Medical device related pressure ulcers in hospitalized patients

Joyce M. Black, Janet E. Cuddigan, Maralyn A. Walko, L. Alan Didier, Maria J. Lander, Maureen R. Kelpe

Research output: Contribution to journalArticle

146 Scopus citations

Abstract

Most pressure ulcers occur over bony prominences such as heels and the sacrum. However, the National Pressure Ulcer Advisory Panel recognises that pressure ulcers can also occur on any tissue under pressure and thereby can develop beneath medical devices. This article reports on results from a secondary analysis of existing data collected by The Nebraska Medical Center on pressure ulcer quality improvement initiatives and outcomes. The purpose of this study was to quantify the extent of the problem and identify risk factors for medical device related (MDR) pressure ulcer development in hospitalised patients. A subset of data collected during eight quarterly pressure ulcer incidence and prevalence studies (N = 2178) was created and analysed. The overall rate of hospital-acquired pressure ulcers was 5·4% (113 of 2079). The proportion of patients with hospital-acquired ulcers related to medical devices was 34·5% (39 of 113). Findings indicate that if a patient had a medical device, they were 2·4 times more likely to develop a pressure ulcer of any kind. Numerous risk factors for pressure ulcer development were identified; however, none differentiated between those with MDR and traditional pressure ulcers.

Original languageEnglish (US)
Pages (from-to)358-365
Number of pages8
JournalInternational Wound Journal
Volume7
Issue number5
DOIs
StatePublished - Oct 2010

Keywords

  • Incidence
  • Medical device pressure ulcer
  • Pressure ulcer

ASJC Scopus subject areas

  • Surgery
  • Dermatology

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