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Pressure Ulcer Prevalence in Long-Term Nursing Home Residents Since the Implementation of OBRA '87 by Eric A. Coleman; James M. Martau; Michael K. Lin; Andrew M. Kramer is a Medicine article available to read on EtoBox.

What is Pressure Ulcer Prevalence in Long-Term Nursing Home Residents Since the Implementation of OBRA '87 about?

**OBJECTIVES:** To evaluate change in pressure ulcer prevalence in long‐term nursing home residents since the implementation of the Omnibus Budget Reconciliation Act of 1987 (OBRA '87). **DESIGN:** Cross‐sectional comparison of two time periods. **SETTING:** Ninety‐two nursing homes scheduled for a quality‐of‐care survey randomly selected from 22 representative states. **PARTICIPANTS:** Four thousand six hundred seventy‐nine residents who had resided in the facility for at least 100 days were evaluated: 2,336 during 1992–1994 and 2,343 during 1997–1998. **MEASUREMENTS:** Trained registered nurses collected data on pressure ulcer prevalence, stage, and risk factors from medical record review during on‐site evaluations. Risk‐adjusted differences were estimated using logistic regression. **RESULTS:** Unadjusted prevalence rates for all stages of pressure ulcers (8.52% vs 8.54%, __P__ = .983) and those rated stage 2 or greater (5.31% vs 5.63%, __P__ = .624) did not differ between the two time periods. After adjustment for urinary incontinence, immobility, poor nutrition, and history of previous pressure ulcers, the relative odds of having a pressure ulcer in 1992/4 versus 1997/8 was 1.

Who reads Pressure Ulcer Prevalence in Long-Term Nursing Home Residents Since the Implementation of OBRA '87?

Author

Eric A. Coleman; James M. Martau; Michael K. Lin; Andrew M. Kramer

Publisher

John Wiley and Sons; The American Geriatrics Society; Wiley (Blackwell Publishing); Blackwell Publishing Inc.; Wiley (ISSN 0002-8614)

Published

2002

Language

EN

Field

Medicine (Health Sciences)