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Fourth national pressure ulcer prevalence survey
Advances in Wound Care : the Journal for Prevention and Healing
|July 1, 1997
Summary
The fourth national pressure ulcer prevalence survey found that 10.1% of patients had pressure ulcers, with the sacrum and heels being the most common sites. Prevalence has remained stable over four surveys.
Area of Science:
- Nursing
- Gerontology
- Public Health
Background:
- Pressure ulcers (PUs) are a significant concern in acute-care settings.
- Previous national surveys established baseline prevalence rates.
- Monitoring PU prevalence is crucial for quality improvement initiatives.
Purpose of the Study:
- To determine the aggregate prevalence of pressure ulcers in acute-care hospitals.
- To compare current prevalence data with findings from three prior national surveys.
- To identify common patient demographics and ulcer characteristics.
Main Methods:
- A cross-sectional survey conducted on November 9, 1995.
- Data collection involved 265 acute-care hospitals and 39,874 patients.
- Information gathered included patient demographics, ulcer site, stage, and support surface.
Main Results:
- The overall pressure ulcer prevalence was 10.1%.
- Most common sites were the sacrum and heels.
- The predominant age group affected was 71–80 years.
- 74% of ulcers were superficial (Stages I and II).
Conclusions:
- National pressure ulcer prevalence has remained relatively constant across four surveys.
- Despite healthcare changes, PU rates show persistent trends.
- Ongoing surveillance is necessary to track and manage pressure ulcer burden.