Are There Racial-Ethnic Disparities in Time to Pressure Ulcer Development and Pressure Ulcer Treatment in Older Adults After Nursing Home Admission?
Are There Racial-Ethnic Disparities in Time to Pressure Ulcer Development and Pressure Ulcer Treatment in Older Adults After Nursing Home Admission?
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DOI：
10.1177/0898264314553895
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发表时间：
2015-06-01
影响因子：
2.8
通讯作者：
Virnig, Beth
中科院分区：
文献类型：
--
作者：
Bliss, Donna Z.;Gurvich, Olga;Virnig, Beth
目的：本研究的目的是评估65岁及以上的老年人在进入养老院后发生压疮的时间和压疮治疗的次数是否存在种族和民族差异。方法：使用Cox比例风险回归分析来自三个国家调查的白人非西班牙裔居民发生压疮时间的多层次预测因子。使用Peters-Belson方法评估差异，将回归模型的估计分别应用于美洲印第安人/阿拉斯加原住民、亚洲人/太平洋岛民、黑人和西班牙裔，得出预期结果的估计，就好像他们是白人非西班牙裔一样，然后与观察到的结果进行比较。结果：更多的黑人患压疮比预期的要早。其他种族/民族在发生压疮的时间上没有差异。压疮治疗在任何组间均无差异。讨论：减少压疮发展的差异提供了一种改善养老院护理质量的策略。
Objective: The objective of this study was to assess whether there are racial and ethnic disparities in the time to development of a pressure ulcer and number of pressure ulcer treatments in individuals aged 65 and older after nursing home admission. Method: Multi-level predictors of time to a pressure ulcer from three national surveys were analyzed using Cox proportional hazards regression for White Non-Hispanic residents. Using the Peters-Belson method to assess for disparities, estimates from the regression models were applied to American Indians/Alaskan Natives, Asians/Pacific Islanders, Blacks, and Hispanics separately resulting in estimates of expected outcomes as if they were White Non-Hispanic, and were then compared with their observed outcomes. Results: More Blacks developed pressure ulcers sooner than expected. No disparities in time to a pressure ulcer disadvantaging other racial/ethnic groups were found. There were no disparities in pressure ulcer treatment for any group. Discussion: Reducing disparities in pressure ulcer development offers a strategy to improve the quality of nursing home care.