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P OSTER
A BSTRACTS
nursing homes in which they practiced and may be related to, or may
create, the facility’s clinical culture.
C50
Hospital acquired pressure ulcers and markedly decreased survival
after a hip fracture.
E. I. Vidal, 1 D. C. Moreira, 6 R. S. Pinheiro, 2 F. B. Fukushima, 4
P. J. Villas Boas, 1 K. R. Camargo, 3 L. M. Almeida, 5 C. M. Coeli. 2 1.
Internal Medicine Department, UNESP, Botucatu, Brazil; 2. IESC,
UFJR, Rio de Janeiro, RJ, Brazil; 3. IMS, UERJ, Rio de Janeiro, RJ,
Brazil; 4. Anesthesiology Department, UNESP, Botucatu, SP, Brazil;
5. Epidemiology Division, INCA, Rio de Janeiro, RJ, Brazil; 6. Social
and Preventive Medicine Department, UNICAMP, Campinas, SP,
Brazil.
Supported By: This study was funded by the Brazilian National
Council for Scientific and Technological Development (CNPq).
Background: There are few data examining the association between
hospital acquired pressure ulcers and survival after a hip
fracture.
Methods: The medical records of all patients aged 60 years and
older admitted to a public university hospital in the city of Rio de
Janeiro with a primary diagnosis of hip fracture between 1995 and
2000 were reviewed. Stage II or higher hospital acquired pressure ulcers
were identified from medical records. Survival to hospital discharge
and at 1 year was examined.
Results: Among 343 patients included in the study, there were 18
(5.3%) in-hospital deaths, and 297 (86.6%) patients remained alive 1
year after surgery. A hospital acquired stage II or higher pressure
ulcer was recorded in 36 (10.5%) of patients. Incident pressure ulcers
were associated with markedly increased risk of reduced survival to
hospital discharge (hazard ratio [HR] 4.25, 95% CI 1.35–13.36,
p=0.013) and of reduced survival at 1 year after surgery (HR 4.15,
95% CI 2.14–8.06, p