Variation in pressure ulcer prevalence and prevention in nursing homes: A multicenter study

Applied Nursing Research : ANR
Delphine S CourvoisierPierre Chopard

Abstract

To estimate the prevalence of pressure ulcers in nursing homes and its variability, the frequency of use of preventive measures and treatment. Pressure ulcer is a frequent pathology across healthcare settings. Most pressure ulcers are preventable and are considered an important quality of care indicator. Assessments were done on a single day of November 2015 in nursing homes in Geneva, Switzerland. Of the 51 institutions (3824 patients) eligible, 33 homes agreed to participate, representing 2671 patients (69.8%). One referent nurse per nursing home received training on pressure ulcer detection. To estimate the residual variability in prevalence and in number of prevention measures, adjusted multilevel logistic regressions were used. Patients were on average 85.6 years old, with a median length of stay of 2.1 years. The overall prevalence was 5.7% but varied considerably, from 0% to 19.6%. The variability across nursing homes decreased slightly when taking into account patient-level and institution-level characteristics. In the adjusted models, pressure ulcers prevalence was significantly associated with Braden risk; number of preventive measures was significantly associated with nursing home size, and Braden risk, and marginall...Continue Reading

Associated Clinical Trials

Citations

Apr 3, 2019·Journal of Clinical Nursing·Federica DellafioreRosario Caruso
Nov 10, 2020·Scandinavian Journal of Caring Sciences·Sirpa Mäki-Turja-RostedtElina Haavisto
Dec 11, 2020·Plastic and Reconstructive Surgery. Global Open·Richard GoodallJoseph Shalhoub
Jan 25, 2021·Journal of Tissue Viability·Elvira Hernández-Martínez-EsparzaJosé Verdú-Soriano
Feb 16, 2021·Advances in Skin & Wound Care·Charleen Singh, Noordeen Shoqirat
Apr 14, 2020·Journal of the American Medical Directors Association·Aaron M OgletreeDeborah Perfetto

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