title: A comparison of pressure ulcer prevalence rates in nursing homes in the Netherlands and Germany, adjusted for population characteristics.
abstract: Annual pressure ulcer surveys in the Netherlands and Germany have shown remarkable differences in prevalence rates. We explored the differences between the two populations, and the degree to which these differences were associated with differences in prevalence. To this end, data from 48 Dutch and 45 German facilities (n = 9772) from 2003 were analyzed. The prevalence of pressure ulcers (excluding grade 1) was 12.5% in the Netherlands and 4.3% in Germany. After adjusting for age, sex, and other risk factors, the probability of developing a pressure ulcer of stage 2 or higher in Dutch nursing homes was three times greater than in German homes.
authors.affiliation: Centre for the Humanities and Health Sciences, Department of Nursing Science, Charité--Universitätsmedizin Berlin, Berlin, Germany.
authors.forename: Antje
authors.initials: A
authors.lastname: Tannen
authors.forename: Gerrie
authors.initials: G
authors.lastname: Bours
authors.forename: Ruud
authors.initials: R
authors.lastname: Halfens
authors.forename: Theo
authors.initials: T
authors.lastname: Dassen
mesh_terms: D000203:Activities of Daily Living; D000368:Aged; D000369:Aged, 80 and over; D016009:Chi-Square Distribution; D005260:Female; D015577:Geriatric Assessment; D005858:Germany; D006801:Humans; D007902:Length of Stay; D016015:Logistic Models; D008297:Male; D009426:Netherlands; D009730:Nursing Assessment; D015403:Nursing Evaluation Research; D009735:Nursing Homes / Q000458:organization & administration*; D010561:Personnel Staffing and Scheduling; D011159:Population Surveillance; D017410:Practice Guidelines as Topic; D003668:Pressure Ulcer / Q000453:epidemiology* / Q000209:etiology; D015995:Prevalence; D019984:Quality Indicators, Health Care; D020379:Risk Adjustment; D018570:Risk Assessment; D012307:Risk Factors; D011795:Surveys and Questionnaires