Document Detail

The prevalence of pressure ulcers in a tertiary care pediatric and adult hospital.
MedLine Citation:
PMID:  15867739     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To describe the pressure ulcer prevalence, stage and body location, and demographic characteristics of patients with pressure ulcers at a tertiary care adult hospital and a tertiary care pediatric hospital. DESIGN: Prevalence survey. SETTING AND SUBJECTS: A total of 513 inpatients, including 416 adults admitted to a tertiary care hospital and 97 children admitted to a tertiary care pediatric hospital. Only inpatients with mental health-related diagnoses were excluded. INSTRUMENTS: The Kinetics Concepts International's Prevalence and Incidence Study Collection Form was used to assess variables, including demographic information; presence, location, and stage of pressure ulcers; and presence of special support surfaces. METHODS: All patients had head-to-toe skin assessments performed during an 8-hour period by teams of 3 multidisciplinary staff members. Kinetics Concepts International's Prevalence and Incidence Program software and Microsoft Excel were used for data entry and analysis. RESULTS: Combined pressure ulcer prevalence was 26.3%, with 29.2% in adult patients and 13.1% in pediatric patients. The most common body locations for pressure ulcers were the sacrum (22.1%), heels (14.8%), ears (12.9%), elbows (10.6%), and the buttocks (6.8%). Forty-eight percent of the ulcers were stage I, 36% Stage II, 6% Stage III-IV, and 10% unable to stage. CONCLUSIONS: Overall combined pressure ulcer prevalence and common body locations were consistent with findings from comparable hospitals. Patients at the extreme ends of the age spectrum had an increased risk of pressure ulcers. Stage I and II ulcers occurred most frequently. Potential prevention and early management strategies may be effective in decreasing the prevalence of these ulcers.
Audrey Groeneveld; Marjorie Anderson; Sandy Allen; Sandy Bressmer; Maria Golberg; Bernice Magee; Margaret Milner; Sue Young
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society / WOCN     Volume:  31     ISSN:  1071-5754     ISO Abbreviation:  J Wound Ostomy Continence Nurs     Publication Date:    2004 May-Jun
Date Detail:
Created Date:  2005-05-03     Completed Date:  2007-08-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9435679     Medline TA:  J Wound Ostomy Continence Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  108-20; quiz 121-2     Citation Subset:  N    
Infection Control Practitioner, Infection Control Unit, University of Alberta Hospital, Edmonton, AB, Canada.
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MeSH Terms
Age Distribution
Aged, 80 and over
Alberta / epidemiology
Beds / utilization
Child, Preschool
Health Services Needs and Demand
Hospitals, Pediatric / statistics & numerical data
Hospitals, University / statistics & numerical data
Middle Aged
Nursing Assessment
Nursing Audit
Nursing Evaluation Research
Population Surveillance
Pressure Ulcer / diagnosis,  epidemiology*,  prevention & control
Risk Factors
Severity of Illness Index

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

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