Sledování prevalence dekubitů - srovnání národních dat s daty konkrétního poskytovatele zdravotních služeb - Fakultní nemocnice Ostrava

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Title in English Monitoring the prevalence of pressure ulcers – a comparison of national data with data of a specific health care provider – University Hospital Ostrava
Authors

KRUPOVÁ Lenka KRUPA M. BENEŠOVÁ Klára MUŽÍK Jan JARKOVSKÝ Jiří BÚŘILOVÁ Petra DOLANOVÁ Dana SAIBERTOVÁ Simona KLUGAR Miloslav POKORNÁ Andrea

Year of publication 2022
Type Article in Periodical
Magazine / Source Česká a slovenská neurologie a neurochirurgie
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.csnn.eu/casopisy/ceska-slovenska-neurologie/2022-supplementum-1-1/sledovani-prevalence-dekubitu-srovnani-narodnich-dat-s-daty-konkretniho-poskytovatele-zdravotnich-sluzeb-fakultni-nemocnice-ostrava-130718
Doi http://dx.doi.org/10.48095/cccsnn2022S21
Keywords Epidemiology; pressure ulcers; prevalence; retrospective study
Description Aim: The study aims to compare the available data on the prevalence of pressure ulcers from national databases with the data of a specific provider of health services – University Hospital Ostrava, analysis of the differences found and identification of their causes. Materials and methods: Retrospective observational study. The file included data on hospitalisations of patients with pressure ulcers from the National Register of Reimbursed Health Services (NRRHS) and the Hospital Information System of the University Hospital Ostrava (HIS UHO) from 2018 to 2020. Results: Between 2018 and 2020, a total of 294 hospitalisations of patients with pressure ulcers were reported to the NRRHS, while 2,231 were registered in the HIS UHO. The number of hospitalisations with pressure ulcers was up to eight times higher in the analysed period in the HIS UHO than can be detected from the dia­gnosis with the code L89 according to ICD-10 for health insurance companies. There is an average of 1.6 pressure ulcers per hospitalisation. The structural differences in the prevalence of pressure ulcers between HIS UHO and NRRHS (higher proportion of lower pressure ulcer categories, lower average age of patients with pressure ulcers and higher mortality of patients with pressure ulcers) are probably because a patient appears once in NRRHS regardless of the number of pressure ulcers and because lower pressure ulcer categories are not reported because they usually do not require an identifiable procedure from the list of medical procedures. Conclusion: The study showed that the actual prevalence of pressure ulcers could be significantly higher than the available national NRRHS statistics. The study results also support the importance and necessity of research on the cost-effectiveness of the prevention and treatment of pressure ulcers.
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