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2006 International Pressure Ulcer PrevalenceTM Survey Results

Catherine VanGilder, BS, MT, CCRA, Hill-Rom, Clinical Research Manager, 4349 Corporate Road, Charleston, SC 29405, Stephanie Decker, Hill-Rom, Data analyst, 4349 Corporate Road, Charleston, SC 29405, Gail Lanigan, RN, Hill-Rom, Clinical Nurse Specialist, 4349 Corporate Road, Charleston, SC 29405, and Gordon MacFarlane, Hill-Rom, Director, Clinical Research, 1020 W. County Road F, St. Paul, MN 55126.

From February 28th through March 2nd, 2006, 730 facilities participated in the 2006 International Pressure Ulcer PrevalenceTM Survey. Surveys were performed by teams of clinical staff recording patient demographics, risk assessment score, age, race, stage and quantity of ulcers.

A total of 92,192 patients (increased from 2005's 85,838 patients) were assessed with 12,732 (13.8%) of them bearing a pressure ulcer, 5,962 (6.5%) of which were facility acquired (FA). Excluding Stage I ulcers, prevalence is 9.4% and 3.5% respectively. For comparison, in 2005, overall prevalence was 15.2%, 2004, 15.5%, and 2003 15.5%, and facility acquired prevalence in 2005 was 7.3%, and in 2004 7.7%, and 2003 6.8%.

Long-term acute care (LTAC) had the highest overall prevalence at 28.7% (N=52), followed by acute care (AC) at 13.7% (582), and Long-term Care (LTC) at 12.7% (N=47). Home care with 36 agencies reporting had a prevalence of 10.0%. LTAC's also had the highest FA prevalence with 8.0%, followed by AC at 6.7%, and LTC at 6.3%, and Home Care at 2.4%.

The most severe staged ulcer counted per patient was counted for the following analysis. Stage II ulcers (38%) were identified most commonly followed by Stage I (32%), Stage III (8 %), Stage IV (7 %), eschar/unable to stage (12%). Deep Tissue injury was reported at 3%, which is the first year for reporting this data.

We are slightly encouraged this year in a small decrease in prevalence rates from preceding years both in overall prevalence and FA prevalence. This is the first year that deep tissue injury was reported, and may be actually underreported, as there may be a learning curve in the ability to identify these injuries.


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