Trends in demography, risk assessment, and prevalence of pressure sores in nursing home active residents in state of Texas between 2011 and 2015

Rafeek Adeyemi Yusuf, The University of Texas School of Public Health

Abstract

Pressure sores are preventable and treatable public health problems occurring worldwide. In spite of advances in medicine and technology, pressure sore are still a cause for concern across all healthcare settings in general and nursing homes in particular. There are enormous morbidity, mortality, and financial burdens placed on the healthcare system of the United States that are attributable to pressure sores and associated complications. The State of Texas in spite of being a state with the second highest gross domestic product by state in the United State and its nursing homes are not immune to the problem of pressure sores. Texas nursing homes ranked 51 (worst overall) in 2014 and pressure sores were one of the quality measures used to determine this ranking. Thus analyzing trends associated with pressure sores in Texas nursing homes and comparing it with trends at the national level may provide relevant information needed for nursing homes in Texas to improve the quality and process of care particularly for pressure sores within their establishments. ^ To this end, in this study, a secondary analysis was conducted on data collected on all active nursing home residents in the United States with specific focus on the State of Texas. These data are stored in the form of reports in a national Minimum Data Set repository managed by the Centers for Medicare and Medicaid Services – the Minimum Data Set (MDS) 3.0 Frequency Reports. The research questions that guided this study were, for active residents in Texas nursing homes from fourth quarter of 2011 to first quarter of 2015, what were the trends in demographic characteristics? Risk assessment characteristics regarding pressure sores? Point prevalence of pressure sores? ^ The results of this study indicate that overall the trends in demography, risk assessment, and prevalence of pressure sores in nursing home active residents in the State of Texas between the fourth quarter of 2011 and first quarter of 2015 are similar to trends occurring nationally. However, there is beginning to be an increase in the population of ethnic/racial minorities and male residents in nursing homes, decrease in the number of widowed residents, significant difference between the trend of using clinical judgment and tool-based risk assessment for determining pressure sore risk, and difference in trend between the point prevalence of pressure sores in Texas and nationally.^ This study has shown that it is imperative for nursing homes in Texas and nationally to continuously strive to improve on the quality and process of care within their establishment in order to improve further on the care of pressure sores and to cope with the rising population of residents.^

Subject Area

Aging|Public health|Epidemiology

Recommended Citation

Yusuf, Rafeek Adeyemi, "Trends in demography, risk assessment, and prevalence of pressure sores in nursing home active residents in state of Texas between 2011 and 2015" (2015). Texas Medical Center Dissertations (via ProQuest). AAI1604157.
http://digitalcommons.library.tmc.edu/dissertations/AAI1604157

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