Patient and organisational variables associated with pressure ulcer prevalence in hospital settings: a multilevel analysis

BMJ Open
Ida Marie BredesenDag Hofoss

Abstract

To investigate the association of ward-level differences in the odds of hospital-acquired pressure ulcers (HAPUs) with selected ward organisational variables and patient risk factors. Multilevel approach to data from 2 cross-sectional studies. 4 hospitals in Norway were studied. 1056 patients at 84 somatic wards. HAPU. Significant variance in the odds of HAPUs was found across wards. A regression model using only organisational variables left a significant variance in the odds of HAPUs across wards but patient variables eliminated the across-ward variance. In the model including organisational and patient variables, significant ward-level HAPU variables were ward type (rehabilitation vs surgery/internal medicine: OR 0.17 (95% CI 0.04 to 0.66)), use of preventive measures (yes vs no: OR 2.02 (95% CI 1.12 to 3.64)) and ward patient safety culture (OR 0.97 (95% CI 0.96 to 0.99)). Significant patient-level predictors were age >70 vs <70 (OR 2.70 (95% CI 1.54 to 4.74)), Braden scale total score (OR 0.73 (95% CI 0.67 to 0.80)) and overweight (body mass index 25-29.99 kg/m(2)) (OR 0.32 (95% CI 0.17 to 0.62)). The fact that the odds of HAPU varied across wards, and that across-ward variance was reduced when the selected ward-level vari...Continue Reading

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Citations

Jul 3, 2018·Journal of Clinical Nursing·Seol-Heui HanMi Ryeong Song
Jun 22, 2017·BMC Health Services Research·Gunnar Tschudi BondevikEllen Catharina Tveter Deilkås
Oct 9, 2019·Physiological Measurement·Joshua R HarveyYitzhak Mendelson
Jan 1, 2020·Journal of Clinical Nursing·Dana Tschannen, Christine Anderson
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Jun 15, 2021·Journal of Wound Care·John StephensonFarideh Javid
Aug 30, 2021·Clinical Nutrition : Official Journal of the European Society of Parenteral and Enteral Nutrition·Elham AlipoorMohammad Javad Hosseinzadeh-Attar

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