Document Detail


Hospital-acquired pressure ulcer prevalence--evaluating low-air-loss beds.
MedLine Citation:
PMID:  21233664     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: Higher-category pressure redistribution mattresses are considered a critical component of a pressure ulcer prevention program, but few studies have quantified the impact of specific preventive measures on the incidence or prevalence of hospital-acquired pressure ulcers (HAPUs). Therefore, this study was undertaken to determine the impact of low-air-loss beds on HAPU prevalence.
METHODS: This prospective, comparative cohort study monitored the prevalence of HAPU at our hospital and compared rates of matched medical-surgical units with and without low-air-loss beds. Units without low-air-loss beds used a variety of alternative pressure redistribution devices for patients deemed at risk for pressure ulceration. The prevalence of HAPU was operationally defined as the number of patients with HAPUs divided by numbers of patients observed.
RESULTS: The prevalence of HAPU over 3 quarters in 2008 ranged from 1.0% to 3.3% (overall rate 2.4%). Eighty-three percent of patients with HAPUs were cared for on low-air-loss beds. Of 12 patients with 16 HAPUs during this time, 75% were aged 70 years or older and 25% were managed in critical care units. Over half of patients who developed HAPUs had been hospitalized for 20 days or more. Half of the patients with HAPUs were scored as no-low risk on the Braden Scale.On the paired medical-surgical units, no statistically significant differences were found when patients with low-air-loss beds were compared to standard hospital mattresses supplemented by a variety of pressure redistribution devices. Seven of 11 HAPUs (63%) occurred in patients placed on low-air-loss beds.
CONCLUSIONS: The prevalence of HAPU in patients placed on low-air-loss beds was no different from patients placed on standard hospital mattresses supplemented by a variety of pressure redistribution devices. Further research is needed to determine the impact of specific strategies on prevention of HAPU.
Authors:
Jane Johnson; Darcie Peterson; Betty Campbell; Regina Richardson; Dana Rutledge
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society / WOCN     Volume:  38     ISSN:  1528-3976     ISO Abbreviation:  J Wound Ostomy Continence Nurs     Publication Date:    2011 Jan-Feb
Date Detail:
Created Date:  2011-01-14     Completed Date:  2011-05-06     Revised Date:  2011-08-29    
Medline Journal Info:
Nlm Unique ID:  9435679     Medline TA:  J Wound Ostomy Continence Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  55-60     Citation Subset:  N    
Affiliation:
St Joseph Hospital, 1100 W Stewart Dr, Orange, CA 92863, USA.
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Air*
Analysis of Variance
Beds / standards*
California / epidemiology
Clinical Nursing Research
Equipment Design
Female
Humans
Male
Middle Aged
Nursing Assessment / methods
Pressure Ulcer / diagnosis,  epidemiology*,  prevention & control*
Prevalence
Prospective Studies
Risk Factors
Severity of Illness Index
Skin Care / methods,  nursing
Teaching Rounds
Comments/Corrections
Erratum In:
J Wound Ostomy Continence Nurs. 2011 Jul-Aug;38(4):347   [PMID:  21747253 ]

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


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