[PRESSURE ULCER AS THE PRINCIPAL INDICATOR OF HEALTH CARE QUALITY AT NEUROLOGY DEPARTMENT]

Area of Science:

• Medical Science
• Nursing
• Public Health

Background:

• Pressure ulcers are localized skin or tissue damage resulting from pressure, friction, or both, as defined by the European Pressure Ulcer Advisory Panel (EPUAP).
• These ulcers represent a significant medical, social, and economic burden, often leading to reduced quality of life, pain, and complications requiring multidisciplinary care.
• Increased life expectancy and prevalence of chronic diseases contribute to a growing population at risk for pressure ulcer development.

Purpose of the Study:

• To investigate the correlation between the duration of immobility (bed-ridden condition) and the incidence of pressure ulcers.
• To analyze this relationship in patients treated at a specialized neurology department over a four-year period.

Main Methods:

• Retrospective analysis of patient data from January 1, 2012, to December 31, 2015.
• Inclusion of patients with pre-existing pressure ulcers upon admission and those who developed them during hospitalization.
• Categorization of patients based on healthcare needs as defined by the Croatian Chamber of Nurses.

Main Results:

• Preliminary findings suggest a direct association between the length of bed-ridden status and the occurrence of pressure ulcers.
• The development of these chronic wounds is linked to increased hospital treatment costs and extended stays.
• Severe stroke was the predominant clinical presentation among the study cohort.

Conclusions:

• The duration of immobility is a key factor in pressure ulcer development.
• Healthcare strategies must prioritize pressure ulcer prevention, quality care, and ongoing professional education.
• Implementing effective preventive measures can mitigate the economic and clinical impact of pressure ulcers.