study follows the Declaration of Helsinki. Results will be disseminated via peer-reviewed publications, conferences, webinars, policy briefs and public engagement through social media, educational videos and podcasts.Implications for clinical practice The PIAHA tool promises to enhance early detection of HAPI risk, facilitating individualised prevention and optimising clinical resource allocation. Implementation of the IDEAL SKIIN CARES bundle may improve patient outcomes and reduce healthcare costs by standardising evidence-based preventive care.PROSPERO registration number CRD42024532133.Trial registration number NCT06369688.
ER  -

BAHRAMNEZHAD, Fatemeh; Sebastian PROBST; Ali MORADI; Keivan GOHARI-MOGHADAM; Farshid RAHIMI-BASHAR; Ata MAHMOODPOOR; Ali Akbar GHAMARI; Iman JAFARI; Amir VAHEDIAN-AZIMI a Andrea POKORNÁ. Development and validation of the Pressure Injury after Hospital Admission (PIAHA) screening tool for early assessment of hospital-acquired pressure injuries: a multiphase multicentre study protocol in acute care settings. \textit{BMJ Open}. London: BMJ PUBLISHING GROUP, 2026, roč.~16, č.~3, s.~1-18. ISSN~2044-6055. Dostupné z: https://doi.org/10.1136/bmjopen-2025-114550.

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