Monitoring the prevalence of pressure ulcers – a comparison of national data with data of a specific health care provider – University Hospital Ostrava

Česká verzia

Authors: L. Krupová ¹; M. Krupa ²; K. Benešová ³; J. Mužík ^3,4; J. Jarkovský ^3,4 ; P. Búřilová ⁴; D. Dolanová ⁴; S. Saibertová ⁴; M. Klugar- ^{4 6}; A. Pokorná ^4,6
Authors place of work: Kožní oddělení, FN Ostrava ¹; Fakulta podnikohospodářská, VŠE v Praze ²; Institut biostatistiky a analýz, LF MU, Brno ³; Ústav zdravotnických věd, LF MU, Brno ⁴; Ústav veřejného zdraví, LF MU ⁵; Brno CEBHC-KT, LF MU, Brno ⁶
Published in the journal: Cesk Slov Neurol N 2022; 85(Supplementum 1): 21-27
doi: https://doi.org/10.48095/cccsnn2022S21

Summary

Aim: The study aims to compare the available data on the prevalence of pressure ulcers from national databases with the data of a specific provider of health services – University Hospital Ostrava, analysis of the differences found and identification of their causes. Materials and methods: Retrospective observational study. The file included data on hospitalisations of patients with pressure ulcers from the National Register of Reimbursed Health Services (NRRHS) and the Hospital Information System of the University Hospital Ostrava (HIS UHO) from 2018 to 2020. Results: Between 2018 and 2020, a total of 294 hospitalisations of patients with pressure ulcers were reported to the NRRHS, while 2,231 were registered in the HIS UHO. The number of hospitalisations with pressure ulcers was up to eight times higher in the analysed period in the HIS UHO than can be detected from the diagnosis with the code L89 according to ICD-10 for health insurance companies. There is an average of 1.6 pressure ulcers per hospitalisation. The structural differences in the prevalence of pressure ulcers between HIS UHO and NRRHS (higher proportion of lower pressure ulcer categories, lower average age of patients with pressure ulcers and higher mortality of patients with pressure ulcers) are probably because a patient appears once in NRRHS regardless of the number of pressure ulcers and because lower pressure ulcer categories are not reported because they usually do not require an identifiable procedure from the list of medical procedures. Conclusion: The study showed that the actual prevalence of pressure ulcers could be significantly higher than the available national NRRHS statistics. The study results also support the importance and necessity of research on the cost-effectiveness of the prevention and treatment of pressure ulcers.

Keywords:

Epidemiology – pressure ulcers – prevalence – retrospective study

Zdroje

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