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Updated: Aug 9, 2025
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Published on: March 9, 2019
Pressure Ulcer Trends in the United States: A Cross-Sectional Assessment from 2008-2019
Phoebe B McAuliffe1, Eric E Winter1, Ankoor A Talwar1
1Department of Surgery, Division of Plastic Surgery, University of Pennsylvania, Philadelphia, PA USA.
Introduction:
Decubitus ulcers are a morbid and costly problem faced by healthcare systems and patients across the country. We aim to examine current patterns and characteristics of patients admitted to the hospital with a pressure ulcer.
Materials And Methods:
From a nationally representative sample of hospital discharge records, the Nationwide Inpatient Sample (NIS), patients with a diagnosis of pressure ulcer 2008-2019 were identified. Patient volume, demographic and clinical data were analyzed for change over time.
Results:
The volume of pressure ulcer patients as a proportion of all hospital patients remained constant from 2008 to 2019 (P = .479). During the study period, the proportion of ulcer patients that underwent an ulcer-related procedure significantly decreased (P < .001) while the proportion of ulcers considered severe significantly increased (P < .001).
Conclusions:
Our analysis suggests the prevalence of decubitus ulcers remained stable during the time period, with increased severity but reduced frequency of operative intervention.
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