Institutional and individual factors influencing urinary tract infections and pressure injuries in Korean nursing home residents: A multilevel analysis of National Health Insurance Service Data.
Purpose: Urinary tract infections (UTIs) and pressure injuries are critical quality indicators in long-term care facilities (LTCFs). This study investigated the individual- and institutional-level factors associated with UTI and pressure injury experience among Korean nursing home residents. Method:...
| Publicado en: | Journal of Korean Gerontological Nursing Vol. 27; no. 4; pp. 349 - 364 |
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| Autores principales: | , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Korean Gerontological Nursing Society
Nov2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190392261&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190392261 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 23841877 JDF1 jtl: Journal of Korean Gerontological Nursing issn: 23841877 maglogo: N pubinfo: dt: Nov2025 vid: 27 iid: 4 pid: 97171 pub: Korean Gerontological Nursing Society artinfo: ui: 190392261 190392261 190392261 10.17079/jkgn.2025.00185 190392261 ppf: 349 ppct: 15 formats: fmt: @attributes: type: P tig: atl: Institutional and individual factors influencing urinary tract infections and pressure injuries in Korean nursing home residents: A multilevel analysis of National Health Insurance Service Data. aug: au: Lee, Hee Seung Lee, Jung Suk affil: Associate Research Fellow, Health Insurance Research Institute, National Health Insurance Service, Wonju, Korea. sug: subj: Urinary Tract Infections Risk Factors Pressure Ulcer Risk Factors Risk Assessment Nursing Home Residents South Korea Insurance, Health South Korea Clinical Indicators Funding Source South Korea Human Retrospective Design Multiple Logistic Regression Descriptive Statistics Sex Factors Odds Ratio Confidence Intervals Functional Status Catheters, Urinary Quality Improvement Prediction Models Long Term Care Questionnaires Comorbidity Low Socioeconomic Status Health Status Health Status Indicators Mortality Risk Factors Organizational Structure Organizational Culture Intraclass Correlation Coefficient Multivariate Analysis Univariate Statistics Male Female Aged Aged, 80 and Over Age Factors Aged: 65+ years Aged, 80 & over Male Female ab: Purpose: Urinary tract infections (UTIs) and pressure injuries are critical quality indicators in long-term care facilities (LTCFs). This study investigated the individual- and institutional-level factors associated with UTI and pressure injury experience among Korean nursing home residents. Method: This retrospective study utilized the National Health Insurance Service database and analyzed 122,312 residents from 4,242 nursing homes who continuously resided for at least 3 months between January 2016 and December 2017. Multilevel logistic regression analyses were used to examine individual characteristics, facility attributes, and LTCF evaluation indicators. Results: The UTI and pressure injury experience rates were 31.09% and 6.69%, respectively. Female residents exhibited significantly higher UTI risk (odds ratio [OR]=1.16, 95% confidence interval [95% CI]=1.13~1.21) but lower pressure injury risk (OR=0.73, 95% CI=0.69~0.78) than males. Lower functional grades demonstrated stepwise risk increases for both outcomes, with Grade 1 residents showing 2.97 times increased UTI risk and 8.35 times increased pressure injury risk. Facility size was a significant risk factor for UTI development. Condition-specific LTCF evaluation indicators for UTI and pressure injuries showed targeted protective effects: the Indwelling Catheter Status indicator reduced the UTI experience risk by 14%; the Pressure Injury Prevention indicator reduced the pressure injury experience risk by 12%. Conclusion: This study identified distinct individual and institutional factors that influence adverse events in Korean nursing home residents. Condition-specific quality indicators demonstrated protective effects only for their corresponding outcomes, validating the effectiveness of tailored quality management approaches and supporting the development of targeted prevention strategies. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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