@misc{10481/60765,
year = {2019},
month = {8},
url = {http://www.researchprotocols.org/2019/8/e13701/},
url = {http://hdl.handle.net/10481/60765},
abstract = {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.},
organization = {The SIRUPP study is funded by Fundación Progreso y Salud-FIBAO (Consejería de Salud y Familias, Junta de Andalucía).},
publisher = {JMIR Publications},
keywords = {Primary health care},
keywords = {Pressure ulcers},
keywords = {Wound healing},
keywords = {Health-related quality of life},
title = {Monitoring Immobilized Elderly Patients Using a Public Provider Online System for Pressure Ulcer Information and Registration (SIRUPP): Protocol for a Health Care Impact Study},
doi = {10.2196/13701},
author = {Vera-Salmerón, Eugenio and Tudela Vázquez, María del Pilar and Costela Ruiz, Víctor Javier},
}