TY - JOUR
T1 - The Epidemiology and Natural History of Pressure Ulcers in Elderly Nursing Home Residents
AU - Brandeis, Gary H.
AU - Morris, John N.
AU - Nash, Daniel J.
AU - Lipsitz, Lewis A.
PY - 1990/12/12
Y1 - 1990/12/12
N2 - We analyzed prospective data from 19 889 elderly residents of 51 nursing homes from 1984 to 1985 to determine the prevalence, incidence, and natural history of pressure ulcers. Among all residents admitted to nursing homes, 11.3% possessed a stage II through stage IV pressure ulcer. For those residents admitted to the nursing home without pressure ulcers during the study period, the 1-year incidence was 13.2%. This increased to 21.6% by 2 years of nursing home stay. People already residing in a nursing home at the start of the study had a 1-year incidence of 9.5%, which increased to 20.4% by 2 years. Pressure ulcers were associated with an increased rate of mortality, but not hospitalization. Longitudinal follow-up of residents with pressure ulcers demonstrated that a majority of their lesions were healed by 1 year. Most of the improvement occurred early in a person’s nursing home stay. Although nursing home residents with pressure ulcers have a higher mortality, with good medical care pressure ulcers can be expected to heal.
AB - We analyzed prospective data from 19 889 elderly residents of 51 nursing homes from 1984 to 1985 to determine the prevalence, incidence, and natural history of pressure ulcers. Among all residents admitted to nursing homes, 11.3% possessed a stage II through stage IV pressure ulcer. For those residents admitted to the nursing home without pressure ulcers during the study period, the 1-year incidence was 13.2%. This increased to 21.6% by 2 years of nursing home stay. People already residing in a nursing home at the start of the study had a 1-year incidence of 9.5%, which increased to 20.4% by 2 years. Pressure ulcers were associated with an increased rate of mortality, but not hospitalization. Longitudinal follow-up of residents with pressure ulcers demonstrated that a majority of their lesions were healed by 1 year. Most of the improvement occurred early in a person’s nursing home stay. Although nursing home residents with pressure ulcers have a higher mortality, with good medical care pressure ulcers can be expected to heal.
UR - http://www.scopus.com/inward/record.url?scp=0025695548&partnerID=8YFLogxK
U2 - 10.1001/jama.1990.03450220071025
DO - 10.1001/jama.1990.03450220071025
M3 - Article
C2 - 2232085
AN - SCOPUS:0025695548
SN - 0098-7484
VL - 264
SP - 2905
EP - 2909
JO - JAMA - Journal of the American Medical Association
JF - JAMA - Journal of the American Medical Association
IS - 22
ER -