Regional differences in the incidence of inpatients with pressure ulcers in Germany

被引：1

作者：

Kröger K. ^{[1
]}

Becker R. ^{[1
]}

Weiland D. ^{[2
,3
]}

Lax H. ^{[2
,3
]}

Priebel J. ^{[2
,3
]}

Maier I. ^{[3
]}

机构：

[1] HELIOS Klinikum Krefeld, Klinik für Gefäßmedizin, 45708 Krefeld

[2] Institute for Medical Informatics, Biometry and Epidemiology, University of Duisburg-Essen Medical School, 45122 Essen

[3] University of Duisburg-Essen Medical School, 45122 Essen

来源：

Journal of Public Health | 2014年 / 22卷 / 3期

关键词：

Full-time employee; Germany; Incidence; Pressure ulcer; Primary diagnosis;

D O I：

10.1007/s10389-012-0504-0

中图分类号：

学科分类号：

摘要：

Aims: The population-based incidence of pressure ulcers shows large differences between the 16 federal states in Germany. The present study analyses the association between state-specific pressure ulcer incidence and selected structural variables. Subjects and methods: Based on the Diagnosis Related Groups used for diagnosis-specific hospital billing, the population-based incidence of pressure ulcers as primary and secondary diagnosis was calculated for each German state. Data were also stratified for grade (all pressure ulcers vs. grades 3 and 4 only). Ten variables derived from data collected by the German Federal Statistical Office were used to describe of state-specific healthcare structures. Results: Significant correlations were seen between the state-specific incidence of pressure ulcers as primary and secondary diagnosis per 100,000 and the number of full-time employees in nursing homes per 100,000 (p < 0.1; correlation factor of -0.43 and -0.44, respectively), the number of patients per doctor in hospitals (p < 0.05; correlation factor 0.5 and 0.6, respectively) and for the state-specific incidence of pressure ulcers as primary diagnosis and the number of deaths per 100,000 (p < 0.05; correlation factor of 0.7). Conclusion: Differences in the population-based incidence of pressure ulcers between the 16 German states seem to be influenced by structural differences in patient care. Further examination of these associations could lead to important political approaches for the reduction of pressure ulcers in Germany. © Springer-Verlag 2012.

引用

页码：227 / 233

页数：6

共 19 条

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