RT Journal Article
T1 Monitoring Immobilized Elderly Patients Using a Public Provider Online System for Pressure Ulcer Information and Registration (SIRUPP): Protocol for a Health Care Impact Study
A1 Vera-Salmerón, Eugenio
A1 Rutherford, Claudia
A1 Dominguez-Nogueira, Carmen
A1 Tudela-Vázquez, María Pilar
A1 Costela-Ruiz, Víctor J
A1 Gómez-Pozo, Basilio
K1 Primary health care
K1 Pressure ulcers
K1 Wound healing
K1 Health-related quality of life
K1 Atención primaria de salud
K1 Úlcera por presión
K1 Cicatrización de heridas
K1 Calidad de vida
AB Background: Pressure ulcers represent a major challenge to patient safety in the health care context, presenting high incidence (from 7% to 14% in Spain) and increased financial costs (€400-600 million/year) in medical treatment. Moreover, they are a significant predictor of mortality. The prevention of pressure ulcers in long-term care centers and patients’ own homes is proposed as a priority indicator of health care quality. Early stage risk assessment and database recording are both crucial aspects of prevention, classification, diagnosis, and treatment.Objective: This project proposes a 3-year study of immobilized patients residing in the Granada-Metropolitan Primary Healthcare District (DSGM) and monitored via the Pressure Ulcer Information and Registration System (SIRUPP, Spanish initials). The project aims to estimate the incidence of PUs among immobilized elderly patients, analyze the health-related quality of life of these patients by using the Pressure Ulcer Quality of Life (PU-QoL) instrument in a sample of 250 patients, determine the average time to complete wound healing, estimate the rate of pressure ulcers–associated mortality, and assess the predictive value of the Braden and Mini Nutritional Assessment risk measurement scales in a sample of 1700 patients.Methods: The DSGM runs SIRUPP, which is linked to patients’ electronic health records. Currently, 17,104 immobilized patients are monitored under this system. Health-related quality of life will be measured by patient self-reports using the Spanish Pressure Ulcer Quality of Life questionnaire, following cross-cultural adaptation and psychometric validation with respect to the English-language version.Results: The project commenced in June 2017 and is expected to conclude in April 2020.Conclusions: This study addresses two main health outcomes—the time needed for wound healing and the mortality associated with pressure ulcers—both of which might be accounted for by variations in clinical practice and the health-related quality of life of patients with pressure ulcers.
PB JMIR Publications
YR 2019
FD 2019-08-12
LK http://hdl.handle.net/10668/3075
UL http://hdl.handle.net/10668/3075
LA es
NO Vera-Salmerón E, Rutherford C, Dominguez-Nogueira C, Tudela-Vázquez MP, Costela-Ruiz VJ, Gómez-Pozo B. Monitoring Immobilized Elderly Patients Using a Public Provider Online System for Pressure Ulcer Information and Registration (SIRUPP): Protocol for a Health Care Impact Study. JMIR Res Protoc. 2019;8(8):e13701
NO Proyecto Financiado por Fundación Progreso y Salud, en convocatoria de Atención Primaria (PI-0086-2016).
DS RISalud
RD Apr 8, 2025