Document Detail


Assessment of incidence, cause, and consequences of pressure ulcers to evaluate quality of provided care.
MedLine Citation:
PMID:  19732102     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Pressure ulcers are one of the most frequently registered complications in general surgery. OBJECTIVE: To obtain insight into the incidence, cause, and consequences of pressure ulcers and to evaluate the value of pressure ulcer registration to assess quality of care. RESULTS: During the 9-year study period, 275 pressure ulcers were registered (5.8% of total registered complications). Age and female sex were independent risk factors for pressure ulcer development. Pressure ulcer classification was as follows: mild (53.3%), moderate (35.6%), severe (9.5%), and irreversible damage (1.5%). Patients undergoing hip surgery and major limb amputation were at risk for pressure ulcer development (10.4% and 8.8%, respectively). In most patients (89.5%), pressure ulcers had no consequences other than local wound therapy; in 12 patients (4.4%), pressure ulceration led to alteration in medication; in 15 patients (5.5%), length of hospital stay was prolonged; and four patients (0.4%) suffered from irreversible damage. CONCLUSION: The incidence of pressure ulcers is strongly correlated to sex, age, and indication of admittance. Most ulcers were classified as mild and had no consequences. The insight obtained into incidence, cause, and consequences of pressure ulcers can be used as an indicator of quality of provided care if adjusted for case mix and indication of operation.
Authors:
Jan Willem H P Lardenoye; Jean A J G Thiéfaine; Paul J Breslau
Publication Detail:
Type:  Journal Article     Date:  2009-09-02
Journal Detail:
Title:  Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]     Volume:  35     ISSN:  1524-4725     ISO Abbreviation:  Dermatol Surg     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-11-13     Completed Date:  2009-12-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9504371     Medline TA:  Dermatol Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1797-803     Citation Subset:  IM    
Affiliation:
Department of Vascular Surgery, Leiden University Medical Center, Leiden, The Netherlands. J.H.P.Lardenoye@lumc.nl
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Female
Humans
Incidence
Male
Middle Aged
Postoperative Complications
Pressure Ulcer / classification,  epidemiology*,  etiology,  therapy
Quality Indicators, Health Care*
Risk Factors

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


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