Differences in prevalence of pressure ulcers between the Netherlands and Germany – associations between risk, prevention and occurrence of pressure ulcers in hospitals and nursing homes

Tannen, Antje; Dassen, Theo; Halfens, Ruud J.G.

doi:10.1111/j.1365-2702.2007.02225.x

Cited by 67 publications

(53 citation statements)

References 24 publications

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“…Several studies have pointed out that there is actually no lack of evidence in the prevention of PU but rather a failure of nurses to put knowledge attained into practice . Nurses were found to be lacking in PU prevention implementation despite the fact that PU prevention is being described as basic nursing care .…”

Section: Discussionmentioning

confidence: 99%

Turning frequency in adult bedridden patients to prevent hospital‐acquired pressure ulcer: A scoping review

Chew

Thiara

Lopez

et al. 2017

International Wound Journal

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The aim of this study was to identify current research on turning frequencies of adult bed-bound patients and inform future turning practices for hospitals based on evidence-based practice. We undertook a scoping review framework that provided a transparent and systematic methodology using 8 electronic databases (CINAHL, PubMed, Cochrane Library, ScienceDirect, PsycINFO, Scopus, ProQuest, and Web of Science) to identify articles published from 2000 to 2016. Articles were included if they focused on the prevention of hospital-acquired pressure ulcers related to the frequency of turning or repositioning of bed-bound patients. Literature search and data extraction were performed independently by 3 authors. The study followed the PRISMA guidelines. In total, 911 articles were identified, of which 10 were eligible. Of the eligible articles, 8 studies could not reach a conclusion on the effective frequency of turning and duration for repositioning patients to prevent the development of pressure ulcers. Only 2 studies found significant differences among the intervention and control groups. Results regarding turning and repositioning schedules are inconclusive; however, the topic needs further exploration to improve the outdated guidelines surrounding pressure ulcer prevention. This may, in turn, make the work of nurses more efficient and make treatment cost-effective for both the patients and the hospitals.

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Section: Discussionmentioning

confidence: 99%

Turning frequency in adult bedridden patients to prevent hospital‐acquired pressure ulcer: A scoping review

Chew

Thiara

Lopez

et al. 2017

International Wound Journal

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“…An estimated 15% of acute care patients have pressure ulcers 4, and pressure ulcer incidence has increased by 63% in recent years 5. Pressure ulcers are an epidemic among bed bound populations, with a reported prevalence as high as 26% among hospitalized patients 6, 43% among those in nursing homes6, and 39% among patients with spinal cord injuries 7. These estimates likely underestimate the true scope of the pressure ulcer pandemic, as many cases are underreported due to concern that a pressure ulcer may be interpreted as negligent care 8.…”

Section: Introductionmentioning

confidence: 99%

High cost of stage IV pressure ulcers

Brem

Maggi

Nierman

et al. 2010

The American Journal of Surgery

280

182

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Objective-To calculate and analyze the cost of treatment for stage IV pressure ulcers.Methods-A retrospective chart analysis of patients with stage IV pressure ulcers was conducted. Hospital records and treatment outcomes of these patients were followed for a maximum of 29 months and analyzed. Costs directly related to the treatment of pressure ulcers and their associated complications were calculated.Results-Nineteen patients with stage IV pressure ulcers (11 hospital-acquired and 8 communityacquired) were identified and their charts reviewed. The average hospital treatment cost associated with stage IV pressure ulcers and related complications was $129,248 for hospital-acquired ulcers during one admission, and $124,327 for community-acquired ulcers over an average of 4 admissions.Conclusions-The costs incurred from stage IV pressure ulcers are much greater than previously estimated. Halting the progression of early stage pressure ulcers has the potential to eradicate enormous pain and suffering, save thousands of lives, and reduce healthcare expenditures by millions of dollars.

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“…Foi inte- Há forte evidencia na literatura demonstrando que a prevalência no desenvolvimento da UP em pacientes hospitalizados e idosos é alta. Estudos envolvendo grandes casuísticas com nú-mero superior a 10 mil casos mostram uma incidência de 28-41% de UP em idosos em hospitais europeus 16 . No presente trabalho, não se encontrou uma relação estatística com a idade.…”

Section: I S C U S S ã Ounclassified

“…Vários estudos têm demonstrado que há realmente uma associação entre o desenvolvimento de UP e a imobilidade no leito 16,20,22 e o estado nutricional de pacientes internados 7,25 . Nesse contexto, uma recente meta-análise mostrou que o suporte nutricional com dieta hiperproteica pode prevenir o aparecimento de UP em pacientes hospitalizados 27 .…”

Section: I S C U S S ã Ounclassified

Estado nutricional e capacidade funcional na úlcera por pressão em pacientes hospitalizados

et al. 2011

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Diana Borges DOCK-NASCIMENTO 1 R E S U M O ObjetivoCorrelacionar a incidência de úlcera por pressão com o estado nutricional e a capacidade funcional de pacientes internados. MétodosEstudo de corte transversal realizado em dois hospitais, totalizando 130 pacientes (idade mediana = 52 (14-85) anos, 77 (59,2%) homens e 53 (40,8%) mulheres), sendo 72 (55,4%) internados para tratamento clínico, 40 (30,8%) para tratamento cirúrgico e 18 (13,8%) em terapia intensiva. Os pacientes foram avaliados pela avaliação subjetiva global e classificados, de acordo com sua capacidade funcional, em acamados e não acamados. Registrou-se a presença e número de úlceras, e sua gravidade. A classificação das úlceras foi estabelecida como grave, para lesões de 3º e 4º graus, e leve, para os graus 1 e 2. ResultadosA incidência de úlcera por pressão na população estudada foi de 19,2% (n=25). Não houve associação significativa com o sexo, a idade e tipo de tratamento do paciente. Os pacientes acamados apresentaram 7,5 vezes mais chance de apresentar úlceras (19/50; 38,0%) do que os que deambulavam (6/80; 7,5%; OR=7,5;

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Differences in prevalence of pressure ulcers between the Netherlands and Germany – associations between risk, prevention and occurrence of pressure ulcers in hospitals and nursing homes

Abstract: The extent of pressure ulcer prevention, especially repositioning and nutrition intervention provided to patients at risk, is not in accordance with international guidelines.

Cited by 67 publications

References 24 publications

Turning frequency in adult bedridden patients to prevent hospital‐acquired pressure ulcer: A scoping review

Turning frequency in adult bedridden patients to prevent hospital‐acquired pressure ulcer: A scoping review

High cost of stage IV pressure ulcers

Estado nutricional e capacidade funcional na úlcera por pressão em pacientes hospitalizados

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