Little is known about the prevalence of pressure ulcer (PrU) in acute care settings. The
aim of this study is to determine the prevalence rate of PrU in acute care settings and to
assess the methodological quality of the reviewed publications. The Cumulative Index to
Nursing and Allied Health Literature, British Nursing Index, MEDLINE, and Cochrane
Database of Systematic Reviews were searched using the keywords pressure
ulcer or decubitus ulcer or bed sore or
pressure sore or pressure injury, with
prevalence and acute care, for studies published
between January 2000 and December 2015. Nineteen publications met our criteria. These
reported a prevalence range of between 7.8% and 54% for those using European Pressure
Ulcer Advisory Panel methodology, 6% and 22% for those using National Pressure Ulcer
Advisory Panel methodology, and 4.94% for the study that employed the Torrance system. The
likely worldwide PrU prevalence rate range in acute care settings is between 6% and 18.5%.
Prevalence rate varies between studies depending on the methodology of data collection.
Moreover, the methodological quality of the included studies in the review was variable;
therefore, it was difficult to compare the prevalence rate between the studies, settings,
and countries.
AmirY.MeijersJ.HalfensR. (2011). Retrospective study of pressure ulcer
prevalence in Dutch general hospitals since 2001. Journal of
Wound Care, 20,
18-25.
2.
BaharestaniM.BlackJ.CarvilleK.ClarkM.CuddiganJ.DealeyC.. . . SanadaH. (2009). Dilemmas in measuring and using
pressure ulcer prevalence and incidence: An international consensus.
International Wound Journal, 6,
97-104.
3.
BarroisB.LabaletteC.RousseauP.CorbinA.ColinD.AllaertF.SaumetJ. L. (2008). A national prevalence study of
pressure ulcers in French hospital inpatients. Journal of Wound
Care, 17,
373-379.
4.
CardosoJ. R.BlanesL.CalilJ. A.Ferreira ChaconJ. M.Masako FerreiraL. (2010). Prevalence of pressure ulcers in a
Brazilian hospital: Results of a cross-sectional study. Ostomy
Wound Management, 56(10),
52-57.
5.
CaseyG. (2013). Pressure ulcers reflect quality of
nursing care. Nursing New Zealand,
19(10),
20-24.
6.
ChanE. Y.TanS. L.LeeC. K. S.LeeJ. Y. (2005). Prevalence, incidence and predictors
of pressure ulcers in a tertiary hospital in Singapore. Journal
of Wound Care, 14,
383-388.
7.
ChauhanV.GoelS.KumarP.SrivastavaS.ShuklaV. (2005). The prevalence of pressure ulcers in
hospitalised patients in a university hospital in India. Journal
of Wound Care, 14,
36-37.
8.
CremascoM. F.WenzelF.ZaneiS. S.WhitakerI. Y. (2013). Pressure ulcers in the intensive care
unit: The relationship between nursing workload, illness severity and pressure ulcer
risk. Journal of Clinical Nursing, 22,
2183-2191.
9.
DealeyC.PosnettJ.WalkerA. (2012). The cost of pressure ulcers in the
United Kingdom. Journal of Wound Care,
21, 261-262, 264, 266.
10.
DemarreL.Van LanckerA.Van HeckeA.VerhaegheS.GrypdonckM.LemeyJ.. . . BeeckmanD. (2015). The cost of prevention and treatment
of pressure ulcers: A systematic review. International Journal
of Nursing Studies, 52,
1754-1774.
11.
GallagherP.BarryP.HartiganI.McCluskeyP.O’ConnorK.O’ConnorM. (2008). Prevalence of pressure ulcers in three
university teaching hospitals in Ireland. Journal of Tissue
Viability, 17,
103-109.
12.
GoreckiC.NixonJ.MadillA.FirthJ.BrownJ. (2012). What influences the impact of pressure
ulcers on health-related quality of life? A qualitative patient-focused exploration of
contributory factors. Journal of Tissue Viability,
21, 3-12.
13.
GunningbergL. (2006). EPUAP pressure ulcer prevalence survey
in Sweden: A two-year follow-up of quality indicators. Journal
of Wound, Ostomy, and Continence Nursing, 33,
258-266.
14.
GunningbergL.HommelA.BaathC.IdvallE. (2013). The first national pressure ulcer
prevalence survey in county council and municipality settings in Sweden.
Journal of Evaluation in Clinical Practice, 19,
862-867.
15.
GunningbergL.StottsN. A.IdvallE. (2011). Hospital-acquired pressure ulcers in
two Swedish County Councils: Cross-sectional data as the foundation for future quality
improvement. International Wound Journal,
8, 465-473.
16.
HawkerS.PayneS.KerrC.HardeyM.PowellJ. (2002). Appraising the evidence: Reviewing
disparate data systematically. Qualitative Health
Research, 12,
1284-1299.
JenkinsM. L.O’NealE. (2010). Pressure ulcer prevalence and
incidence in acute care. Advances in Skin and Wound
Care, 23,
556-559.
19.
JullA.GriffithsP. (2010). Is pressure sore prevention a
sensitive indicator of the quality of nursing care? A cautionary note.
International Journal of Nursing Studies, 47,
531-533.
20.
KaradagM.GumuskayaN. (2006). The incidence of pressure ulcers in
surgical patients: A sample hospital in Turkey. Journal of
Clinical Nursing, 15,
413-421.
21.
KottnerJ.DassenT. (2008). An interrater reliability study of the
Braden scale in two nursing homes. International Journal of
Nursing Studies, 45,
1501-1511.
22.
KottnerJ.TannenA.DassenT. (2009). Hospital pressure ulcer prevalence
rates and number of raters. Journal of Clinical
Nursing, 18,
1550-1556.
23.
LahmannN. A.DassenT.PoehlerA.KottnerJ. (2010). Pressure ulcer prevalence rates from
2002 to 2008 in German long-term care facilities. Aging Clinical
and Experimental Research, 22,
152-156.
24.
MeesterberendsE.HalfensR.LohrmannC.de WitR. (2010). Pressure ulcer guideline development
and dissemination in Europe. Journal of Clinical
Nursing, 19,
1495-1503.
25.
MehtaC.GeorgeJ. V.MehtaY.WangmoN. (2015). Pressure ulcer and patient
characteristics—A point prevalence study in a tertiary hospital of India based on the
European Pressure Ulcer Advisory Panel minimum data set. Journal
of Tissue Viability, 24,
123-130.
26.
MooreZ.JohansenE.EttenMv.StrappH.SolbakkenT.SmithB. E.FaulstichJ. (2015). Pressure ulcer prevalence and
prevention practices: A cross-sectional comparative survey in Norway and
Ireland. Journal of Wound Care, 24,
333-339.
27.
MooreZ. E.CowmanS. (2008). Risk assessment tools for the
prevention of pressure ulcers. Cochrane Database of Systematic
Reviews, 3, CD006471. doi:10.1002/14651858.CD006471.pub2.
28.
National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel,
& Pan Pacific Pressure Injury Alliance. (2014).
Prevention and treatment of pressure ulcers: Quick reference guide (E.
Haesler, Ed.). Perth, Australia: Cambridge
Media.
29.
PapanikolaouP. (2008). An exploratory study using the Discrete
Choice Experiment technique in nursing. An application to ascertain the views of
community nurses when dealing with alternative Pressure ulcer preventive treatments
(care plans) for elderly at risk (Doctoral dissertation).
Cardiff University,
UK.
30.
PapanikolaouP.LyneP.AnthonyD. (2007). Risk assessment scales for pressure
ulcers: A methodological review. International Journal of
Nursing Studies, 44,
285-296.
31.
PearsonA.FrancisK.HodgkinsonB.CurryG.PearsonP. A. (2000). Prevalence and treatment of pressure
ulcers in northern New South Wales. Australian Journal of Rural
Health, 8,
103-110.
Rycroft-MaloneJ.MclnnessE. (2000). Pressure ulcer risk assessment and
prevention. London, England:
Royal College of Nursing.
34.
SchoonhovenL.BousemaM. T.BuskensE. (2007). The prevalence and incidence of
pressure ulcers in hospitalised patients in the Netherlands: A prospective inception
cohort study. International Journal of Nursing Studies,
44, 927-935.
35.
SchoonhovenL.GrobbeeD. E.BousemaM. T.BuskensE. (2005). Predicting pressure ulcers: Cases
missed using a new clinical prediction rule. Journal of Advanced
Nursing, 49,
16-22.
TannenA.DassenT.BoursG.HalfensR. (2004). A comparison of pressure ulcer
prevalence: Concerted data collection in the Netherlands and Germany.
International Journal of Nursing Studies, 41,
607-612.
38.
TubaishatA.AljezawiM. (2013). The prevalence of pressure ulceration
among Jordanian hospitalised patients. Journal of Wound
Care, 22, 305-306,
308-310.
39.
TubaishatA.AljezawiM. (2014). Exploring Pressure Ulcer Care in
Jordan: Nurses’ knowledge and practice. Journal of the
Dermatology Nurses’ Association, 6,
115-123.
40.
TubaishatA.AnthonyD.SalehM. (2011). Pressure ulcers in Jordan: A point
prevalence study. Journal of Tissue Viability,
20, 14-19.
41.
UzunO.TanM. (2007). A prospective, descriptive pressure
ulcer risk factor and prevalence study at a university hospital in
Turkey. Ostomy Wound Management,
53(2),
44-56.
42.
VanderweeK.ClarkM.DealeyC.GunningbergL.DefloorT. (2007). Pressure ulcer prevalence in Europe: A
pilot study. Journal of Evaluation in Clinical
Practice, 13,
227-235.
43.
WhittingtonK.PatrickM.RobertsJ. L. (2000). A national study of pressure ulcer
prevalence and incidence in acute care hospitals. Journal of
Wound, Ostomy, and Continence Nursing, 27,
209-215.
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