Maklebust J
Harper Hospital/Detroit Medical Center, USA.
Adv Wound Care. 1997 Sep;10(5):32-5.
In 1995, the National Pressure Ulcer Advisory Panel held its Fourth National Conference, "Pressure Ulcer Healing: Controversy to Consensus, Assessment Methods and Outcomes." At that time, agreement was reached on uses and misuses of the current pressure ulcer staging system. Participants agreed that pressure ulcer staging definitions should not be used in reverse order to measure improvement in an ulcer. Negative outcomes of reverse staging were seen as (1) denial of acute or skilled care after Stage IV ulcers were restaged as Stage II ulcers; (2) withdrawal of pressure-reducing support surfaces when ulcers "healed" from Stage III or Stage IV to Stage II; and (3) lower fees paid to extended-care facilities for care of patients with healing Stage III and Stage IV ulcers that were reclassified as Stage II or Stage I pressure ulcers.
1995年，国家压疮咨询小组召开了第四届全国会议，主题为“压疮愈合：从争议到共识、评估方法与结果”。当时，就当前压疮分期系统的使用和误用达成了共识。与会者一致认为，压疮分期定义不应颠倒顺序用于衡量溃疡的改善情况。颠倒分期的负面结果表现为：（1）IV期溃疡重新分期为II期溃疡后拒绝给予急性或专业护理；（2）溃疡从III期或IV期“愈合”至II期时撤去减压支撑面；（3）将愈合中的III期和IV期溃疡重新分类为II期或I期压疮的患者，支付给长期护理机构的费用降低。
