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Published on: December 4, 2021
Pediatric pressure ulcer prevalence--one hospital's experience
Marilu Dixon1, Catherine Ratliff
1University of Virginia Health System, PO Box 801424, Charlottesville, VA 22908, USA. MD2G@hscmail.mcc.virginia.edu
Insights
Pediatric pressure ulcers are uncommon, with prevalence studies showing 3-4% occurrence in hospitalized children. Findings support implementing risk assessment tools and continuous monitoring for pediatric pressure ulcer prevention.
Area of Science:
- Pediatric Nursing
- Wound Care
- Hospital Epidemiology
Background:
- Pressure ulcers in children are considered rare and lack extensive research.
- Understanding the prevalence of pediatric pressure ulcers is crucial for effective prevention strategies.
Purpose of the Study:
- To determine the prevalence of pressure ulcers in hospitalized children across various pediatric units.
- To establish baseline data for implementing targeted prevention and management interventions.
Main Methods:
- Two cross-sectional prevalence studies were conducted in June 2003 and June 2004 at a children's hospital.
- All hospitalized children on five pediatric units (NICU, PICU, general acute care, rehabilitation) were examined.
- Descriptive statistics were used to analyze the collected data.
Main Results:
- In June 2003, 2 out of 77 patients (3%) had a pressure ulcer.
- In June 2004, 3 out of 79 patients (4%) had a pressure ulcer.
- These prevalence rates are comparable to findings from multisite studies.
Conclusions:
- Pediatric pressure ulcer prevalence appears to be low but warrants ongoing monitoring.
- Implementation of a pediatric pressure ulcer risk assessment tool is a priority outcome.
- Education for healthcare professionals and continuous prevalence monitoring are recommended.
Abstract:
Pressure ulcers in children are presumed to be relatively uncommon and have not been well studied. To better understand the occurrence of pressure ulcers in the pediatric population, two wound ostomy continence certified nurses at the University of Virginia Children's Hospital conducted prevalence studies in June 2003 and in June 2004. All five pediatric units (the neonatal intensive care unit, the pediatric intensive care unit, two general acute care units, and the rehabilitation unit) were included in the study. Each hospitalized child present on the unit at the time of the study participated and was examined. The data were tabulated and analyzed using descriptive statistics. In June 2003, two of 77 patients (3%) and a year later three of 79 patients (4%) had a pressure ulcer. These results are comparable to recent multisite study prevalence figures. Priority outcomes of the prevalence studies include implementation of a pediatric pressure ulcer risk assessment tool, education of healthcare professionals, and continuous pressure ulcer prevalence monitoring.
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