The Silent Threat: Incidence and Prevalence of Medical Device-Related Pressure Injuries in Critical Care Units: A Systematic Review

Medical device-related pressure injuries (MDRPIs) represent a growing and often overlooked complication in critical care environments. These injuries, result from prolonged contact with essential therapeutic equipment such as endotracheal tubes, catheters, and monitoring devices, posing a significant threat to patient safety and recovery.This systematic review synthesizes current research on the incidence and prevalence of MDRPIs in intensive care units, highlighting key risk factors including immobility, impaired perfusion, and the complexity of care in critically ill populations. Attention is drawn to the variability in reporting standards and methodological inconsistencies across studies, which obscure the true burden of MDRPIs globally. In examining evidence from diverse healthcare systems, this review emphasizes the urgent need for standardized protocols, early detection strategies, and multidisciplinary approaches to prevent device-related tissue damage. Addressing this silent threat is vital not only to improve patient outcomes but also to reduce healthcare-associated costs and strengthen the culture of safety in critical care settings.

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Publication Details

Journal
Journal of Intensive Care Medicine
Published
2026-02-26
DOI
https://doi.org/10.1177/08850666261426336
Primary Topic
Pressure Ulcer Prevention and Management
Type
article
Field-Weighted Citation Impact
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article

The Silent Threat: Incidence and Prevalence of Medical Device-Related Pressure Injuries in Critical Care Units: A Systematic Review

Vasanthrie Naidoo, Deshni Anwar
Journal of Intensive Care Medicine
Pressure Ulcer Prevention and Management
article

The Silent Threat: Incidence and Prevalence of Medical Device-Related Pressure Injuries in Critical Care Units: A Systematic Review

Vasanthrie Naidoo, Deshni Anwar
article en

Abstract

Medical device-related pressure injuries (MDRPIs) represent a growing and often overlooked complication in critical care environments. These injuries, result from prolonged contact with essential therapeutic equipment such as endotracheal tubes, catheters, and monitoring devices, posing a significant threat to patient safety and recovery.This systematic review synthesizes current research on the incidence and prevalence of MDRPIs in intensive care units, highlighting key risk factors including immobility, impaired perfusion, and the complexity of care in critically ill populations. Attention is drawn to the variability in reporting standards and methodological inconsistencies across studies, which obscure the true burden of MDRPIs globally. In examining evidence from diverse healthcare systems, this review emphasizes the urgent need for standardized protocols, early detection strategies, and multidisciplinary approaches to prevent device-related tissue damage. Addressing this silent threat is vital not only to improve patient outcomes but also to reduce healthcare-associated costs and strengthen the culture of safety in critical care settings.

Journal of Intensive Care Medicine
Riyadh Armed Forces Hospital (SA), Durban University of Technology (ZA)
Good health and well-being
Openalex Percentile: Top 41%
Pressure Ulcer Prevention and Management
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