Document Detail


African Americans show increased risk for pressure ulcers: a retrospective analysis of acute care hospitals in America.
MedLine Citation:
PMID:  19671125     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In an earlier study, we reported a significantly increased risk of pressure ulcer hospital discharge diagnoses in African Americans, higher age groups, and those with certain medical conditions. The objectives of the present study were to: (a) investigate the demographics associated with a higher odds ratio (OR) in African Americans and (b) determine whether African Americans have different rates of medical risk factors. The 2003 Nationwide Inpatient Sample database was queried. Patients with pressure ulcers were identified by discharge diagnoses using ICD-9 codes 707.0-707.09. Discharge diagnosis was examined using the agency for healthcare research and quality clinical classifications software (CCS). The present study used identified CCS discharge diagnoses present in at least 5% of all patients, with an OR>2. African Americans exhibited a higher incidence of an OR>2 for 28 identified CCS risk factors for pressure ulcers. The pressure ulcer diagnoses tended to occur at younger ages in African Americans. No significant differences were noted in African Americans with pressure ulcers when a subanalysis was conducted by zip code income quartile, region of the country, or teaching status of the hospital. Hospitalized African Americans exhibit an age-dependent, higher prevalence of pressure ulcers compared with Caucasians. Socioeconomic factors tracked within the Nationwide Inpatient Sample do not provide an explanation for this phenomenon.
Authors:
Mary Fogerty; Jeffrey Guy; Adrian Barbul; Lillian B Nanney; Naji N Abumrad
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Publication Detail:
Type:  Journal Article     Date:  2009-08-11
Journal Detail:
Title:  Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society     Volume:  17     ISSN:  1524-475X     ISO Abbreviation:  Wound Repair Regen     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-09-22     Completed Date:  2009-12-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9310939     Medline TA:  Wound Repair Regen     Country:  United States    
Other Details:
Languages:  eng     Pagination:  678-84     Citation Subset:  IM    
Affiliation:
Department of Surgery, Vanderbilt University School of Medicine, 1211 21st Avenue South, Nashville, TN 37212, USA. mary.d.fogerty@vanderbilt.edu
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
African Americans / statistics & numerical data*
Age Factors
Aged
Confounding Factors (Epidemiology)
European Continental Ancestry Group / statistics & numerical data*
Female
Hospitals / statistics & numerical data
Humans
Male
Middle Aged
Odds Ratio
Pressure Ulcer / epidemiology*
Retrospective Studies
Risk Factors
United States / epidemiology
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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