SlideShare ist ein Scribd-Unternehmen logo
1 von 13
Downloaden Sie, um offline zu lesen
Clinical impact of pressure ulcers in patients
admitted to a rehabilitation unit of an
Intermediate Care Hospital
Santaeugenia S, Álvaro M, García M, Monterde A,
Gutiérrez A, Alventosa AM, Mas MA
Department of Geriatric Medicine and Palliative Care
Badalona Serveis Assistencials
Catalonia, Spain, EU
There is evidence of the usefulness of inpatient
rehabilitation units specially designed to manage
complex problems of older patients after acute illness
Pressure ulcers (PU) are frequent in these patients, due
to functional loss associated with acute illness in
vulnerable patients
The aim of this study was to assess the effect of pressure
ulcers during the rehabilitation process
Introduction
Bachmann S et al. Inpatient rehabilitation specifically designed for geriatric patients: systematic
review and meta-analysis of randomised controlled trials. BMJ 2010;340:c1718
A pilot study was performed during the period from
January 2010 to December 2011 in several geriatric
rehabilitation units of our Intermediate Care hospital
Method (I)
Main clinical outcomes were analyzed based on the
presence of pressure ulcers at admission
• Functional gain
• Length of Stay
• Acute rehospitalisation
• Discharge Long Term Care Unit
Description of the intervention:
•  Provided by a multidisciplinary care team
(Medical, Nursing, Physiotherapy, Occupational
Therapy, Social Worker)
•  Treatment of post acute conditions
•  Comprehensive Geriatric Assessment
(multidimensional assessment followed by an
individualized care plan)
•  Rehabilitation
Method (II)
N 668 patients
Results (I): characteristics at admission
Age 82 (9)
Gender female 68%
Referred from: acute care 87% / Community 13%
Charlson Co morbidity Index 2 (2)
Main diagnostic group: - Orthopedic 46%
- Medical 30%
- Stroke 18%
- Surgical 6%
Presence of pressure ulcers at admission 16%
Variables are % except Age and Charlson CI: mean (SD)
Variables are % except Barthel Index Granger version at admission: mean (standard deviation)
Results (II): characteristics based on PU at admission
PU No PU p
value
Barthel Index at admission* 33 (25) 44 (25) <0.05
Malnutrition at admission* 23% 16% <0.05
Cognitive Impairment 27% 23.5% 0.249
Results (III): PU at admission based on diagnostic group
% PU at
admission
Surgical* 37
Medical 16
Orthopedic 15
Stroke 11
P<0.05
Variables are mean (standard deviation), except mortality %
Results (IV): outcomes based on PU at admission
PU No PU p
value
Length of Stay* 70 (42) days 59 (37) days < 0.05
Barthel Index at discharge* 53 (34) 69 (33) < 0.05
Mortality 8% 5% 0.1
Variables are %
Results (V): destination based on PU at admission
Pressure
ulcers
No
pressure
ulcers
Acute Care 8% 6%
Long Term Care 14% 6%
Home* 69% 82%
p< 0.05
Pressure ulcers are frequent at admission in our
rehabilitation units, specially in surgical patients
Several factors at admission, as functional status or
malnutrition seemed related with PU presence
Conclusions (I)
Pressure ulcers have a negative impact both in the
clinical evolution and outcomes of patients of our
rehabilitation units
•  Worst functional outcome at discharge
•  Higher Length of Stay in the rehabilitation unit
•  Lower destination home (due to higher destination
Long Term Care)
Conclusions (II)
In our experience it would be necessary to improve the
prevention of pressure ulcers in acute units, specially in
surgical departments
More research is needed to find strategies for good
management of pressure ulcers, allowing better inpatient
clinical evolution in rehabilitation units
Conclusions (III)
Thank you
Contact Dr. Miquel A. Mas
(Badalona Serveis Assistencials)
mmas7@bsa.cat

Weitere ähnliche Inhalte

Was ist angesagt?

Characteristic of osteoarthritis patient
Characteristic of osteoarthritis patientCharacteristic of osteoarthritis patient
Characteristic of osteoarthritis patientDevyashini Prabhakaran
 
Effects of cold application on pain & anxiety during chest tube removal among...
Effects of cold application on pain & anxiety during chest tube removal among...Effects of cold application on pain & anxiety during chest tube removal among...
Effects of cold application on pain & anxiety during chest tube removal among...iosrjce
 
Study of patient complaints reported over 30 months
Study of patient complaints reported over 30 monthsStudy of patient complaints reported over 30 months
Study of patient complaints reported over 30 monthsJila Manoochehri Moghadam
 

Was ist angesagt? (6)

Coccydynia
Coccydynia Coccydynia
Coccydynia
 
Characteristic of osteoarthritis patient
Characteristic of osteoarthritis patientCharacteristic of osteoarthritis patient
Characteristic of osteoarthritis patient
 
Achu ravinath dissertation viva voice
Achu ravinath dissertation viva voiceAchu ravinath dissertation viva voice
Achu ravinath dissertation viva voice
 
POSTER
POSTERPOSTER
POSTER
 
Effects of cold application on pain & anxiety during chest tube removal among...
Effects of cold application on pain & anxiety during chest tube removal among...Effects of cold application on pain & anxiety during chest tube removal among...
Effects of cold application on pain & anxiety during chest tube removal among...
 
Study of patient complaints reported over 30 months
Study of patient complaints reported over 30 monthsStudy of patient complaints reported over 30 months
Study of patient complaints reported over 30 months
 

Andere mochten auch

REHABILITATION OR PHYSIOLOGICAL HANDICAPPED
REHABILITATION OR PHYSIOLOGICAL HANDICAPPEDREHABILITATION OR PHYSIOLOGICAL HANDICAPPED
REHABILITATION OR PHYSIOLOGICAL HANDICAPPEDKailash Nagar
 
PHYSICALLY ,MENTALLY &SOCIALLY CHALLANGED CHILDREN
PHYSICALLY ,MENTALLY &SOCIALLY CHALLANGED CHILDRENPHYSICALLY ,MENTALLY &SOCIALLY CHALLANGED CHILDREN
PHYSICALLY ,MENTALLY &SOCIALLY CHALLANGED CHILDRENMahaveer Swarnkar
 
Neuro stroke rehabilitation
Neuro  stroke rehabilitationNeuro  stroke rehabilitation
Neuro stroke rehabilitationwellnessrx
 
What is rehabilitation
What is rehabilitationWhat is rehabilitation
What is rehabilitationalayalewis
 
Types of Rehabilitation
Types of RehabilitationTypes of Rehabilitation
Types of Rehabilitationalayalewis
 

Andere mochten auch (6)

Music And Exercise Research Summary
Music And Exercise Research SummaryMusic And Exercise Research Summary
Music And Exercise Research Summary
 
REHABILITATION OR PHYSIOLOGICAL HANDICAPPED
REHABILITATION OR PHYSIOLOGICAL HANDICAPPEDREHABILITATION OR PHYSIOLOGICAL HANDICAPPED
REHABILITATION OR PHYSIOLOGICAL HANDICAPPED
 
PHYSICALLY ,MENTALLY &SOCIALLY CHALLANGED CHILDREN
PHYSICALLY ,MENTALLY &SOCIALLY CHALLANGED CHILDRENPHYSICALLY ,MENTALLY &SOCIALLY CHALLANGED CHILDREN
PHYSICALLY ,MENTALLY &SOCIALLY CHALLANGED CHILDREN
 
Neuro stroke rehabilitation
Neuro  stroke rehabilitationNeuro  stroke rehabilitation
Neuro stroke rehabilitation
 
What is rehabilitation
What is rehabilitationWhat is rehabilitation
What is rehabilitation
 
Types of Rehabilitation
Types of RehabilitationTypes of Rehabilitation
Types of Rehabilitation
 

Ähnlich wie Clinical impact of pressure ulcers in patients admitted to a rehabilitation unit definitiu

Pressure ulcers as a risk factor of discharge to acute care unit in older hos...
Pressure ulcers as a risk factor of discharge to acute care unit in older hos...Pressure ulcers as a risk factor of discharge to acute care unit in older hos...
Pressure ulcers as a risk factor of discharge to acute care unit in older hos...Sebastià J. Santaeugènia
 
Doppler Guided Intraoperative Fluid Management Data Analysis
Doppler Guided Intraoperative Fluid Management  Data AnalysisDoppler Guided Intraoperative Fluid Management  Data Analysis
Doppler Guided Intraoperative Fluid Management Data Analysisfast.track
 
VAP Prevention.pptx
VAP Prevention.pptxVAP Prevention.pptx
VAP Prevention.pptxdrperumal
 
Doppler guided intraoperative fluid management evidence base
Doppler guided intraoperative fluid management evidence baseDoppler guided intraoperative fluid management evidence base
Doppler guided intraoperative fluid management evidence basefast.track
 
Improve Outcome in Major Abdominal Surgery with ProAQT
Improve Outcome in Major Abdominal Surgery with ProAQTImprove Outcome in Major Abdominal Surgery with ProAQT
Improve Outcome in Major Abdominal Surgery with ProAQTpicco2
 
Assessing outcome following surgery
Assessing outcome following surgeryAssessing outcome following surgery
Assessing outcome following surgeryKIST Surgery
 
Presentació resultats Estudi multicèntric amb telemedicina Red Promete per pa...
Presentació resultats Estudi multicèntric amb telemedicina Red Promete per pa...Presentació resultats Estudi multicèntric amb telemedicina Red Promete per pa...
Presentació resultats Estudi multicèntric amb telemedicina Red Promete per pa...brnmomentum
 
Icu care bundles.pptx
Icu care bundles.pptxIcu care bundles.pptx
Icu care bundles.pptxReshmaVijay6
 
Adequacy of secondary versus primary assessment of surgical site infection in...
Adequacy of secondary versus primary assessment of surgical site infection in...Adequacy of secondary versus primary assessment of surgical site infection in...
Adequacy of secondary versus primary assessment of surgical site infection in...JakeMatthews12
 
Early mobilisation in ICU
Early mobilisation in ICUEarly mobilisation in ICU
Early mobilisation in ICUShikha Panwar
 
REG COPD Control Working Group Meeting 25/9/15
REG COPD Control Working Group Meeting 25/9/15REG COPD Control Working Group Meeting 25/9/15
REG COPD Control Working Group Meeting 25/9/15Zoe Mitchell
 
Cad and low ef does viability assessment matter
Cad and low ef does viability assessment matterCad and low ef does viability assessment matter
Cad and low ef does viability assessment matterdrucsamal
 
Process Oriented Multidisciplinary Approach (POMA) -journal presentation
Process Oriented Multidisciplinary Approach (POMA) -journal presentationProcess Oriented Multidisciplinary Approach (POMA) -journal presentation
Process Oriented Multidisciplinary Approach (POMA) -journal presentationSanjana Nair
 

Ähnlich wie Clinical impact of pressure ulcers in patients admitted to a rehabilitation unit definitiu (20)

Pressure ulcers as a risk factor of discharge to acute care unit in older hos...
Pressure ulcers as a risk factor of discharge to acute care unit in older hos...Pressure ulcers as a risk factor of discharge to acute care unit in older hos...
Pressure ulcers as a risk factor of discharge to acute care unit in older hos...
 
Doppler Guided Intraoperative Fluid Management Data Analysis
Doppler Guided Intraoperative Fluid Management  Data AnalysisDoppler Guided Intraoperative Fluid Management  Data Analysis
Doppler Guided Intraoperative Fluid Management Data Analysis
 
VAP Prevention.pptx
VAP Prevention.pptxVAP Prevention.pptx
VAP Prevention.pptx
 
Doppler guided intraoperative fluid management evidence base
Doppler guided intraoperative fluid management evidence baseDoppler guided intraoperative fluid management evidence base
Doppler guided intraoperative fluid management evidence base
 
The Effect of Multidisciplinary Rounds on Intensive Care Unit Mortality 6.3.09
The Effect of Multidisciplinary Rounds on Intensive Care Unit Mortality 6.3.09The Effect of Multidisciplinary Rounds on Intensive Care Unit Mortality 6.3.09
The Effect of Multidisciplinary Rounds on Intensive Care Unit Mortality 6.3.09
 
Improve Outcome in Major Abdominal Surgery with ProAQT
Improve Outcome in Major Abdominal Surgery with ProAQTImprove Outcome in Major Abdominal Surgery with ProAQT
Improve Outcome in Major Abdominal Surgery with ProAQT
 
Assessing outcome following surgery
Assessing outcome following surgeryAssessing outcome following surgery
Assessing outcome following surgery
 
Evidence-based Practice in Infection Control and Prevention
Evidence-based Practice in Infection Control and PreventionEvidence-based Practice in Infection Control and Prevention
Evidence-based Practice in Infection Control and Prevention
 
Patient Safety Indicators by
Patient Safety Indicators byPatient Safety Indicators by
Patient Safety Indicators by
 
Presentació resultats Estudi multicèntric amb telemedicina Red Promete per pa...
Presentació resultats Estudi multicèntric amb telemedicina Red Promete per pa...Presentació resultats Estudi multicèntric amb telemedicina Red Promete per pa...
Presentació resultats Estudi multicèntric amb telemedicina Red Promete per pa...
 
Infection control
Infection control Infection control
Infection control
 
F. Benvenuti - Tele-rehabilitation service for stroke survivors with residual...
F. Benvenuti - Tele-rehabilitation service for stroke survivors with residual...F. Benvenuti - Tele-rehabilitation service for stroke survivors with residual...
F. Benvenuti - Tele-rehabilitation service for stroke survivors with residual...
 
The value of information
The value of informationThe value of information
The value of information
 
Icu care bundles.pptx
Icu care bundles.pptxIcu care bundles.pptx
Icu care bundles.pptx
 
Adequacy of secondary versus primary assessment of surgical site infection in...
Adequacy of secondary versus primary assessment of surgical site infection in...Adequacy of secondary versus primary assessment of surgical site infection in...
Adequacy of secondary versus primary assessment of surgical site infection in...
 
Early mobilisation in ICU
Early mobilisation in ICUEarly mobilisation in ICU
Early mobilisation in ICU
 
REG COPD Control Working Group Meeting 25/9/15
REG COPD Control Working Group Meeting 25/9/15REG COPD Control Working Group Meeting 25/9/15
REG COPD Control Working Group Meeting 25/9/15
 
Cad and low ef does viability assessment matter
Cad and low ef does viability assessment matterCad and low ef does viability assessment matter
Cad and low ef does viability assessment matter
 
Er report analysis
Er report analysisEr report analysis
Er report analysis
 
Process Oriented Multidisciplinary Approach (POMA) -journal presentation
Process Oriented Multidisciplinary Approach (POMA) -journal presentationProcess Oriented Multidisciplinary Approach (POMA) -journal presentation
Process Oriented Multidisciplinary Approach (POMA) -journal presentation
 

Mehr von Sebastià J. Santaeugènia

Hosp Domiciliaria Integral - Resultats del Servei de Geriatria a BSA
Hosp Domiciliaria Integral - Resultats del Servei de Geriatria a BSAHosp Domiciliaria Integral - Resultats del Servei de Geriatria a BSA
Hosp Domiciliaria Integral - Resultats del Servei de Geriatria a BSASebastià J. Santaeugènia
 
Hospitalització Domiciliària revisió de la evidència
Hospitalització Domiciliària revisió de la evidènciaHospitalització Domiciliària revisió de la evidència
Hospitalització Domiciliària revisió de la evidènciaSebastià J. Santaeugènia
 
Abordaje Multidisciplinar de la Fractura de Fémur - SEIOMM 2014
Abordaje Multidisciplinar de la Fractura de Fémur - SEIOMM 2014Abordaje Multidisciplinar de la Fractura de Fémur - SEIOMM 2014
Abordaje Multidisciplinar de la Fractura de Fémur - SEIOMM 2014Sebastià J. Santaeugènia
 
II Jornada Atenció a la Cronicitat BNiBM - Els centres sociosanitaris i atenc...
II Jornada Atenció a la Cronicitat BNiBM - Els centres sociosanitaris i atenc...II Jornada Atenció a la Cronicitat BNiBM - Els centres sociosanitaris i atenc...
II Jornada Atenció a la Cronicitat BNiBM - Els centres sociosanitaris i atenc...Sebastià J. Santaeugènia
 
Ponencia simposio clínico en el 56º Congreso de la SEGG / 20º Congreso de la ...
Ponencia simposio clínico en el 56º Congreso de la SEGG / 20º Congreso de la ...Ponencia simposio clínico en el 56º Congreso de la SEGG / 20º Congreso de la ...
Ponencia simposio clínico en el 56º Congreso de la SEGG / 20º Congreso de la ...Sebastià J. Santaeugènia
 
Mas MA, Segunda parte ponencia de Pamplona para la Sociedad Navarra Geriatria
Mas MA, Segunda parte ponencia de Pamplona para la Sociedad Navarra GeriatriaMas MA, Segunda parte ponencia de Pamplona para la Sociedad Navarra Geriatria
Mas MA, Segunda parte ponencia de Pamplona para la Sociedad Navarra GeriatriaSebastià J. Santaeugènia
 
Primera parte ponencia de Pamplona para la Sociedad Navarra Geriatria
Primera parte ponencia de Pamplona para la Sociedad Navarra GeriatriaPrimera parte ponencia de Pamplona para la Sociedad Navarra Geriatria
Primera parte ponencia de Pamplona para la Sociedad Navarra GeriatriaSebastià J. Santaeugènia
 
L'atenció domiciliària al malalt crònic complex
L'atenció domiciliària al malalt crònic complexL'atenció domiciliària al malalt crònic complex
L'atenció domiciliària al malalt crònic complexSebastià J. Santaeugènia
 
Mirando hacia el futuro óptica desde la gestión de centros
Mirando hacia el futuro   óptica desde la gestión de centrosMirando hacia el futuro   óptica desde la gestión de centros
Mirando hacia el futuro óptica desde la gestión de centrosSebastià J. Santaeugènia
 
Lideratge interdisciplinar jornada de qualitat
Lideratge interdisciplinar jornada de qualitatLideratge interdisciplinar jornada de qualitat
Lideratge interdisciplinar jornada de qualitatSebastià J. Santaeugènia
 

Mehr von Sebastià J. Santaeugènia (12)

Expertesa en atenció a la complexitat
Expertesa en atenció a la complexitat Expertesa en atenció a la complexitat
Expertesa en atenció a la complexitat
 
Hosp Domiciliaria Integral - Resultats del Servei de Geriatria a BSA
Hosp Domiciliaria Integral - Resultats del Servei de Geriatria a BSAHosp Domiciliaria Integral - Resultats del Servei de Geriatria a BSA
Hosp Domiciliaria Integral - Resultats del Servei de Geriatria a BSA
 
Hospitalització Domiciliària revisió de la evidència
Hospitalització Domiciliària revisió de la evidènciaHospitalització Domiciliària revisió de la evidència
Hospitalització Domiciliària revisió de la evidència
 
Abordaje Multidisciplinar de la Fractura de Fémur - SEIOMM 2014
Abordaje Multidisciplinar de la Fractura de Fémur - SEIOMM 2014Abordaje Multidisciplinar de la Fractura de Fémur - SEIOMM 2014
Abordaje Multidisciplinar de la Fractura de Fémur - SEIOMM 2014
 
II Jornada Atenció a la Cronicitat BNiBM - Els centres sociosanitaris i atenc...
II Jornada Atenció a la Cronicitat BNiBM - Els centres sociosanitaris i atenc...II Jornada Atenció a la Cronicitat BNiBM - Els centres sociosanitaris i atenc...
II Jornada Atenció a la Cronicitat BNiBM - Els centres sociosanitaris i atenc...
 
Ponencia simposio clínico en el 56º Congreso de la SEGG / 20º Congreso de la ...
Ponencia simposio clínico en el 56º Congreso de la SEGG / 20º Congreso de la ...Ponencia simposio clínico en el 56º Congreso de la SEGG / 20º Congreso de la ...
Ponencia simposio clínico en el 56º Congreso de la SEGG / 20º Congreso de la ...
 
Mas MA, Segunda parte ponencia de Pamplona para la Sociedad Navarra Geriatria
Mas MA, Segunda parte ponencia de Pamplona para la Sociedad Navarra GeriatriaMas MA, Segunda parte ponencia de Pamplona para la Sociedad Navarra Geriatria
Mas MA, Segunda parte ponencia de Pamplona para la Sociedad Navarra Geriatria
 
Primera parte ponencia de Pamplona para la Sociedad Navarra Geriatria
Primera parte ponencia de Pamplona para la Sociedad Navarra GeriatriaPrimera parte ponencia de Pamplona para la Sociedad Navarra Geriatria
Primera parte ponencia de Pamplona para la Sociedad Navarra Geriatria
 
Sessió x jornada de geriatria bsa
Sessió x jornada de geriatria bsaSessió x jornada de geriatria bsa
Sessió x jornada de geriatria bsa
 
L'atenció domiciliària al malalt crònic complex
L'atenció domiciliària al malalt crònic complexL'atenció domiciliària al malalt crònic complex
L'atenció domiciliària al malalt crònic complex
 
Mirando hacia el futuro óptica desde la gestión de centros
Mirando hacia el futuro   óptica desde la gestión de centrosMirando hacia el futuro   óptica desde la gestión de centros
Mirando hacia el futuro óptica desde la gestión de centros
 
Lideratge interdisciplinar jornada de qualitat
Lideratge interdisciplinar jornada de qualitatLideratge interdisciplinar jornada de qualitat
Lideratge interdisciplinar jornada de qualitat
 

Kürzlich hochgeladen

power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismusChandrasekar Reddy
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfHongBiThi1
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.kishan singh tomar
 
Adenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisAdenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisSujoy Dasgupta
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu Medical University
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationMedicoseAcademics
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyZurück zum Ursprung
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptxWINCY THIRUMURUGAN
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptxNIKITA BHUTE
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfHongBiThi1
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.pptRamDBawankar1
 
Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Peter Embi
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdfHongBiThi1
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.whalesdesign
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu Medical University
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communicationskatiequigley33
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionkrishnareddy157915
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaSujoy Dasgupta
 

Kürzlich hochgeladen (20)

power point presentation of Clinical evaluation of strabismus
power point presentation of Clinical evaluation  of strabismuspower point presentation of Clinical evaluation  of strabismus
power point presentation of Clinical evaluation of strabismus
 
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdfSGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
SGK RỐI LOẠN TOAN KIỀM ĐHYHN RẤT HAY VÀ ĐẶC SẮC.pdf
 
Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.Different drug regularity bodies in different countries.
Different drug regularity bodies in different countries.
 
Adenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosisAdenomyosis or Fibroid- making right diagnosis
Adenomyosis or Fibroid- making right diagnosis
 
Mental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil ThirusanguMental health Team. Dr Senthil Thirusangu
Mental health Team. Dr Senthil Thirusangu
 
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxationPhysiology of Smooth Muscles -Mechanics of contraction and relaxation
Physiology of Smooth Muscles -Mechanics of contraction and relaxation
 
How to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturallyHow to cure cirrhosis and chronic hepatitis naturally
How to cure cirrhosis and chronic hepatitis naturally
 
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptxANATOMICAL FAETURES OF BONES  FOR NURSING STUDENTS .pptx
ANATOMICAL FAETURES OF BONES FOR NURSING STUDENTS .pptx
 
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
GOUT UPDATE AHMED YEHIA 2024, case based approach with application of the lat...
 
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptxORAL HYPOGLYCAEMIC AGENTS  - PART 2.pptx
ORAL HYPOGLYCAEMIC AGENTS - PART 2.pptx
 
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdfSGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
SGK RỐI LOẠN KALI MÁU CỰC KỲ QUAN TRỌNG.pdf
 
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D.  Bawankar.pptPharmacokinetic Models by Dr. Ram D.  Bawankar.ppt
Pharmacokinetic Models by Dr. Ram D. Bawankar.ppt
 
Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024Clinical Research Informatics Year-in-Review 2024
Clinical Research Informatics Year-in-Review 2024
 
Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...Rheumatoid arthritis Part 1, case based approach with application of the late...
Rheumatoid arthritis Part 1, case based approach with application of the late...
 
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdfSGK ĐIỆN GIẬT ĐHYHN        RẤT LÀ HAY TUYỆT VỜI.pdf
SGK ĐIỆN GIẬT ĐHYHN RẤT LÀ HAY TUYỆT VỜI.pdf
 
MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.MedMatch: Your Health, Our Mission. Pitch deck.
MedMatch: Your Health, Our Mission. Pitch deck.
 
historyofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusanguhistoryofpsychiatryinindia. Senthil Thirusangu
historyofpsychiatryinindia. Senthil Thirusangu
 
Using Data Visualization in Public Health Communications
Using Data Visualization in Public Health CommunicationsUsing Data Visualization in Public Health Communications
Using Data Visualization in Public Health Communications
 
EXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung functionEXERCISE PERFORMANCE.pptx, Lung function
EXERCISE PERFORMANCE.pptx, Lung function
 
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy DasguptaMale Infertility Panel Discussion by Dr Sujoy Dasgupta
Male Infertility Panel Discussion by Dr Sujoy Dasgupta
 

Clinical impact of pressure ulcers in patients admitted to a rehabilitation unit definitiu

  • 1. Clinical impact of pressure ulcers in patients admitted to a rehabilitation unit of an Intermediate Care Hospital Santaeugenia S, Álvaro M, García M, Monterde A, Gutiérrez A, Alventosa AM, Mas MA Department of Geriatric Medicine and Palliative Care Badalona Serveis Assistencials Catalonia, Spain, EU
  • 2. There is evidence of the usefulness of inpatient rehabilitation units specially designed to manage complex problems of older patients after acute illness Pressure ulcers (PU) are frequent in these patients, due to functional loss associated with acute illness in vulnerable patients The aim of this study was to assess the effect of pressure ulcers during the rehabilitation process Introduction Bachmann S et al. Inpatient rehabilitation specifically designed for geriatric patients: systematic review and meta-analysis of randomised controlled trials. BMJ 2010;340:c1718
  • 3. A pilot study was performed during the period from January 2010 to December 2011 in several geriatric rehabilitation units of our Intermediate Care hospital Method (I) Main clinical outcomes were analyzed based on the presence of pressure ulcers at admission • Functional gain • Length of Stay • Acute rehospitalisation • Discharge Long Term Care Unit
  • 4. Description of the intervention: •  Provided by a multidisciplinary care team (Medical, Nursing, Physiotherapy, Occupational Therapy, Social Worker) •  Treatment of post acute conditions •  Comprehensive Geriatric Assessment (multidimensional assessment followed by an individualized care plan) •  Rehabilitation Method (II)
  • 5. N 668 patients Results (I): characteristics at admission Age 82 (9) Gender female 68% Referred from: acute care 87% / Community 13% Charlson Co morbidity Index 2 (2) Main diagnostic group: - Orthopedic 46% - Medical 30% - Stroke 18% - Surgical 6% Presence of pressure ulcers at admission 16% Variables are % except Age and Charlson CI: mean (SD)
  • 6. Variables are % except Barthel Index Granger version at admission: mean (standard deviation) Results (II): characteristics based on PU at admission PU No PU p value Barthel Index at admission* 33 (25) 44 (25) <0.05 Malnutrition at admission* 23% 16% <0.05 Cognitive Impairment 27% 23.5% 0.249
  • 7. Results (III): PU at admission based on diagnostic group % PU at admission Surgical* 37 Medical 16 Orthopedic 15 Stroke 11 P<0.05
  • 8. Variables are mean (standard deviation), except mortality % Results (IV): outcomes based on PU at admission PU No PU p value Length of Stay* 70 (42) days 59 (37) days < 0.05 Barthel Index at discharge* 53 (34) 69 (33) < 0.05 Mortality 8% 5% 0.1
  • 9. Variables are % Results (V): destination based on PU at admission Pressure ulcers No pressure ulcers Acute Care 8% 6% Long Term Care 14% 6% Home* 69% 82% p< 0.05
  • 10. Pressure ulcers are frequent at admission in our rehabilitation units, specially in surgical patients Several factors at admission, as functional status or malnutrition seemed related with PU presence Conclusions (I)
  • 11. Pressure ulcers have a negative impact both in the clinical evolution and outcomes of patients of our rehabilitation units •  Worst functional outcome at discharge •  Higher Length of Stay in the rehabilitation unit •  Lower destination home (due to higher destination Long Term Care) Conclusions (II)
  • 12. In our experience it would be necessary to improve the prevention of pressure ulcers in acute units, specially in surgical departments More research is needed to find strategies for good management of pressure ulcers, allowing better inpatient clinical evolution in rehabilitation units Conclusions (III)
  • 13. Thank you Contact Dr. Miquel A. Mas (Badalona Serveis Assistencials) mmas7@bsa.cat