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[PATIENTS WITH PRESSURE ULCERS IN THE UNIFIED EMERGENCY ADMISSION DEPARTMENT – OUR REALITY]
Insights
Most patients with pressure ulcers visit the Unified Emergency Admission Department (UEAD) for other conditions. Family referrals were more common than social care, with most patients hospitalized or discharged.
Area of Science:
- Medicine
- Geriatrics
- Wound Care
Background:
- Pressure ulcers are a common concern, often leading patients to seek emergency care for co-existing conditions.
- Patients with pressure ulcers are typically admitted to the Unified Emergency Admission Department (UEAD) for reasons other than their ulcers.
Purpose of the Study:
- To investigate the incidence of pressure ulcer patients presenting to the UEAD.
- To identify the primary reasons for UEAD presentation in these patients.
- To determine the subsequent management and outcomes for patients with pressure ulcers admitted to the UEAD.
Main Methods:
- Retrospective analysis of data from the Hospital Information System.
- Inclusion of patients admitted to the UEAD between January 1, 2016, and May 31, 2016.
- Analysis of demographic data, referral source, triage category, and patient disposition.
Main Results:
- A total of 18 patients with pressure ulcers were admitted to the UEAD.
- The majority of patients (72%) were referred from family, contrary to expectations of more referrals from social care institutions.
- Hospitalization occurred in 55.5% of patients, while 44.4% were discharged; only one patient was admitted primarily for ulcer complications.
Conclusions:
- Contrary to assumptions, family referrals are more prevalent than social care referrals for pressure ulcer patients presenting to the UEAD.
- Effective nurse training and discharge letter implementation may influence referral patterns.
- The study highlights the importance of understanding patient pathways for pressure ulcer management within emergency departments.
Abstract:
Patients with pressure ulcers usually arrive to the Unified Emergency Admission Department (UEAD) due to other illnesses, from the family or social care institutions. After triage and treatment at UEAD, the patient is hospitalized or discharged from the hospital. The objective of this study was to examine the incidence, reasons for presenting to UEAD and further procedure that patients with pressure ulcers admitted to UEAD were subjected to. Data in the Hospital Information System on patients with pressure ulcers admitted to UEAD, Dr Tomislav Bardek General Hospital in Koprivnica in the period between January 1, 2016 and May 31, 2016 were retrospectively analyzed. The analysis included demographic data, location from which the patient arrived, triage category and further procedure the patient was subjected to. Data were analyzed by using the methods of descriptive statistics. A total of 18 patients with pressure ulcers were admitted to UEAD, 13 (72%) women and five (28%) men. Five (28%) patients were referred from social care institutions and 13 (72%) from the family. Triage category 2 included 7 (38.8%) patients, four (22%) patients were included in triage categories 3 and 4, while three (16%) patients were included in triage category 5. Ten (55.5%) patients were hospitalized, while eight (44.4%) patients were discharged from the hospital. Only one patient was admitted primarily due to pressure ulcer complications. Contrary to our assumptions, a lower number of patients were referred from social care institutions, i.e. more patients were referred from the family. These data resulted from a long lasting active training of nurses and implementation of the nurse’s discharge letter.
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