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. 2022 Nov;19(7):1736-1747.
doi: 10.1111/iwj.13779. Epub 2022 Feb 28.

Pressure ulcer prevalence and prevention interventions - A ten-year nationwide survey in Sweden

Ulrika Källman  1   2 , Ami Hommel  3 , Madeleine Borgstedt Risberg  4 , Lena Gunningberg  5 , Eva Sving  5   6   7 , Carina Bååth  8   9
Affiliations

Pressure ulcer prevalence and prevention interventions - A ten-year nationwide survey in Sweden

Ulrika Källman et al. Int Wound J. 2022 Nov.

Abstract

The aim of this study was to describe pressure ulcer prevalence and prevention interventions in hospital care in Sweden based on nationwide surveys conducted over a 10-year period. All Swedish hospitals were invited to participate in annual pressure ulcer prevalence surveys during the period 2011-2020. The data collection protocols included gender, age, skin assessment, risk assessment, and preventive interventions. In total, more than 130,000 patients were included in the ten prevalence surveys. The prevalence of pressure ulcers in Swedish hospital patients decreased significantly from 17.0 %to 11.4% between 2011 and 2020 and hospital-acquired pressure ulcers decreased from 8.1% to 6.4% between 2018 and 2020. There was no significant decline in medicaldevice-related pressure ulcers during the same period. The proportion of patients who were risk and skin assessed increased, as did the use of pressure-reducing mattresses, sliding sheets, heel protection, and nrepositioning plans. This study shows that the implementation of a national patient safety program has had an impact on the nationwide prevalence of pressure ulcers in hospital care and the occurrence of prevention strategies. However, one in ten patients in Swedish hospitals still suffers from pressure ulcers. Further improvements can be made.

Keywords: Sweden; hospital; point prevalence; pressure ulcer; prevention.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

FIGURE 1
FIGURE 1
The annual results between 2012 and 2014 of the overall patient safety work illustrated on a map of Sweden
FIGURE 2
FIGURE 2
The prevalence of pressure ulcers (PU), pressure ulcers stage II or higher and hospital acquired pressure ulcers (HAPU) over the years 2011 to 2020
See this image and copyright information in PMC

References

    1. Demarré L, Van Lancker A, Van Hecke A, et al. The cost of prevention and treatment of pressure ulcers: A systematic review. Int J Nurs Stud. 2015;52(11):1754‐1774. - PubMed
    1. Gorecki C, Brown JM, Nelson EA, et al. Impact of pressure ulcers on quality of life in older patients: A systematic review: clinical investigations. J Am Geriatr Soc. 2009;57(7):1175‐1183. - PubMed
    1. Gunningberg L, Sving E, Hommel A, Ålenius C, Wiger P, Bååth C. Tracking pressure injuries as adverse events: national use of the global trigger tool over a 4‐year period. J Eval Clin Pract. 2019;25(1):21‐27. - PubMed
    1. EPUAP/NPUAP & PPPIA . Prevention and Treatment of Pressure Ulcers/Injuries: Clinical Practice Guideline: European Pressure Ulcer Advisory Panel, National Pressure Injury Advisory Panel and Pan Pacific Pressure Injury. Alliance; EPUAP/NPIAP/PPPIA; 2019.
    1. Improvement IoH . Pressure Ulcer: Institute of Healthcare Improvment; Accessed 17 June from: http://www.ihi.org/Topics/PressureUlcers/Pages/default.aspx.