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A Descriptive Study of Hospital- and Community-acquired Pressure Ulcers/Injuries
Holly Kirkland-Khyn1, Oleg Teleten1, Reena Joseph1
1UC Davis Medical Center, Sacramento, CA.
Wound Management & Prevention
|February 8, 2019
Summary
Community-acquired pressure ulcers/injuries (CAPU/I) are more prevalent than hospital-acquired pressure ulcers/injuries (HAPU/I), with most CAPU/I originating from home. Further research is needed to optimize care across the continuum.
Area of Science:
- Nursing Quality Indicators
- Wound Care Research
- Patient Safety
Background:
- Hospital-acquired pressure ulcers/injuries (HAPU/I) are well-researched.
- Limited data exists on community-acquired pressure ulcers/injuries (CAPU/I).
Purpose of the Study:
- To compare the prevalence and characteristics of HAPU/I and CAPU/I.
- To analyze data from an academic medical center in the western United States.
Main Methods:
- A descriptive study utilizing prospective/retrospective data.
- Data sources included the National Data for Nursing Quality Indicators, incident reporting system, EMR, and a pressure ulcer registry.
- Analysis included point prevalence, length of stay, source of admission, and ulcer stage.
Main Results:
- CAPU/I point prevalence was consistently higher than HAPU/I across 2015-2017.
- Average length of stay was significantly longer for HAPU/I (38.9 days) compared to CAPU/I (10.5 days).
- Most patients with HAPU/I (80%) and CAPU/I (65.4%) were admitted from home.
Conclusions:
- CAPU/I are more prevalent than HAPU/I.
- The majority of pressure ulcer/injury encounters originate from the community.
- More research is needed on CAPU/I staging and characteristics to improve care across the continuum.
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