Article

The aim of this study was to examine the impact of pressure ulcers on
inpatient rehabilitation facility (IRF) outcomes. This is a retrospective
analysis of the IRF data in the United States from the Uniform Data System for
Medical Rehabilitation between 2009 and 2011. The study sample included 2902
pairs of pressure ulcer and pressure ulcer-free patients upon IRF admission,
matching on age at admission, sex, impairment groups, and comorbidity tier
measures. The study outcomes were cognition and motor functional gains measured
by the Functional Independence Measure instrument, IRF length of stay, and
discharge to the community. RESULTS: The mean pressure ulcer prevalence upon IRF
admission was 5.23%. After controlling for other covariates under study, the
pressure ulcer group had a lower motor gain (20.12 vs. 21.58, P < 0.0001), had a
longer length of stay (16.5 vs. 15.5, P < 0.0001), and were less likely to be
discharged to the community after IRF stay (odds ratio, 0.72; 95% confidence
interval, 0.62-0.84) than the patients without a pressure ulcer. CONCLUSIONS: The
presence of a pressure ulcer among the patients seen in United States IRFs had no
impact on cognition functional gain but was associated with a minor lower motor
gain, a longer IRF length of stay, and lower odds of being discharged to the
community.

Langue : ANGLAIS