[Analysis of statutory health insurance data concerning utilization of support surfaces for pressure ulcers].
OBJECTIVE
Support surfaces are commonly used to prevent and treat pressure ulcers. Up to now little is known about their application in Germany.


METHODS
We conducted a cross-sectional study using claims data of the Gmuender ErsatzKasse (GEK) for the year 2004 to analyse the utilization of support surfaces for pressure ulcers in primary care. Based on age- and sex-specific treatment prevalences for individuals with at least one prescription, prevalence ratios (PR) were calculated.


RESULTS
A total of 1999 subjects with a mean age of 63.4 years (SD: 20.7) received support surfaces for pressure ulcers. With respect to the numbers of prescriptions (n = 2421) alternating pressure mattresses (31.6%), air-filled rings (13.5%) and various seat cushions (13.0%) were used frequently, whereas foam mattresses only came to 4.7%. The treatment prevalence increases continuously with age with no sex-specific differences. Using the 50-59 year olds as a reference, men aged 90+ (PR: 43.94; 95% CI: 31.46-61.37) as well as women aged 90+ (PR: 40.61; 95% CI: 30.77-53.60) received approximately 40-times more often support surfaces for pressure ulcers.


CONCLUSIONS
Support surfaces for pressure ulcers are commonly used in the elderly. Our study suggests that their application does not correspond to the best available evidence. Prevention and treatment of pressure ulcers as well as the selection of support surfaces should be seen as an interdisciplinary task.
Hoffmann
Falk
F
Universität Bremen, Institut für Public Health und Pflegeforschung (IPP), AG Arzneimittelanwendungsforschung, Ausser der Schleifmühle 35-3, D-28203 Bremen. hoffmann@zes.uni-bremen.de
Scharnetzky
Elke
E
Deitermann
Bernhilde
B
Glaeske
Gerd
G
D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D001512:Bedding and Linens / Q000592:standards*; D003430:Cross-Sectional Studies; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D007348:Insurance, Health; D008297:Male; D008875:Middle Aged; D003668:Pressure Ulcer / Q000453:epidemiology / Q000517:prevention & control*; D012727:Sex Characteristics