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The Short‐Term Outcome of Pressure Sores
Author(s) -
Berlowitz Dan R.,
Wilking Spencer Van B.
Publication year - 1990
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.1990.tb01464.x
Subject(s) - pressure sores , medicine , medical record , relative risk , surgery , intensive care medicine , emergency medicine , confidence interval
Patients with pressure sores have been observed to have a poor prognosis. The short‐term outcome of pressure sores at a long‐term care hospital was therefore evaluated. Medical records on the 301 admissions to this hospital over a 13‐month period were reviewed. One hundred patients (33%) had a pressure sore present on admission. Using ordinary therapies, 79% of these pressure sores improved and 40% completely healed during the 6‐week follow‐up period. Remaining bed‐ or chair‐bound was the sole patient characteristic associated with a failure of the pressure sore to improve. Mortality rates were significantly increased in patients with a pressure sore present on admission (relative risk [RR] = 1.9), in patients who developed a new sore (RR = 3.1), and in patients in whom the pressure sore failed to improve (RR = 3.3). However, the pressure sores did not appear to be the direct cause of this increased mortality. These data suggest that the majority of pressure sores encountered at a long‐term care hospital can be successfully managed in this setting. Although patients with pressure sores have an increased mortality rate, this is most likely due to coexisting medical conditions.