Pressure ulcers in German nursing homes. Frequencies, grades, and origins

Background. The occurrence of pressure ulcers in long-term care facilities is regarded as a nursing-sensitive indicator of care. The aim of this study was to measure the frequency, categories, and points of origin of pressure ulcers in German nursing homes. Methods and sample. In spring 2010, a nationwide prevalence study was conducted in 52 nursing homes (n=3610 residents). According to a standardized study protocol, trained nurses collected data about pressure ulcer risk and pressure ulcers. Results. The prevalence of pressure ulcers was 3.9% (95% CI 3.3-4.6). Excluding skin redness, the proportion of pressure ulcers of nursing home origin was 1.2% (95% CI 0.9-1.6). Risk-adjusted (adjusted for immobility) results showed no statistically significant differences between institutions. Conclusion. Compared to international figures, the prevalence of pressure ulcers in German nursing homes is very low.