Pressure ulcer prevalence and its relationship to comorbidity in nursing homeresidents: results from phase 1 of the PRIME Trial.

Pressure ulcers are a significant cause of morbidity and mortality in the aged care population with prevalence rates reported to be as high as 43% in some aged care facilities. The PRIME trial was designed to investigate the effectiveness of an integrated pressure ulcer management system in reducing...

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Main Authors: Santamaria, Nick, Carville, Keryln, Prentice, Jenny, Ellis, Isabelle, Ellis, T., Lewin, Gill, Newall, N.
Format: Journal Article
Published: Cambridge Publishing 2005
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/44579
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author Santamaria, Nick
Carville, Keryln
Prentice, Jenny
Ellis, Isabelle
Ellis, T.
Lewin, Gill
Newall, N.
author_facet Santamaria, Nick
Carville, Keryln
Prentice, Jenny
Ellis, Isabelle
Ellis, T.
Lewin, Gill
Newall, N.
author_sort Santamaria, Nick
building Curtin Institutional Repository
collection Online Access
description Pressure ulcers are a significant cause of morbidity and mortality in the aged care population with prevalence rates reported to be as high as 43% in some aged care facilities. The PRIME trial was designed to investigate the effectiveness of an integrated pressure ulcer management system in reducing pressure ulcer prevalence and incidence in nursing homes. A total of 1956 residents from 23 nursing homes in NSW, VIC, SA and WA were enrolled in this Commonwealth funded study. This paper presents the results from phase 1 of the trial and indicates that the prevalence of pressure ulcers in the cohort of 1956 residents was 25.9%. Significant associations between the development tof a pressure ulcer and comorbidity level (Charlson Index) (p=0.01), risk assessment level (Braden Scale) (p=0.00) and the lack of appropriate equipment (p=0.00) were detected. Residents who developed a pressure ulcer whilst in an acute hospital showed a trend to develop more than one ulcer and ulcers that were of higher severity than those developed in a nursing home. The results of this phase 1 of the PRIME trial suggest that emphasis needs to be given to appropriate risk assessment of the elderly nursing home resident that should include comorbidity status and the provision of suitable pressure relieving equipment.
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spelling curtin-20.500.11937-445792017-01-30T15:14:59Z Pressure ulcer prevalence and its relationship to comorbidity in nursing homeresidents: results from phase 1 of the PRIME Trial. Santamaria, Nick Carville, Keryln Prentice, Jenny Ellis, Isabelle Ellis, T. Lewin, Gill Newall, N. comorbidity pressure ulcer prevalence nursing home Pressure ulcers are a significant cause of morbidity and mortality in the aged care population with prevalence rates reported to be as high as 43% in some aged care facilities. The PRIME trial was designed to investigate the effectiveness of an integrated pressure ulcer management system in reducing pressure ulcer prevalence and incidence in nursing homes. A total of 1956 residents from 23 nursing homes in NSW, VIC, SA and WA were enrolled in this Commonwealth funded study. This paper presents the results from phase 1 of the trial and indicates that the prevalence of pressure ulcers in the cohort of 1956 residents was 25.9%. Significant associations between the development tof a pressure ulcer and comorbidity level (Charlson Index) (p=0.01), risk assessment level (Braden Scale) (p=0.00) and the lack of appropriate equipment (p=0.00) were detected. Residents who developed a pressure ulcer whilst in an acute hospital showed a trend to develop more than one ulcer and ulcers that were of higher severity than those developed in a nursing home. The results of this phase 1 of the PRIME trial suggest that emphasis needs to be given to appropriate risk assessment of the elderly nursing home resident that should include comorbidity status and the provision of suitable pressure relieving equipment. 2005 Journal Article http://hdl.handle.net/20.500.11937/44579 Cambridge Publishing fulltext
spellingShingle comorbidity
pressure ulcer
prevalence
nursing home
Santamaria, Nick
Carville, Keryln
Prentice, Jenny
Ellis, Isabelle
Ellis, T.
Lewin, Gill
Newall, N.
Pressure ulcer prevalence and its relationship to comorbidity in nursing homeresidents: results from phase 1 of the PRIME Trial.
title Pressure ulcer prevalence and its relationship to comorbidity in nursing homeresidents: results from phase 1 of the PRIME Trial.
title_full Pressure ulcer prevalence and its relationship to comorbidity in nursing homeresidents: results from phase 1 of the PRIME Trial.
title_fullStr Pressure ulcer prevalence and its relationship to comorbidity in nursing homeresidents: results from phase 1 of the PRIME Trial.
title_full_unstemmed Pressure ulcer prevalence and its relationship to comorbidity in nursing homeresidents: results from phase 1 of the PRIME Trial.
title_short Pressure ulcer prevalence and its relationship to comorbidity in nursing homeresidents: results from phase 1 of the PRIME Trial.
title_sort pressure ulcer prevalence and its relationship to comorbidity in nursing homeresidents: results from phase 1 of the prime trial.
topic comorbidity
pressure ulcer
prevalence
nursing home
url http://hdl.handle.net/20.500.11937/44579