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Clinical Research
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2005 international pressure ulcer prevalence survey results for long-term acute care facilities in the United States Catherine VanGilder, BS, MT, CCRA, Chip Washienko, MBA, JD, Abigail Eckstein, BS, Stephanie Decker, Gordon MacFarlane, PhD Purpose: This communication reports the Ò2005 International Pressure Ulcer PrevalenceTM SurveyÓ Long-Term Acute Care (LTAC) results for participating US facilities to allow benchmarking against like facilities and to review trends in LTAC Methods: In March 2005, 38 LTAC facilities were surveyed in the United States for prevalence of pressure ulcers. Teams of clinical staff performed surveys recording patient demographics, risk assessment score, age, race, stage and quantity of ulcers. Each facilityÕs data was benchmarked against like institutions and returned to the participating facility for review Results: A total of 1,983 patients were assessed with 541 (27.3%) exhibiting a pressure ulcer, of which 139 (7%) had facility acquired (FA) ulcers. Excluding Stage I ulcers, prevalence was 23.3% and 5.1% respectively. Stage II ulcers (37.9%) were most commonly identified, followed by Stage IV (16%), Unable to Stage (15.6%), Stage I (13.9%), Stage III (11%) and eschar (5.6%). Heel ulcers were the most common FA ulcer at 23.6%, followed by buttocks (22.2%), then sacral ulcers at 18.2%. .LTAC overall prevalence was 23.9% in 2003, 27.3% in 2004, and 27.3% in 2005. LTAC 2005 overall prevalence was greater than Acute Care (AC 14.9%), or Long-Term Care (LTC 14.4%) facilities. LTAC FA prevalence was 6.2% in 2003, 8.5% in 2004, and 7.0% in 2005. LTAC 2005 FA prevalence is similar to AC (7.5%), while still higher than LTC (5.6%). Though LTAC's consistently show the highest prevalence, 26.3% of the institutions had less than 1% FA prevalence and 28.9% had less than 2% FA rates. Conclusion: LTAC facilities have the highest overall pressure ulcer prevalence, but FA prevalence is similar to AC. Reduction in rates of pressure ulcer formation is possible, as seen with the number of facilities reporting <1% FA pressure ulcers. |
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