Publication details

Determination of pressure ulcers formation - analyses from hospital information system

Authors

VEVERKOVÁ Lenka DOLEŽAL Petr REŠKA Michal VLČEK Petr URBÁNEK Libor HABR Jakub PENKA Igor

Year of publication 2022
Type Article in Periodical
Magazine / Source Česká a Slovenská Neurologie Neurochirurgie
MU Faculty or unit

Faculty of Medicine

Citation
web https://www.csnn.eu/casopisy/ceska-slovenska-neurologie/2022-supplementum-1-1/download?hl=cs
Doi http://dx.doi.org/10.48095/cccsnn2022S52
Keywords pressure ulcers; pressure sore; surgical infection; lenght of hospitalization
Description Introductions: Pressure ulcers (PUs) represents an undesirable complication during hospitalization. Aim: Retrospective data analysis to verify the prevalence of PUs since 2015 (since the mandatory registration of the PUs an adverse event) by principal diagnosis, type of surgery and length of hospital stay in the period 2015-2021. Sample and methods: Retrospective analysis of data from the hospital information system (HIS), at 0.05 level of significance (T-Test) with the variables: age, number of pressure ulcers, principal diagnosis, operation, length of hospitalization and prevalence of COVID-19 to length of hospitalization. Results: A total of 2350 PU cases in 1539 patients (1.52 PUs/patient) were registered in the HIS, and 930 (40%) patients were admitted to hospital with PUs. The most common locations of PUs were: heel (33%), sacrum 6% less, buttocks (17%). Between 2015 and 2021, 17,247 patients were operated on, of whom 289 had a PUs. The most common principal diagnosis in the occurrence of PUS was femoral neck fracture (14.35%) and neurological (9.09%) or oncological disease (12.03%). The incidence of PUs was surprising in patients with ileal conditions (11.57%). COVID-19 was found in 163 patients in 2020 and 2021, 6 of whom had PUs and prolonged hospitalization. Conclusion: It is important to view the health status of people with chronic wounds and PUs in a comprehensive manner and to develop an individualized care plan to improve patients' lives and chances of recovery.
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