TABLE 1. Summary of Consensus Statements and Outcomes.
| Consensus Statement | Vote | Outcome |
|---|---|---|
| Pressure injury | ||
| Include medical device–related pressure injuries as a cause in the definition of a pressure injury. | Yes = 83% No = 17% 354 votes |
Consensus achieved |
| I prefer “medical device” Or “medical or other device” |
7% 93% 335 votes |
Consensus achieved |
| Stage 1 pressure injury | ||
| Remove the statement “Purple or maroon discoloration of the localized area that is non-blanchable may indicate deep tissue pressure injury” from the description of Stage 1 pressure injury. | Yes = 44% No = 56% 339 votes |
Consensus not achieved |
| Remove the statement “Color changes do not include purple or maroon discoloration, these may indicate deep tissue pressure injury”. | Yes = 14% No = 86% 337 votes |
Consensus achieved |
| Stage 2 pressure injury | ||
| The wound bed is viable pink or red, moist, and may also present as an intact or ruptured serum-filled blister. | Yes = 97% No = 3% 351 votes |
Consensus achieved |
| Retain skin conditions that may be incorrectly identified as a Stage 2 pressure injury. | Yes = 92% No = 8% 350 votes |
Consensus achieved |
| Stage 3 pressure injury | ||
| Retain the term “epibole” in the definition of Stage 3. | Yes = 80% No = 20% 345 votes |
Consensus achieved |
| Include the sentence describing anatomical locations: “The bridge of the nose, ear auricle, and occiput, and malleolus do not have subcutaneous adipose/fat tissue and Stage 3 pressure injuries do not occur in these areas.” | Yes = 75% No = 25% 289 votes |
Consensus not achieved |
| Stage 4 pressure injury | ||
| Remove the term osteomyelitis from the definition of Stage 4. | Yes = 80% No = 20% 335 votes |
Consensus to remove the phrase was achieved |
| Remove the statement “If slough or eschar obscures the extent of tissue loss this is an Unstageable Pressure Injury” from Stage 4. | Yes = 20% No = 80% 341 votes |
Consensus achieved |
| Unstageable pressure injury | ||
| Change “depth” to “extent” in unstageable. | Yes = 96% No = 4% 321 votes |
Consensus achieved |
| Stable eschar (ie, dry, adherent, intact without erythema or fluctuance) on the heel or ischemic limb should not be softened or removed. | Yes = 81% No = 19% 296 votes |
Consensus achieved |
| Deep tissue pressure injury | ||
| Add the phrase in italic to the definition: Wounds may evolve rapidly to reveal the actual extent of tissue injury, or may resolve without tissue loss. | Yes = 86% No = 14% 346 votes |
Consensus achieved |
| Place the definition of DTPI between Stage 1 and Stage 2. | Yes = 16% No = 84% 353 votes |
Consensus achieved |
| Add: “Do not use DTPI to describe vascular, traumatic, neuropathic, or dermatologic conditions”. | Yes = 85% No = 15% 319 votes |
Consensus achieved |
| Mucosal membrane pressure injury | ||
| Add the statement “The staging system for pressure injury of the skin cannot be used to stage mucosal membrane pressure injury.” to the definition of mucosal membrane pressure injury. | Yes = 98% No = 2% 325 votes |
Consensus achieved |
Abbreviation: DTPI, deep tissue pressure injury.