Examination of pressure ulcer prevalence and its application in creating quality indicators

*Mariann Csernus Raskovicsné¹, László Papp², Sándor Hollós³, Ildikó Szabó Kádárné⁴, Zoltán Balogh¹

Summary
Aim. The study aims to formulate a reliable, authentic prevalence marker, wherein the structural influences are not emerging and that can be used on annual basis, and opens the door to create a quality indicator to use among patients with high risk of pressure ulcer.
Material and methods. The study was conducted in 2006 in all inpatient wards of a 1500-bed county hospital. After quarterly retrospective duration prevalence (P_D) and on predetermined dates, point-prevalence (P_P) data collection, means were calculated to obtain yearly prevalence numbers, of which further examination was done with standard deviation (SD) measurment. An indicator was created among high-pressure ulcer risk patients using standard scale.
Results. Both examinations (longitudinal and cross-sectional) showed different prevalence among the hospital wards. High deviation was noticed between wards, but for the examination of the efficiency of pressure ulcer monitoring, results were prosperous (SD_PD=0,699, SD_PP=2,121). When creating quality indicators, we found significant difference between the examination methods.
Conclusions. Correlation was noticed between prevalence of pressure ulcers and the number of high-risk patients. The results also showed that quality indicator formulated from high-risk patient data could be applied to the clinical practice as a yearly examination method.

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