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National pressure ulcer prevalence survey
Summary
The 1993 survey revealed an 11.1% prevalence of pressure ulcers in hospitals, a rise from 1989. The sacrum is the most common site, with Stage I and II ulcers affecting older adults most frequently.
Area of Science:
- Gerontology
- Wound Care
- Epidemiology
Background:
- Pressure ulcers (PUs) represent a significant healthcare challenge, particularly in hospital settings.
- Previous studies indicated varying prevalence rates, necessitating updated data.
Purpose of the Study:
- To determine the current prevalence and characteristics of pressure ulcers in a hospital setting.
- To identify common locations, stages, patient demographics, and support surfaces associated with pressure ulcers.
Main Methods:
- A survey conducted in 177 hospitals in 1993.
- Data collection on pressure ulcer prevalence, location, stage, patient age, and support surfaces.
Main Results:
- The overall prevalence of pressure ulcers was 11.1%, an increase from 1989.
- The sacrum was the most frequent site (38%). Stage I (46.95%) and Stage II (32.66%) ulcers were most common.
- Patients aged 70-89 years accounted for 54% of ulcers. African-American patients had a higher proportion of Stage IV ulcers.
Conclusions:
- Pressure ulcer prevalence remains a concern, with a notable increase since 1989.
- Older adults and specific demographic groups are at higher risk.
- Further investigation into prevention strategies and support surfaces is warranted.