Expert-driven weighting of pressure injury risk factors for wheelchair users: A Delphi study

ObjectiveTo identify and prioritize personal risk factors for pressure injuries in wheelchair users.DesignA Delphi survey was conducted with clinicians specializing in pressure injury prevention and care.SettingThe study was conducted online using LimeSurvey software.ParticipantsIn the first round, 90 clinicians participated and completed the survey; in the second round, 68 continued their involvement.ResultsAcross all rounds, 39 risk factors were identified by the experts. These factors were weighted according to expert consensus. Immobility, current or past pressure injuries, malnutrition, and sensory perception impairment are ranked among the highest important.ConclusionThese findings underscore the importance of considering both physiological and behavioral factors when assessing pressure injurie risk. The weighted list of expert-validated factors offers clinicians a practical foundation for more targeted and individualized prevention strategies, ultimately supporting improved care and quality of life for this population.