Evid Based Nurs doi:10.1136/eb-2012-101112
  • Nursing issues
  • Cohort study

US Medicare data show incidence of hospital-acquired pressure ulcers is 4.5%, and they are associated with longer hospital stay and higher risk of death

  1. Zena Moore
  1. Faculty of Nursing & Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland 
  1. Correspondence to: Zena Moore
    Faculty of Nursing & Midwifery, Royal College of Surgeons in Ireland, 123 St Stephens Green, Dublin 2, Dublin D.15, Ireland; zmoore{at}

Commentary on:

Implications for practice and research

  • Pressure ulcers (PUs) are common and often occur in older persons and those with multiple comorbidities.

  • Patients with hospital-acquired PUs (HAPUs) have longer hospital stays and higher rates of morbidity and mortality; therefore, prevention and early detection are important priorities for nursing care.

  • Interpretation of epidemiological studies of PUs is difficult due to variances in data collection methods and PU classification employed, making cross comparisons between clinical sites challenging.


Development of HAPUs is considered an adverse event.1 Thus, the incidence of HAPU is commonly used as a quality marker for healthcare facilities. One …

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