Accepted for/Published in: JMIR Research Protocols
Date Submitted: Feb 15, 2019
Open Peer Review Period: Feb 19, 2019 - Mar 5, 2019
Date Accepted: Jun 12, 2019
(closed for review but you can still tweet)
Monitoring immobilised elderly patients using a public provider online system for pressure ulcer information and registration (SIRUPP): Protocol for a healthcare impact study
ABSTRACT
Background:
Pressure ulcers (PUs) represent a major challenge to patient safety in healthcare contexts, presenting high incidence (from 7% to 14%, in Spain) and increased financial costs (400-600 M€/year) in medical treatment. Moreover, they are a significant predictor of mortality. The prevention of PUs in long-term care centres and in patients’ own homes is proposed as a priority indicator of healthcare quality. Early-stage risk assessment and database recording are both crucial aspects of prevention, classification, diagnosis and treatment.
Objective:
The project proposes a three-year study of immobilised patients residing in the Granada-Metropolitan Primary Healthcare District (DSGM) and monitored via the Pressure Ulcer Information and Registration System (SIRUPP, Spanish initials). The project aims to: 1) estimate the incidence of PUs among immobilised elderly patients; 2) analyse the health-related quality of life of these patients, by means of the Pressure Ulcer Quality of Life instrument (PU-QoL) in a sample of 250 patients ; 3) determine the average time to complete wound healing; 4) determine rate of PU-associated mortality; and 5) assess the predictive value of the Braden and Mini Nutritional Assessment risk measurement scales in a sample of 1700 patients.
Methods:
The DSGM runs SIRUPP, which is linked to patients’ electronic health records. Currently, 17,104 immobilised patients are monitored under this system. Health-related quality of life will be measured by patient self-reports using the Spanish Pressure Ulcer Quality of Life questionnaire, following cross-cultural adaptation and psychometric validation with respect to the English-language version.
Results:
The project commenced in June 2017 and is expected to conclude in April 2020.
Conclusions:
This study addresses two main health outcomes: the time needed for wound healing and the mortality associated with PUs, both of which might be accounted for by variations in clinical practice; and the health-related quality of life of patients with Pus.
Citation
Per the author's request the PDF is not available.
Copyright
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