[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.163.94.5. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
December 12, 1990

The Epidemiology and Natural History of Pressure Ulcers in Elderly Nursing Home Residents

Author Affiliations

From the Hebrew Rehabilitation Center for Aged (Drs Brandeis, Morris, and Lipsitz, and Mr Nash); and the Department of Medicine of Beth Israel Hospital and Division on Aging, Harvard Medical School (Drs Brandeis and Lipsitz), Boston, Mass.

From the Hebrew Rehabilitation Center for Aged (Drs Brandeis, Morris, and Lipsitz, and Mr Nash); and the Department of Medicine of Beth Israel Hospital and Division on Aging, Harvard Medical School (Drs Brandeis and Lipsitz), Boston, Mass.

JAMA. 1990;264(22):2905-2909. doi:10.1001/jama.1990.03450220071025
Abstract

We analyzed prospective data from 19 889 elderly residents of 51 nursing homes from 1984 to 1985 to determine the prevalence, incidence, and natural history of pressure ulcers. Among all residents admitted to nursing homes, 11.3% possessed a stage II through stage IV pressure ulcer. For those residents admitted to the nursing home without pressure ulcers during the study period, the 1-year incidence was 13.2%. This increased to 21.6% by 2 years of nursing home stay. People already residing in a nursing home at the start of the study had a 1-year incidence of 9.5%, which increased to 20.4% by 2 years. Pressure ulcers were associated with an increased rate of mortality, but not hospitalization. Longitudinal follow-up of residents with pressure ulcers demonstrated that a majority of their lesions were healed by 1 year. Most of the improvement occurred early in a person's nursing home stay. Although nursing home residents with pressure ulcers have a higher mortality, with good medical care pressure ulcers can be expected to heal.

(JAMA. 1990;264:2905-2909)

×