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Title: Monitoring Immobilized Elderly Patients Using a Public Provider Online System for Pressure Ulcer Information and Registration (SIRUPP): Protocol for a Health Care Impact Study
Authors: Vera-Salmerón, Eugenio
Rutherford, Claudia
Dominguez-Nogueira, Carmen
Tudela-Vázquez, María Pilar
Costela-Ruiz, Víctor J
Gómez-Pozo, Basilio
metadata.dc.contributor.authoraffiliation: [Vera-Salmerón,E; Dominguez-Nogueira,C; Tudela-Vázquez,MP; Gómez-Pozo,B] Distrito Sanitario Granada Metropolitano, Servicio Andaluz de Salud, Armilla, Granada, Spain. [Vera-Salmerón,E; Tudela-Vázquez,MP; Gómez-Pozo,B] Instituto de Investigación Biosanitaria de Granada (ibs. GRANADA), Granada, Spain. [Vera-Salmerón,E] Unidades Asistenciales Churriana de la Vega y Peligros, Granada, Spain. [Rutherford,C] Beckett Senior Research Fellow Quality of Life Office, University of Sydney, Sydney, Australia. [Costela-Ruiz,VJ] Departamento de Enfermería, Facultad de Ciencias de la Salud, Universidad de Granada, Granada, Spain. [Gómez-Pozo,B] Unidad Interniveles de Prevención Promoción y Vigilancia de la Salud, Granada, Spain.
Keywords: Primary health care;Pressure ulcers;Wound healing;Health-related quality of life;Atención primaria de salud;Úlcera por presión;Cicatrización de heridas;Calidad de vida
metadata.dc.subject.mesh: Medical Subject Headings::Health Care::Health Services Administration::Patient Care Management::Comprehensive Health Care::Primary Health Care
Medical Subject Headings::Diseases::Skin and Connective Tissue Diseases::Skin Diseases::Skin Ulcer::Pressure Ulcer
Medical Subject Headings::Phenomena and Processes::Biological Phenomena::Biological Processes::Regeneration::Wound Healing
Medical Subject Headings::Anthropology, Education, Sociology and Social Phenomena::Social Sciences::Quality of Life
Medical Subject Headings::Publication Type::Publication Formats::Journal Article
Issue Date: 12-Aug-2019
Publisher: JMIR Publications
Citation: Vera-Salmerón E, Rutherford C, Dominguez-Nogueira C, Tudela-Vázquez MP, Costela-Ruiz VJ, Gómez-Pozo B. Monitoring Immobilized Elderly Patients Using a Public Provider Online System for Pressure Ulcer Information and Registration (SIRUPP): Protocol for a Health Care Impact Study. JMIR Res Protoc. 2019;8(8):e13701
Abstract: Background: Pressure ulcers represent a major challenge to patient safety in the health care context, presenting high incidence (from 7% to 14% in Spain) and increased financial costs (€400-600 million/year) in medical treatment. Moreover, they are a significant predictor of mortality. The prevention of pressure ulcers in long-term care centers and patients’ own homes is proposed as a priority indicator of health care quality. Early stage risk assessment and database recording are both crucial aspects of prevention, classification, diagnosis, and treatment. Objective: This project proposes a 3-year study of immobilized 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 estimate the incidence of PUs among immobilized elderly patients, analyze the health-related quality of life of these patients by using the Pressure Ulcer Quality of Life (PU-QoL) instrument in a sample of 250 patients, determine the average time to complete wound healing, estimate the rate of pressure ulcers–associated mortality, and 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 immobilized 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 pressure ulcers—both of which might be accounted for by variations in clinical practice and the health-related quality of life of patients with pressure ulcers.
Description: Proyecto Financiado por Fundación Progreso y Salud, en convocatoria de Atención Primaria (PI-0086-2016).
ISSN: 1929-0748 (Online)
Appears in Collections:01- Artículos - AGS Nordeste de Granada
01- Artículos - AGS Sur de Granada
01- Artículos - Hospital San Cecilio
01- Artículos - Hospital Virgen de las Nieves
02 - Publicaciones - DAP Metropolitano de Granada

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