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http://dx.doi.org/10.5762/KAIS.2013.14.7.3390

The characteristics related to the development of pressure ulcers in long term care facilities : the use of 2009 National Patient Sample  

Moon, Mikyung (College of Nursing, Research Institute of Nursing Science, Keimyung University)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.14, no.7, 2013 , pp. 3390-3399 More about this Journal
Abstract
The purpose of this study was to examine the incidence rates of pressure ulcers depending on the types of healthcare organizations and to determine whether the characteristics of patients and facilities influence on the incidence of pressure ulcers in long term facilities. We analyzed data on 796,857 patients of the 2009 National Patient Sample which was extracted from to claims for medical fees to Health Insurance Review & Assesment Service(HIRA). A total of 3.2% of patients(n=25,339) had at least 1 pressure ulcer during their hospitalization. The pressure ulcer rates were highest in long term care facilities(8.2%, n=11,895) following general hospital(2.7%, n=8,052), hospital(1.7%, n= 5,059). According to logistic regression analysis, urinary incontinence (Odds ratio(OR)=2.462, 95% confidence interval(CI)=2.038-2.974), hypertension(OR=1.456, CI=1.400-1.515), peripheral vessel diseases (OR=1.357, CI=1.200-1.534) were significant predictors of pressure ulcers. As the number of diagnoses, age, and the number of doctors per 100 beds increased, the incidence of pressure ulcers increased. In addition, more number of beds was associated with fewer pressure ulcers.
Keywords
Pressure ulcer; Long term care facility; Risk factors; Hospital;
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