Pressure Injuries in Inpatient Care Facilities in the Czech Republic Analysis of a National Electronic Database
Pressure Injuries in Inpatient Care Facilities in the Czech Republic Analysis of a National Electronic Database
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DOI：
10.1097/won.0000000000000344
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发表时间：
2017-07-01
影响因子：
2.6
通讯作者：
Beeckman, Dimitri
中科院分区：
文献类型：
--
作者：
Pokorna, Andrea;Benesova, Klara;Beeckman, Dimitri
目的：本研究的目的是分析捷克共和国住院病人在入院时和住院期间的任何时间发生压力性损伤的情况。次要目标是评估PI患者的人口学和临床数据以及PI对住院时间(LOS)的影响。设计：回顾、横断面分析。集合和对象：样本包括2007年至2014年进入捷克共和国国家住院患者登记数据库(NRHOSP)的住院患者数据，诊断为L89(基于国际疾病分类，第10版，ICD-10)的未指定部位压疮。回顾了17,762,854例住院的电子记录。方法：分析来自捷克共和国所有急性和非急性护理医院的NRHOSP数据。结果：NRHOSP数据库包括17,762,854例患者，其中46,224例(急性护理医院33,342例；非急性护理医院12,882例)诊断为L89(0.3%)。PI患者的平均年龄为73.8±15.3岁(平均+/-SD)，平均LOS为33.2+/-76.9天。以L89编码为初诊的患者(n=6877)的平均LOS明显长于以L89编码为二次诊断的患者(25.8比20.2天，P
PURPOSE: The purpose of this study was to analyze pressure injury (PI) occurrence upon admission and at any time during the hospital course inpatients care facilities in the Czech Republic. Secondary aims were to evaluate demographic and clinical data of patients with PI and the impact of a PI on length of stay (LOS) in the hospital.DESIGN: Retrospective, cross-sectional analysis.SETTING AND SUBJECTS: The sample comprised data of hospitalized patients entered into the National Register of Hospitalized Patients (NRHOSP) database of the Czech Republic between 2007 and 2014 with a diagnosis L89 (pressure ulcer of unspecified site based on the International Classification of Diseases, Tenth Revision, ICD-10). Electronic records of 17,762,854 hospitalizations were reviewed.METHOD: Data from the NRHOSP from all acute and non-acute care hospitals in the Czech Republic were analyzed. Specifically, we analyzed patients admitted to acute and non-acute care facilities with a primary or secondary diagnosis of PI.RESULTS: The NRHOSP database included 17,762,854 cases, of which 46,224 cases (33,342 cases in acute care hospitals; 12,882 in non-acute care hospitals) had the L89 diagnosis (0.3%). The mean age of patients admitted with a PI was 73.8 +/- 15.3 years (mean +/- SD), and their average LOS was 33.2 +/- 76.9 days. The mean LOS of patients hospitalized with L89 code as a primary diagnosis (n = 6877) was significantly longer compared to those patients for whom L89 code was a secondary diagnosis (25.8 vs 20.2 days, P