| Assessment of incidence, cause, and consequences of pressure ulcers to evaluate quality of provided care. | |
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MedLine Citation:
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PMID: 19732102 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Jan Willem H P Lardenoye; Jean A J G Thiéfaine; Paul J Breslau |
Publication Detail:
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Type: Journal Article Date: 2009-09-02 |
Journal Detail:
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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:
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Created Date: 2009-11-13 Completed Date: 2009-12-11 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9504371 Medline TA: Dermatol Surg Country: United States |
Other Details:
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Languages: eng Pagination: 1797-803 Citation Subset: IM |
Affiliation:
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Department of Vascular Surgery, Leiden University Medical Center, Leiden, The Netherlands. J.H.P.Lardenoye@lumc.nl |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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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