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Meesterberends, E; Halfens, RJ; Spreeuwenberg, MD; Ambergen, TA; Lohrmann, C; Neyens, JC; Schols, JM.
Do patients in Dutch nursing homes have more pressure ulcers than patients in German nursing homes? A prospective multicenter cohort study.
J Am Med Dir Assoc. 2013; 14(8):605-610 Doi: 10.1016/j.jamda.2013.03.005
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Co-authors Med Uni Graz: Lohrmann Christa
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Abstract:: To investigate whether the incidence of pressure ulcers in nursing homes in the Netherlands and Germany differs and, if so, to identify resident-related risk factors, nursing-related interventions, and structural factors associated with pressure ulcer development in nursing home residents. A prospective multicenter cohort study. Ten nursing homes in the Netherlands and 11 nursing homes in Germany (around Berlin and Brandenburg). A total of 547 newly admitted nursing home residents, of which 240 were Dutch and 307 were German. Residents had an expected length of stay of 12 weeks or longer. Data were collected for each resident over a 12-week period and included resident characteristics (eg, demographics, medical history, Braden scale scores, nutritional factors), pressure ulcer prevention and treatment characteristics, staffing ratios and other structural nursing home characteristics, and outcome (pressure ulcer development during the study). Data were obtained by trained research assistants. A significantly higher pressure ulcer incidence rate was found for the Dutch nursing homes (33.3%) compared with the German nursing homes (14.3%). Six factors that explain the difference in pressure ulcer incidence rates were identified: dementia, analgesics use, the use of transfer aids, repositioning the residents, the availability of a tissue viability nurse on the ward, and regular internal quality controls in the nursing home. The pressure ulcer incidence was significantly higher in Dutch nursing homes than in German nursing homes. Factors related to residents, nursing care and structure explain this difference in incidence rates. Continuous attention to pressure ulcer care is important for all health care settings and countries, but Dutch nursing homes especially should pay more attention to repositioning residents, the necessity and correct use of transfer aids, the necessity of analgesics use, the tasks of the tissue viability nurse, and the performance of regular internal quality controls. Copyright © 2013 American Medical Directors Association, Inc. Published by Elsevier Inc. All rights reserved.
Find related publications in this database (using NLM MeSH Indexing): Aged -; Aged, 80 and over -; Female -; Female - epidemiology; Humans -; Incidence -; Male -; Multivariate Analysis -; Multivariate Analysis - epidemiology; Nursing Homes -; Pressure Ulcer - epidemiology Pressure Ulcer - prevention & control; Proportional Hazards Models -; Prospective Studies -; Quality of Health Care -; Risk Factors -
Find related publications in this database (Keywords): Pressure ulcers; incidence; prevention; nursing homes