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Determiners of pressure ulcers formation - analyses from hospital information system

Název česky Determinanty vzniku dekubitů - analýzy z nemocničního informačního systému
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VEVERKOVÁ Lenka DOLEZAL P. REŠKA Michal VLČEK Petr URBÁNEK Libor HABR Jakub PENKA Igor

Rok publikování 2022
Druh Článek v odborném periodiku
Časopis / Zdroj Ceska a slovenska neurologie a neurochirurgie
Fakulta / Pracoviště MU

Lékařská fakulta

Citace
www https://www.csnn.eu/casopisy/ceska-slovenska-neurologie/2022-supplementum-1-1/determinanty-vzniku-dekubitu-analyzy-z-nemocnicniho-informacniho-systemu-130724?hl=en
Doi http://dx.doi.org/10.48095/cccsnn2022S52
Klíčová slova pressure ulcers; pressure sore; surgical infection; length of hospitalization; COVID-19
Popis Introductions: Pressure ulcers (PUs) represents an undesirable complication during hospitalization. Aim: Retrospective data analysis to verify the prevalence of PUs since 2015 (since the mandatory registration of the PUs an adverse event) by principal dia­gnosis, type of surgery and length of hospital stay in the period 2015–2021. Sample and methods: Retrospective analysis of data from the hospital information system (HIS), at 0.05 level of significance (T-Test) with the variables: age, number of pressure ulcers, principal dia­gnosis, operation, length of hospitalization and prevalence of COVID-19 to length of hospitalization. Results: A total of 2,350 PU cases in 1,539 patients (1.52 PUs/patient) were registered in the HIS, and 930 (40%) patients were admitted to hospital with PUs. The most common locations of PUs were: heel (33%), sacrum 6% less, buttocks (17%). Between 2015 and 2021; 17,247 patients were operated on, of whom 289 had a Pus. The most common principal dia­gnosis in the occurrence of PUS was femoral neck fracture (14.35%) and neurological (9.09%) or oncological disease (12.03%). The incidence of PUs was surprising in patients with ileal conditions (11.57%). COVID-19 was found in 163 patients in 2020 and 2021, six of whom had PUs and prolonged hospitalization. Conclusion: It is important to view the health status of people with chronic wounds and PUs in a comprehensive manner and to develop an individualized care plan to improve patients‘ lives and chances of recovery.

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