Overall Results from the 2011 International Pressure Ulcer Prevalence™ Survey

Introduction:  There has been a generalized focus in pressure ulcer prevention efforts across healthcare systems.  This study will report 2011 survey data compared to 2010 data by care setting in an effort to allow benchmarking.

 Methods:  Any Facility can choose to participate in the IPUP survey by signing up on the Hill-Rom_® website, (http://www.hill-rom.com/ipup/).  The goal of the survey in each facility is to assess all admitted patients. This annual survey is performed during a pre-determined 24 hour period within a pre-selected 2 to 3 day window.  Aggregate results will be reported.

 Results:  The 2011 survey included104,266 patients in 932 facilities in 2011 as compared to 102,987 patients in 928 facilities in 2010.  Acute Care Overall Prevalence (OP) was 10.8% in 2011 as compared to 11.3% in 2010 (p=0.003).  Facility acquired Prevalence (FAP) also showed a decrease from 4.8 to 4.5% respectively (p=0.01).   Long-term Acute Care facilities demonstrated increased OP (p<0.0009) and FAP (p=0.0001) (29.2 and 8.4%) in 2011 compared to 2010 (24.5% and 4.4%).  Long Term Care facilities had a non-significant changes in OP (12.8%  to 12.0% in 2011; p = 0.31), and FAP  (from 5.9% to 6.4% year over year; p=0.34).  Rehabilitation facilities showed a non-significant trend of decreased OP (p=0.08) and significant FAP decrease (p=0.003) year over year (OP = 13.3% compared to 15.6%, FAP = 6.1% compared to 3.7%). 

 Summary:  There is a significant reduction in facility acquired pressure ulcers from 2010 to 2011 in Acute Care facilities. LTAC’s had increased prevalence.  There were no significant changes in either OP or FAP in LTC.    Rehabilitation facilities demonstrated decreases year over year, but did not reach significance in OP possibly due to lower numbers of facilities participating as compared to other care settings.