Elderly hospitalized patients frequently experience nursing complications such as pressure injuries. It is crucial for nursing staff to accurately identify risk factors and appropriately utilize assessment tools, which constitutes a key focus of clinical prevention efforts. This article categorizes the risk factors for pressure injuries in elderly patients into three types: non-modifiable factors, modifiable factors, and environmental/nursing-related factors. It provides a comprehensive analysis of the application and limitations of traditional assessment tools such as the Braden, Waterlow, and Norton scales, while summarizing research advancements in modified localized scales, risk prediction models, intelligent assessment tools, and specialized evaluation instruments to assist clinical nursing professionals in selecting and employing appropriate assessment tools as references.
Hu T, Zhang C, 2026, Clinical Efficacy of Medical High-Flow Nasal Cannula Decompression Pads in Emergency Care for Elderly Critically Ill Patients. Medical Equipment, 39(06): 29–32.
Xiang Y, Wang N, Wang T, et al., 2026, Research Progress on Risk Factors and Assessment Tools for Stress Injuries in the Elderly Population. Modern Medicine and Health, 1–11.
Qian C, Bao Y, Li X, 2026, Construction and Predictive Value of a Risk Prediction Model for Oral Mucosal Pressure Injury in Elderly Patients with Severe Traumatic Brain Injury in the ICU. Clinical Misdiagnosis and Mismanagement, 39(02): 76–84.
Wang C, Liang P, Li Y, et al., 2026, Construction of a Risk Prediction Model for Intraoperative Acquired Pressure Injuries in Elderly Patients Based on gcForest. Computer Knowledge and Technology, 22(03): 22–27.
Guan L, Yang Y, Li X, 2025, The Effect of Pressure Ulcer Early Warning Nursing Combined with Hierarchical Nursing on Pressure Injuries in Elderly Bedridden Patients in the Cardiology Department. Liaoning Medical Journal, 39(05): 90–94.
Yang S, Qin W, Wang S, 2025, Analysis of the Application Effect of Pressure Injury Risk Early Warning Management in Preventing Pressure Injuries in Intensive Care Unit Patients Undergoing Total Hip Arthroplasty. Henan Journal of Surgery, 31(05): 126–128.
Wang J, Wu L, Niu X, 2026, Analysis of Risk Factors and Construction of a Risk Prediction Model for Pressure Injuries in Elderly Patients with Acute Myocardial Infarction. Journal of Chengdu Medical University, 21(02): 228–232.
Yang L, Xie R, Yao Y, et al., 2025, Application of Doppler Ultrasound in the Prevention and Nursing Care of Pressure Injuries in Elderly Patients Undergoing Long-Term Mechanical Ventilation. Imaging Research and Medical Applications, 9(16): 183–185.
Gu X, Xie L, Qiu L, et al., 2025, Analysis of the Needs for Prevention and Nursing Care of Pressure Injuries in Home-Bound Elderly Individuals with Functional Impairment. China Typical Case Collection, 19(02): 812–817.
Yang Y, Chen W, Zhang L, 2025, A Multicenter Investigation of Risk Factors for Hospital-Acquired Pressure Injuries in Elderly Patients. Nursing Research, 39(11): 1836–1841.
Zhao Q, 2025, Analysis of the Preventive Effect of Prospective Nursing Based on Dynamic Risk Assessment on Pressure Injury Occurrence After Pelvic Fracture Surgery in Elderly Patients. Chinese Journal of Health Preservation, 43(08): 164–167.
Xue Y, Du J, Lin L, et al., 2025, Analysis of Relevant Risk Factors Influencing Pressure Injury in Elderly Patients with Chronic Obstructive Pulmonary Disease Undergoing Mechanical Ventilation. Geriatrics and Healthcare, 31(01): 161–165.
Li H, Li W, 2025, Construction of a Predictive Model for Intraoperative Acquired Pressure Injury Risk in Elderly Patients Undergoing Hip Arthroplasty. Journal of Wannan Medical University, 44(01): 89–93.
Zhang J, Huang B, Li Y, et al., 2025, Development and Validity/Reliability Testing of a Caregiver-Based Pressure Injury Risk Assessment Scale Based on the Delphi Method. Journal of Chengdu Medical University, 20(03): 498–501.
Zhang Y, Ma F, Ma S, et al., 2024, A Web-Based Calculator for the Risk of Hospital-Acquired Pressure Injuries in Elderly Patients Receiving Postoperative Intensive Care Following Hip Fracture. China Journal of Bone and Joint, 13(12): 1007–1013.
Jiang S, Ma L, Kang B, et al., 2024, Application of the FRAIL Scale in Predicting the Risk of Pressure Injuries After Joint Replacement Surgery in Elderly Patients. Journal of Shandong University (Medical Edition), 62(11): 54–66.
Zhang S, Jiang H, Hou J, et al., 2024, Construction of a Predictive Model for Oral Mucosal Pressure Injury Risk in Elderly Patients Undergoing Endotracheal Intubation in the ICU. Nursing Research, 38(20): 3592–3597.
Zhang L, Tang F, Zhang Y, 2024, Research Progress on the Epidemiological Characteristics and Risk Prediction of Pressure Injuries in the Elderly Domestically and Internationally Over the Past Decade. General Practice Nursing, 22(14): 2641–2644.
Dong Y, Yan L, 2024, Construction and Validation of a Nomogram Model for Individualized Prediction of Intraoperative Acute Pressure Injury Risk in Elderly Patients with Gynecological Malignancies. Advances in Modern Obstetrics and Gynecology, 33(07): 525–529