The Origin of Present-on-admission Pressure Ulcers/Injuries Among Patients Admitted from the Community: Results of a Retrospective Study
| Autor: | Holly Kirkland-Kyhn, Oleg Teleten, Reena Joseph, Joy Schank |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Male Patient Transfer medicine.medical_specialty Adolescent Comorbidity Disease Neurodegenerative Cardiovascular California Clinical Research Risk Factors 80 and over medicine Electronic Health Records Humans Community Health Services Registries Stage (cooking) Tetraplegia Aged Retrospective Studies Aged 80 and over Pressure Ulcer Vascular disease business.industry Medical record Retrospective cohort study General Medicine Middle Aged medicine.disease Home Care Services Nursing Homes Emergency medicine Injury (total) Accidents/Adverse Effects Female Patient Safety Paraplegia business |
| Zdroj: | Wound management & prevention, vol 65, iss 7 |
| ISSN: | 2640-5245 2640-5237 |
| DOI: | 10.25270/wmp.2019.7.2429 |
| Popis: | Research about community-acquired pressure ulcer/injuries (CAPU/I) remains limited. Purpose The aim of this descriptive, retrospective study was to quantify the number of patients with pressure ulcers/injuries (PU/Is) present on admission (POA), with particular attention to patient residence (home or skilled/long-term care facility [SNF]). Methods Data from the electronic medical records (EMR) and the incident reporting system of a 620-bed integrated health system in northern California from January 1, 2017, to December 31, 2017, were examined and used to create a registry that included patient demographics, length of stay (LOS), source of admission (home versus SNF), co-existing conditions, and documentation on end of life and death. A manual chart review was conducted to confirm the accuracy of data entered into the registry. All patients at least 18 years old and with a nurse-reported incident and EMR-documented PU/I that was listed as POA were included; pediatric, pregnant, or incarcerated patients were excluded. Extracted variables included demographic data, stage of PU/I on admission, and major diagnosis (or co-existing condition) by groups (spinal cord injuries [tetraplegia, paraplegia], neurological conditions, end-stage renal disease, cardiac and vascular disease, end of life [EOL], and death while in hospital during the year 2017). Descriptive analysis was used to examine the data. Results Of the 2340 records of patients with an PU/I POA, 477 were complete and analyzed. The majority (336, 70.4%) originated from home. Patients admitted from home were younger than those admitted from SNF (average age 62.9 and 71.5 years, respectively) and had a higher proportion of co-existing paraplegia/tetraplegia (24.4% vs 12.8%). More than 60% of all patients had a stage 3, stage 4, or unstageable PU/I. Conclusion The majority of patients with a PU/I POA were admitted from home. Additional research and improved efforts to help high-risk individuals living at home prevent and manage PU/Is are needed. |
| Databáze: | OpenAIRE |
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