Mortality related to pressure ulcers in Czech Republic- Analyses of national health registries
| Authors | |
|---|---|
| Year of publication | 2023 |
| Type | Article in Periodical |
| Magazine / Source | JOURNAL OF TISSUE VIABILITY |
| MU Faculty or unit | |
| Citation | |
| Web | https://www.sciencedirect.com/science/article/pii/S0965206X23000591?via%3Dihub |
| Doi | http://dx.doi.org/10.1016/j.jtv.2023.05.002 |
| Keywords | Hospitalisation; Mortality; Patient; Pressure injury; Pressure ulcer; Prevalence |
| Description | Background: Pressure ulcers/pressure injuries (PUs/PIs) relate to decreasing quality of life, prolonged hospital-isation, the increased economic cost of care, and increased mortality. That's why this study focused on one of the mentioned factors -mortality. Objectives: The study analyses national data in the Czech Republic to map the mortality phenomenon compre-hensively based on data from national health registries.Method: The retrospective, nationwide cross-sectional data analysis of data collected by the National Health Information System (NHIS) has been provided in the period 2010-2019 with a special focus on 2019. Hospi-talisations with PUs/PIs were identified by reporting L89.0-L89.9 diagnosis as a primary or secondary hospi-talisation diagnosis. We also included all the patients who died in the given year with an L89 diagnosis reported in 365 days prior the death. Results: In 2019, 52.1% of patients with reported PUs/PIs were hospitalised, and 40.8% were treated on an outpatient basis. The most common underlying cause of death mortality diagnosis (43.7%) in these patients was the diseases of the circulatory system. Patients who die in a healthcare facility while hospitalised with an L89 diagnosis generally have a higher category of PUs/PIs than persons who die outside a healthcare facility.Conclusion: The proportion of patients dying in a health facility is directly proportional to the increasing PUs/PIs category. In 2019, 57% of patients with PUs/PIs died in a healthcare facility, and 19% died in the community. In 24% of patients who died in the healthcare facility, PUs/PIs were reported 365 days before the death. |
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