Cost of Pressure Ulcer Prevention in Long‐Term Care

Xakellis, George C.; Frantz, Rita A.; Lewis, Anne

doi:10.1111/j.1532-5415.1995.tb06095.x

Cited by 70 publications

(74 citation statements)

References 4 publications

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“…Among inpatients, pressure ulcer incidence is as high as 38% depending on nature of injury while in long term care settings, the incidence is reported at 24% (Xakellis, 1992;Cuddigan et al, 2001). Up to 66% of paraplegics will develop pressure ulcers (Richardson and Meyer, 1981).…”

Section: Introductionmentioning

confidence: 99%

Pressure Ulcer Prevention: Optimizing a Temporally Redistributing Support Interface

Peterson¹,

Healey²,

Visser³

et al. 2016

American Journal of Engineering and Applied Sciences

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Abstract:One of the most common complications from long-term wheelchair use or bed rest is pressure ulcers. Pressure ulcers have significant morbidity and are associated with high mortality. Prolonged sitting can cause high pressures in the skin and subcutaneous tissue which can lead to local ischemia and breakdown of skin. Rapid relief of pressure prevents ulcer formation. One prevention strategy is to change the temporal distribution of pressure at the interface between user and surface so that no one area is subjected to high pressures for long periods of time. While there are several dynamic interfaces in use currently, there is no definitive evidence of enhanced pressure ulcer prevention with their use. The purpose of this research was to parametrically evaluate interface array sizes, shapes and patterns for dynamic support surfaces to optimize pressure redistribution to prevent pressure ulcers. Finite element analyses, anatomical phantom deep tissue pressure measurements and interface pressure mapping were used to test various support geometries and sizes and different array spacing and patterns. Results indicate that modulating pressure in an array of supports that are equally spaced is not effective. Only interrupted pattern arrays resulted in sufficient pressure reduction. These data suggest that dynamic surface supports can be optimized based on the geometry and size of the individual supports and the pattern of the array to further reduce the likelihood of pressure ulcer formation.

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Section: Introductionmentioning

confidence: 99%

Pressure Ulcer Prevention: Optimizing a Temporally Redistributing Support Interface

Peterson¹,

Healey²,

Visser³

et al. 2016

American Journal of Engineering and Applied Sciences

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“…Despite these reports of pressure ulcer prevalence, no data are readily available on the duration of pressure ulcers, number of patient visits (clinic or home care) for pressure ulcer management, severity of the ulcers, or the outcomes of the ulcers in terms of healing, nonhealing, or the need for surgical intervention. Furthermore, although data are readily available on the cost of treating pressure ulcers in acute and longterm care, a dearth of information is available on the costs of treating pressure ulcers in persons with SCI [11][12][13][14]. Reports indicate that the average cost to heal complex fullthickness pressure ulcers is estimated to be $70,000 [15].…”

Section: Introductionmentioning

confidence: 99%

Pressure ulcers in veterans with spinal cord injury: A retrospective study

Garber¹,

Rintala²

2003

JRRD

136

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Abstract-Pressure ulcers are a major complication of spinal cord injury (SCI) and have a significant effect on general health and quality of life. The objectives of this retrospective chart review were to determine prevalence, duration, and severity of pressure ulcers in veterans with SCI and to identify predictors of (1) outcome in terms of healing without surgery, not healing, or referral for surgery; (2) number of visits veterans made to the SCI outpatient clinic or received from home care services for pressure ulcer treatment; and (3) number of hospital admissions and days hospitalized for pressure ulcer treatment. From a sampling frame of 553 veterans on the Houston Veterans Affairs Medical Center SCI roster, 215 (39%) were reported to have visited the clinic or received home care for pressure ulcers (ICD-9 code 707.0 = decubitus, any site) during the 3 years studied (1997, 1998, and 1999). From this sample, 102 veterans met the inclusion criteria for further analyses, 56% of whom had paraplegia. The duration of ulcers varied greatly from 1 week to the entire 3-year timeframe. Overall, Stage IV pressure ulcers were the most prevalent as the worst ulcer documented. Number and severity of ulcers predicted outcome and healthcare utilization. This study illustrates the magnitude of the pressure ulcer problem among veterans with SCI living in the community. Reducing the prevalence of pressure ulcers among veterans with SCI will have a significant impact on the Department of Veterans Affairs' financial and social resources. Innovative approaches are needed to reduce pressure ulcer risk in veterans with SCI.

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“…The international literature shows that the introduction of PU prevention protocols and of education programs decreases its incidence. In a hospital where stays were long, after educational intervention, the incidence was reduced from 23% to 5 % (16) and, in an Orthopedic unit it decreased from 55% to 29 % (17) . The objectives of the present article were to estimate the cumulative incidence (CIup) and incidence density (DIup) of pressure ulcer (PU) and to describe the occurrence of nursing actions in two hospitals of the state of Bahia, before (phase 1) and during (phase 2) educational intervention.…”

Section: Introductionmentioning

confidence: 99%

Incidência de úlcera por pressão e ações de enfermagem

2009

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Objectives: To estimate the cumulative incidence (IC up ) and density incidence (DI up ) of pressure ulcer (PU) and to describe the implementation of nursing interventions in two hospitals in the State of Bahia before (phase 1) and during an educational intervention (phase 2). Methods: A prospective design was used. The sample consisted of inpatients of medical/surgical units. Data were collected through skin integrity assessment, reviewing of medical records, interviewing patients, family members, and health care team. Results: The cumulative incidence before and during the educational intervention was 31.4% and 13.6% in hospital 1, and 21.4% and 15% in hospital 2, respectively. The density incidence in hospital 1 before and during the educational intervention was 14.3 days and 43.5 days, respectively. The density incidence in hospital 2 before and during the educational intervention was 31.3 days and 37 days, respectively. Conclusion: There was a statistically significant reduction of density incidence in hospital 1. Preventive nursing interventions were effective in both before and during the educational intervention in both hospitals. Keywords: Pressure ulcers/epidemiology; Quality assurance nursing care; Nursing care RESUMO Objetivos: Estimar a incidência cumulativa (IC up ) e a densidade de incidência (DI up ) de úlcera por pressão (UP) e descrever a ocorrência de ações de enfermagem em dois hospitais do Estado da Bahia, antes (fase 1) e durante (fase 2) intervenção educativa. Métodos: Estudo de coortes prospectivo com pacientes médico-cirúrgicos, utilizando avaliação da integridade cutânea, consulta a registros no prontuário, e entrevista com paciente, família e equipe. Resultados: IC up,, fase 1 e fase 2 foi, respectivamente, no hospital 1 de 31,4% e 13,6%, e no hospital 2, de 21,4% e 15%; DI up aponta tempo médio de exposição para aparecimento de UP no hospital 1 de 14,3 dias na fase 1 e de 43,5 na fase 2; no hospital 2, de 31,3 dias na fase 1 e 37 na fase 2. Conclusão: Redução estatisticamente significante da DI up no hospital 1; cuidados de enfermagem preventivos para UP comprometidos em ambos os hospitais nas duas fases. Descritores: Úlcera por pressão/epidemiologia; Avaliação da qualidade dos cuidados de enfermagem; Cuidados de enfermagem RESUMEN Objetivos: Estimar la incidencia acumulativa (IC up ) y la densidad de incidencia (DI up ) de úlcera por presión (UP) y describir la ocurrencia de acciones de enfermería en dos hospitales del Estado de la Bahia, antes (fase 1) y durante (fase 2) la intervención educativa. Métodos: Se trata de un estudio de cohortes prospectivo realizado con pacientes médico-quirúrgicos, utilizando una evaluación de la integridad cutánea, consulta a registros en la historia clínica, y entrevista con el paciente, la familia y el equipo. Resultados: IC up, fase 1 y fase 2 fue, respectivamente, en el hospital 1 de 31,4% y 13,6%, y en el hospital 2, de 21,4% y 15%; DI up apunta un tiempo medio de exposición para la aparición de UP en el hospital 1 de 14,3 días en la fase...

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Cost of Pressure Ulcer Prevention in Long‐Term Care

Cited by 70 publications

References 4 publications

Pressure Ulcer Prevention: Optimizing a Temporally Redistributing Support Interface

Pressure Ulcer Prevention: Optimizing a Temporally Redistributing Support Interface

Pressure ulcers in veterans with spinal cord injury: A retrospective study

Incidência de úlcera por pressão e ações de enfermagem

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