Perioperative Pressure Injury: Bibliometric Analysis

Abstract

BackgroundThe occurrence of pressure injuries in the perioperative period presents a significant clinical hurdle for surgical patients. Surgery is recognized as a risk factor contributing to the onset of pressure injuries, which can manifest shortly after the operation, within a few hours, or up to 72 hours post-surgery. Bibliometric analysis has been carried out to assess publication patterns, rank research studies, and uncover emerging themes in perioperative pressure injury research.MethodData covering the period from 2015 to 2023 were extracted through the indexing metadata of Scopus and CINAHL using the keywords “pressure injury” OR “pressure ulcer” AND “perioperative.” Bibliometric parameters were extracted, and VOSviewer was employed to obtain bibliometric network and overlay visualization results.ResultThe mapping and clustering results from the VOSviewer network and overlay visualization identified various factors, including risk factors, postoperative complications, Electronic Health Record (EHR), prediction models, perioperative leadership, perioperative hypotension, responsibility, skin lesions, positioning, infection, risk assessment, attitude, peripheral nerve injury, and interface injury.ConclusionThe outcomes of mapping, clustering, ranking, and citation analysis of pressure injury in perioperative patients indicate that patient safety is the primary focus. From this main issue, indicators can be developed and transformed into variables that need analysis related to risk assessment, knowledge and attitude, policies, and referrals. The underlying theory in perioperative patient care is the middle-range theory by Myra Estrine Levine, with her esoteric nursing model, Conservation Model of Nursing.