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Hill-Rom® Clinical Resource Center

Helping you implement evidence-based programs with connected technologies

Hill-Rom® Clinical Resource Center

Pressure Injury Management


  • 2006-2015 International Pressure Ulcer Prevalence Survey Overall Results: 10 year trends (US Only)
    VanGilder C, et al. | 2016

    Pressure Ulcer (PU) prevalence allows benchmarking within and across facilities. The International Pressure Ulcer Prevalence™ (IPUP) Survey is unique as it includes a variety of care settings and participants include community and larger teaching facilities. The purpose of this study is to present 10 years of US prevalence data and demographic data (2006-2015) by care setting.

  • Pressure Ulcer Risk in the Incontinent Patient: Analysis of Incontinence and Hospital-Acquired Pressure Ulcers From the International Pressure Ulcer Prevalence™ Survey*
    Lachenbruch C, et al. | 2016

    This poster is an outline of incontinence and hospital-acquired pressure ulcer findings from the International Pressure Ulcer Prevalence™ Survey (IPUP). It concludes that even patients at low pressure ulcer risk by Braden risk score have increased likelihood of pressure ulcers if they are incontinent. Incontinence was associated with an increased risk for all pressure ulcers, but especially full-thickness injuries.

  • High Pressure Ulcer Risk Patients and Specialty Surface Utilization: Data From the 2010 International Pressure Ulcer Prevalence™ Survey
    Lachenbruch C, et al. | 2011

    This study evaluated current practice trends in surface utilization for patients at high risk for developing pressure ulcers. Surface types used for high-risk patients were powered static air (28%), foam (21.7%), low air loss (16%), self-adjusting technology (8%), alternating pressure (5.2%), nonpowered static air (2.0%), and air-fluidized therapy (1.8%), demonstrating that high-risk patients were most often placed on surfaces that are inferior to specialty surfaces with regard to pressure ulcer development and breakdown. 

  • 2010 International Pressure Ulcer Prevalence™ Survey: Canadian Results
    VanGilder C, et al. | 2011

    This study collected data on pressure ulcer prevalence and risk score, surface type, and other parameters from facility-performed IPUP surveys. Overall pressure ulcer prevalence in the acute care, LTAC, LTC, and rehab settings decreased in 2009-2010. Significant decreases in facility-acquired prevalence were found in all settings except rehab.

  • Pressure Ulcer Prevalence in Bariatric Patients – Data From the International Pressure Ulcer PrevalenceTM Survey 2009
    VanGilder C, et al. | 2009

    This study of data from the 2009 IPUP survey focused on pressure ulcer prevalence by BMI and weight distribution revealed the following: the percentage of extremely obese patients increased from 18.3% to 20.6% in 2008-2009, 36% of survey patients have a BMI >30, and pressure ulcer prevalence is higher in patients weighing >300 lbs

  • Results of the 2010 International Pressure Ulcer PrevalenceTM Survey
    VanGilder C, et al. | 2010

    This International Pressure Ulcer Prevalence (IPUP) survey of pressure ulcer prevalence revealed that overall prevalence, facility-acquired prevalence, prevalence excluding stage I, and facility-acquired prevalence excluding stage I have decreased significantly during 2009-2010. An estimated 8% to 10% of patients in ICUs developed a facility-acquired pressure ulcer. Facility-acquired pressure ulcer prevalence is highest in pediatric ICUs, burn units, ICU, and CCU, and SICU.

  • Results of the 2008-2009 International Pressure Ulcer PrevalenceTM Survey and a 3-Year, Acute Care, Unit-Specific Analysis
    VanGilder C, et al. | Ostomy Wound Management | 2009

    This observational study evaluated the prevalence of pressure ulcers in acute care facilities. In 2008 and 2009, overall prevalence was 13.5% and 12.3%, respectively. Facility-acquired prevalence was 6% and 5%, respectively. Overall prevalence was highest in long-term acute care, while facility-acquired prevalence was highest in ICUs. Overall and facility-acquired prevalence were lower in 2008-2009 compared to 2006-2007. However, in 2009 approximately 10% of all ulcers were device related. 

  • International Pressure Ulcer Prevalence (IPUP) Survey™

    The International Pressure Ulcer Prevalence (IPUP) Survey™ is conducted annually within a 3-day period to help facilities assess their pressure ulcer prevalence and in turn, identify trends and opportunities for improvement.There is a flexible data collection window – choose the 24  hour period that best fits your needs! 

    Participation is free to facilities and includes a customized, detailed report including prevalence and facility-acquired prevalence benchmarks. Benchmarking your facility’s performance is the first step to achieving a better outcome.

    The link below brings you to the main IPUP website where all current materials are found.

  • Body Mass Index, Weight, and Pressure Ulcer Prevalence: An Analysis of the 2006–2007 International Pressure Ulcer Prevalence™ Surveys
    VanGilder C, et al | Journal of Nursing Care Quality | 2009

    This report analyzed data from the US 2006 and 2007 IPUP surveys and revealed an overall decrease in pressure ulcer prevalence from 2004-2005 to 2006-2007 and a higher pressure ulcer prevalence in patients with low BMI and with both low and high weights; 10% of patients were extremely obese.

  • Overall Results from the 2011 International Pressure Ulcer Prevalence™ Survey
    VanGilder C, et al | 2012

    The 2011 IPUP survey included 104,266 patients, and demonstrated a significant decrease in Overall Prevalence (OP) beginning in 2007 and Facility Acquired Prevalence (FAP) beginning in 2008. However, at present one in ten patients has an ulcer and nearly one in 20 develop one. Acute Care and Rehab had decreased OP and FAP, while LTC remained steady and LTAC OP and FAP increased in 2011. Prevalence by Age increases dramatically after age 60. By stage, severe ulcers as a proportion of all ulcers, have remained constant, and sDTI’s are now 11% of all identified ulcers

  • Comparison of Pressure Ulcer Patients and Outcomes by Care Setting from the 2011 IPUP Survey
    VanGilder C, et al | 2012

    This report from the International Pressure Ulcer PrevalenceTM Survey evaluates US care setting data from (Acute Care, LTC, LTAC, REHAB) and acute care unit types (ICU, Med Surg, Telemetry/Stepdown) for overall and facility acquired prevalence. It also evaluates risk factors such as Braden Score, Fecal and Urinary incontinence, and linen layers by care setting/unit type.

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