Abstract: A Comparison of Acute Care Overall and Facility-Acquired Pressure Ulcer Patients from the 2011 International Pressure Ulcer Prevalence™ Survey (44th Annual Conference (June 9-13, 2012))

Charlie Lachenbruch, PhD, Hill-Rom, Senior Biomedical Engineering Specialist, Batesville, IN, Catherine VanGilder, BS, MT, CCRA, Hill-Rom, Clinical Research Manager, Batesville, IN and Patrick Harrison, BA, Hill-Rom, Manager of Clinical Information Systems, Batesville, IN

Introduction: Despite prevention efforts, more than 2.5 million people in the US develop pressure ulcers every year, many in the hospital setting.[1] This study will compare the prevalence of pressure ulcers in ICU and Medical Surgical units. Additionally, it will compare the characteristics in both settings of facility-acquired pressure ulcer (FAPU) patients to those of all pressure ulcer patients and patients without ulcers using the 2011 IPUP^TM Survey.

Methods: Facilities participate in IPUP by signing up on the Hill-Rom_® website, (http://www.hill-rom.com/ipup/). The survey goal is to collect data that can be used for benchmarking and to allow for systematic study of the factors that may contribute to skin breakdown.

Results: The 2011 survey included 84,501 US acute care patients including 9189 patients with pressure ulcers, 3884 patients with Stage III+ pressure ulcers, 3691 patients with FAPU, and 1042 patients with FAPU Stage III+.

Overall Prevalence (OP) was significantly higher in ICU (17.7%) than Med-Surg (10.0%; P<0.0001). ICU FAPU (9.1%) was higher than in Med-Surg (3.7%; P<0.0001). OP Stage III+ was also significantly higher in ICU (8.3%) than in Med-Surg (4.0%; P<0.0001). FAPU Stage III+ were also significantly higher in ICU (3.4%) than in Med-Surg (0.9%; P<0.0001). Hospital LOS was greater for FAPU patients (ICU: 19.1, Med-Surg: 14.4) than for all PU patients (ICU: 14.5, Med-Surg: 11.0) as compared to patient without ulcers (ICU: 7.0 Med-Surg 5.6). Average Braden risk scores were much more similar between groups (ICU: 12.8 with PUs vs. 12.8 FAPU, Med-Surg: 14.6 with PU vs. 15.2 FAPU). Average Braden scores for non-PU patients in the ICU were 15.7 and 18.8 in Med Surg.

Summary: ICU’s had relatively high overall, facility acquired, and severe pressure ulcer prevalence. Longer LOS was associated with FAPU patients. Braden Risk scores were equivalent between pressure ulcer patients over all and FAPU patients.

6402 A Comparison of Acute Care Overall and Facility-Acquired Pressure Ulcer Patients from the 2011 International Pressure Ulcer Prevalence™ Survey