Retrospective Psychosocial Risk Model for Post-Hospital Telogen Effluvium in Patients with Pressure Ulcers

This study investigated the impact of psychosocial factors on the onset of telogen effluvium in 92 hospitalized patients with pressure ulcers. It identified 36 cases of telogen effluvium post-discharge and developed the Psychosocial Risk Score for Posthospital Telogen Effluvium (SPREP) based on factors like prolonged hospitalization and emotional distress. A score of ≥4 on the SPREP indicated a higher risk, with an ROC curve area of 0.83. The study concluded that psychosocial distress is significant in telogen effluvium onset, and the SPREP model could help identify at-risk patients, though external validation is needed for broader clinical use.