Melotti Rita Maria, Fortuna Daniela, Chiari Paolo, Cavicchioli Andrea, Mongardi Maria, Santullo Antonella, Grilli Roberto
Area di programma governo clinico, Agenzia sanitaria regionale Emilia-Romagna, Bologna.
Epidemiol Prev. 2003 May-Jun;27(3):141-6.
This audit initiative aimed at assessing the prevalence of pressure sores in the public hospitals of Emilia-Romagna, and at monitoring the rate of use of specific modalities of prevention and cure. The design was cross-sectional, with information collected on three index days during 2000 by trained personnel. Overall, the prevalence of pressure sores at the regional level was 7.1%, with remarkable variation across hospitals (from 2.9% to 9.7%), also after adjustment for case mix. As for patterns of prevention and cure, 74% of patients at risk (according to the Braden scale) of developing a pressure sores received only standard low technology devices, and 50% of those in need were included in a systematic programme of postural change. Adequate (according to the available evidence) medications were used in 45% of patients with a pressure sore. The overall prevalence of pressure sore is close (or even inferior) to that observed in similar studies. However, variation between hospitals indicates that the current health services ability to deal with pressure sore is variable and often suboptimal. This evaluation is also supported by the limited adoption of adequate preventive and curative modalities.
这项审计计划旨在评估艾米利亚 - 罗马涅大区公立医院中压疮的患病率，并监测特定预防和治疗方式的使用比例。采用横断面设计，由经过培训的人员在2000年的三个指定日期收集信息。总体而言，该地区压疮的患病率为7.1%，各医院之间存在显著差异（从2.9%至9.7%），病例组合调整后亦是如此。至于预防和治疗模式，74%有发生压疮风险（根据布拉德恩量表）的患者仅接受了标准的低技术设备，50%有需求的患者被纳入了系统的体位改变计划。45%的压疮患者使用了足够（根据现有证据）的药物。压疮的总体患病率接近（甚至低于）类似研究中的观察结果。然而，医院之间的差异表明，当前医疗服务处理压疮的能力参差不齐，且往往未达最佳水平。预防和治疗方式的有限采用也支持了这一评估结果。
