Epidemiología de las úlceras por presión en España en 20134º Estudio Nacional de Prevalencia

  1. Pedro L. Pancorbo-Hidalgo 1
  2. Francisco P. García-Fernández 2
  3. Joan-Enric Torra i Bou 3
  4. José Verdú Soriano 4
  5. J. Javier Soldevilla-Agreda 5
  1. 1 Universidad de Jaén
    info

    Universidad de Jaén

    Jaén, España

    ROR https://ror.org/0122p5f64

  2. 2 Hospital Universitario de Jaén
    info

    Hospital Universitario de Jaén

    Jaén, España

    ROR https://ror.org/02ecxgj38

  3. 3 División de Curación de Heridas. Smith&Nephew Iberia. Sant Joan Despí. Barcelona
  4. 4 Universitat d'Alacant
    info

    Universitat d'Alacant

    Alicante, España

    ROR https://ror.org/05t8bcz72

  5. 5 Escuela de Enfermería de Logroño
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Journal:
Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

ISSN: 1134-928X

Year of publication: 2014

Volume: 25

Issue: 4

Pages: 162-170

Type: Article

DOI: 10.4321/S1134-928X2014000400006 DIALNET GOOGLE SCHOLAR lock_openOpen access editor

More publications in: Gerokomos: Revista de la Sociedad Española de Enfermería Geriátrica y Gerontológica

Abstract

Aim: 1) To determine the prevalence of pressure ulcers (PU) at hospitals, nursing homes (NH) and the community in Spain; 2) To determine the frequency of nosocomial PU (those acquired during patients’ stay at hospital or NH), y 3) To describe the characteristics of the patients and ulcers. Methods: Cross-sectional survey with a questionnaire aimed to nurses working at hospitals, nursing homes and primary care, both publics and privates, in Spain. Date: from 1st March to 31th May in 2013. Variables: Description of the centres, number of in-patients or residents at NH and number of patients with PU, demographic and clinical characteristics of the patients. For each one of the 3 settings, crude prevalence and average prevalence was calculated. Results: 509 valid questionnaires were obtained; 66.7% from hospitals; 21.6% from community care and 16.7% from nursing homes. Prevalence percentages: at hospitals, adults: 7,87% (CI95%: 7,31–8,47%); paediatric units, 3,36% (CI95%: 1,44–7,61%); nursing homes 13,41% (CI95%: 12,6–14,2%); and community care, 0,44% (CI 95%: 0,41–0,47%) among older than 65 years and 8,51% (CI95%: 7,96–9,1%) among people in home care programs. The Intensive Care Units (ICU) have the highest prevalence, reaching the 18%. On the whole, 65.5% of the PU are nosocomials and only the 29.4% were developed at homes. The majority of the lesions are classified in category 2. The duration of 30 days (as median) and the area was of 6 cm2 (median). Conclusions: In Spain, the prevalence of PU is not decreasing, from previous studies; and even it has doubled in nursing homes. At hospitals, the ICU are the places with highest prevalence. When considering the nursing homes, the private ones have higher prevalence than the public ones. Two-thirds of the PU has a nosocomial origin (hospitals or nursing homes), what could mean a failure in prevention.

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Funding information

Esta investigación ha sido financiada por el Grupo Nacional para el Estudio y Asesoramiento sobre Úlceras Por Presión y Heridas Crónicas (GNEAUPP), por el grupo de investigación “Enfermería” CTS-464 de la Universidad de Jaén y mediante una beca de investigación de la División de Curación de Heridas de Smith&Nephew S.A.

Funders

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Data source: Dialnet