The Pressure Ulcers Monitoring in Patiens with Neurological Diseases – Analyse of the National Register of Hospitalized Patients

Česká verzia

Authors: A. Pokorná ¹; K. Benešová ^2,3; J. Mužík ^2,3; P. Búřilová ¹; J. Jarkovský ^2,3 ; L. Dušek ^2,3
Authors place of work: Katedra ošetřovatelství, LF MU, Brno ¹; Institut biostatistiky a analýz, LF MU, Brno ²; Ústav zdravotnických informací a statistiky ČR, Praha ³
Published in the journal: Cesk Slov Neurol N 2016; 79/112(Supplementum1): 8-14
Category: Original Paper
doi: https://doi.org/10.14735/amcsnn2016S8

Summary

Aim:
The aim of this study was to analyse hospital stays related to pressure ulcers (according to ICD 10) in acute and long-term care facilities in the Czech Republic (2007–2014) in neurologically ill patients with limited mobility.

Material and methods:
Observational cross-sectional study using routinely collected data from the National Register of Hospitalized Patients.

Results:
Of total 17,762,854 hospital records 8,150 (0.05%) had the selected neurological diagnosis and pressure ulcers (L89). Detailed analyses were performed in 4,924 records (0.03%): patients with the selected neurological diagnosis and with a pressure ulcer as a primary diagnosis (n = 75); neurological diagnosis as the primary diagnosis and pressure sores as a secondary diagnosis (n = 3,248); a pressure sore as the only primary diagnosis in patients with a selected neurological diagnosis (n = 1,601). Neurological diagnoses included: brain injury and bleeding (n = 2,766); neurodegenerative and oncological diseases (n = 1,707); spinal cord traumatic injury (n = 451).

Conclusion:
Duration of hospitalization in patients with pressure ulcers in an acute care setting differs according to the main neurological diagnosis and whether the pressure ulcer was listed as the primary or secondary diagnosis (p < 0.001). Duration of hospital stay differs in an long-term care setting according to the grade of pressure ulcer (p = 0.040). In acute and long-term settings, the age of patients with pressure ulcers is statistically significantly different according to the neurological diagnosis and grade of pressure sore (p < 0.001).

Key words:
epidemiology – pressure ulcer – hospitalization – monitoring – national registries – neurological diseases

The authors declare they have no potential conflicts of interest concerning drugs, products, or services used in the study.

The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers.

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