PREDICTORS OF PRESSURE ULCER DEVELOPMENT IN NURSING HOME RESIDENTS: A STUDY FROM UNITED STATES NATIONAL NURSING HOME SURVEY 2004
P. Patel, A. Aranha, L. Cardozo
Jour Nursing Home Res 2015;1:104-107
Background: Pressure Ulcers (PU) have grown into a significant clinical and economic problem; as a consequence there is a need for a better understanding of predictors for PU development in Nursing Home (NH) Residents (NHR). Objective: To analyze the prevalence and predictors of PU among United States NHR population. Methods: The Center of Disease Control National Nursing Home Survey 2004 comprising 13,507 NHR from 1,152 United States NH facilities. Among them, 11,870 NHR, above age 65, having or not having Stage 1-4 PU, were analyzed. Results: NHR mean age was 84.2 years, 74.4% female, 89.4% white, 5.2% behavioral problems, 5.6% dementia and 10.3% stages 1-4 PU. Age of cohort was directly related to Activities of Daily Living (ADL) dependencies (p=0.001) and inversely to number of medications taken (p=0.001). Overall, the NHR with PU were slightly younger (p=0.021) with a shorter Length of Stay (LOS) (p=0.001), had skin wounds present (p=0.001), a higher ADL dependency (p=0.001), and number of medications taken (p=0.001). NHR without behavioral problems had a greater likelihood (p=0.021) of having PU. Conclusion: Age, Gender, Ethnicity, LOS at NH, presence of skin wounds, number of ADL dependencies and Medications taken were found to be good predictors of PU among NHR.
P. Patel ; A. Aranha ; L. Cardozo (2015): Predictors of Pressure Ulcer Development in Nursing Home Residents: A Study from United States National Nursing Home Survey 2004. The Journal of Nursing Home Research Science (JNHRS). http://dx.doi.org/10.14283/jnhrs.2015.20