Abstract
Purpose: To describe community-dwelling adults admitted to acute care with a present-on-admission (POA) pressure ulcer (PU). Specific aims: 1) Measure 1-year POA-PU prevalence, 2) Determine pre-hospital location of patients with POA-PU, 3) Describe demographics, PU characteristics, risk factors, and post-hospital outcome of community-dwelling adults admitted to hospital with a PU.
Design: Retrospective descriptive study.
Subjects and Setting: The sample included all adults, over age 18, admitted to an 800-bed urban academic medical center in New England over a 1-year period with a POA-PU.
Methods: Subjects were identified from a clinically validated PU registry. Data were extracted electronically from selected standardized electronic health record (EHR) fields.
Results: The prevalence of patients admitted to acute care with a POA-PU was 7.4%. For the majority (76.1%), the pre-hospital location was the community; the remainder came from a healthcare facility (23.9%). The community-dwelling subjects (N=1,022) had a mean age of 72.7 ± 15.4; 52.4% were male, 80.3% white, 30.9% lived alone, 99.2% were insured, and 30.6% college educated. They presented with a mean of 1.46 pressure ulcers, of which 37.5% were full thickness. Over half (51.5%) were discharged to a healthcare facility, 33% to home, and 14% died or received hospice care. The 30-day readmission rate was 15.5%.
Conclusion: Clinically-validated surveillance data show a higher prevalence of POA-PU than reported with administrative data. Electronically-extracted EHR data provides population health evidence of community PU occurrence that may be useful for risk stratification, prevention, and care coordination for integrated health systems.
","abstract_html":"<p>Abstract</p> <p>Purpose: To describe community-dwelling adults admitted to acute care with a present-on-admission (POA) pressure ulcer (PU). Specific aims: 1) Measure 1-year POA-PU prevalence, 2) Determine pre-hospital location of patients with POA-PU, 3) Describe demographics, PU characteristics, risk factors, and post-hospital outcome of community-dwelling adults admitted to hospital with a PU.</p> <p>Design: Retrospective descriptive study.</p> <p>Subjects and Setting: The sample included all adults, over age 18, admitted to an 800-bed urban academic medical center in New England over a 1-year period with a POA-PU.</p> <p>Methods: Subjects were identified from a clinically validated PU registry. Data were extracted electronically from selected standardized electronic health record (EHR) fields.</p> <p>Results: The prevalence of patients admitted to acute care with a POA-PU was 7.4%. For the majority (76.1%), the pre-hospital location was the community; the remainder came from a healthcare facility (23.9%). The community-dwelling subjects (N=1,022) had a mean age of 72.7 ± 15.4; 52.4% were male, 80.3% white, 30.9% lived alone, 99.2% were insured, and 30.6% college educated. They presented with a mean of 1.46 pressure ulcers, of which 37.5% were full thickness. Over half (51.5%) were discharged to a healthcare facility, 33% to home, and 14% died or received hospice care. The 30-day readmission rate was 15.5%.</p> <p>Conclusion: Clinically-validated surveillance data show a higher prevalence of POA-PU than reported with administrative data. Electronically-extracted EHR data provides population health evidence of community PU occurrence that may be useful for risk stratification, prevention, and care coordination for integrated health systems.</p>","abstract_has_math":false,"creators":["Corbett, Lisa Quay"],"institution":null,"degree_name":"Doctor of Nursing Practice (DNP)","degree_level":"Open Access Thesis","degree_discipline":"Yale University School of Nursing","degree_department":null,"school":null,"contributors":["Marjorie Funk"],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2016,"date_issued":"2016-01-01T08:00:00Z","date_published":"2016-01-01T08:00:00Z","updated_at":"2026-07-24T06:16:00Z","subjects":["Community","Population Health","Pressure Ulcers","Prevalence","Registry","Surveillance"],"languages":[],"rights":[],"rights_urls":[],"identifier_entries":[]},"links":{"outbound_url":"https://elischolar.library.yale.edu/ysndt/1026","outbound_label":"Repository record","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:contributor","label":"Contributor","values":["Marjorie Funk"]},{"key":"dc:creator","label":"Author","values":["Corbett, Lisa Quay"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"thesis:degree_discipline","label":"Discipline","values":["Yale University School of Nursing"]},{"key":"thesis:degree_level","label":"Degree Level","values":["Open Access Thesis"]},{"key":"thesis:degree_name","label":"Degree Name","values":["Doctor of Nursing Practice (DNP)"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Community","Population Health","Pressure Ulcers","Prevalence","Registry","Surveillance"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://elischolar.library.yale.edu/ysndt/1026"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description.abstract","label":"Abstract","values":["Abstract
Purpose: To describe community-dwelling adults admitted to acute care with a present-on-admission (POA) pressure ulcer (PU). Specific aims: 1) Measure 1-year POA-PU prevalence, 2) Determine pre-hospital location of patients with POA-PU, 3) Describe demographics, PU characteristics, risk factors, and post-hospital outcome of community-dwelling adults admitted to hospital with a PU.
Design: Retrospective descriptive study.
Subjects and Setting: The sample included all adults, over age 18, admitted to an 800-bed urban academic medical center in New England over a 1-year period with a POA-PU.
Methods: Subjects were identified from a clinically validated PU registry. Data were extracted electronically from selected standardized electronic health record (EHR) fields.
Results: The prevalence of patients admitted to acute care with a POA-PU was 7.4%. For the majority (76.1%), the pre-hospital location was the community; the remainder came from a healthcare facility (23.9%). The community-dwelling subjects (N=1,022) had a mean age of 72.7 ± 15.4; 52.4% were male, 80.3% white, 30.9% lived alone, 99.2% were insured, and 30.6% college educated. They presented with a mean of 1.46 pressure ulcers, of which 37.5% were full thickness. Over half (51.5%) were discharged to a healthcare facility, 33% to home, and 14% died or received hospice care. The 30-day readmission rate was 15.5%.
Conclusion: Clinically-validated surveillance data show a higher prevalence of POA-PU than reported with administrative data. Electronically-extracted EHR data provides population health evidence of community PU occurrence that may be useful for risk stratification, prevention, and care coordination for integrated health systems.
"]},{"key":"dc:title","label":"Title","values":["Community Pressure Ulcer Occurrence: Description On Hospital Admission"]}]}],"canonical_facts":{"dc:contributor":["Marjorie Funk"],"dc:creator":["Corbett, Lisa Quay"],"dc:description.abstract":["Abstract
Purpose: To describe community-dwelling adults admitted to acute care with a present-on-admission (POA) pressure ulcer (PU). Specific aims: 1) Measure 1-year POA-PU prevalence, 2) Determine pre-hospital location of patients with POA-PU, 3) Describe demographics, PU characteristics, risk factors, and post-hospital outcome of community-dwelling adults admitted to hospital with a PU.
Design: Retrospective descriptive study.
Subjects and Setting: The sample included all adults, over age 18, admitted to an 800-bed urban academic medical center in New England over a 1-year period with a POA-PU.
Methods: Subjects were identified from a clinically validated PU registry. Data were extracted electronically from selected standardized electronic health record (EHR) fields.
Results: The prevalence of patients admitted to acute care with a POA-PU was 7.4%. For the majority (76.1%), the pre-hospital location was the community; the remainder came from a healthcare facility (23.9%). The community-dwelling subjects (N=1,022) had a mean age of 72.7 ± 15.4; 52.4% were male, 80.3% white, 30.9% lived alone, 99.2% were insured, and 30.6% college educated. They presented with a mean of 1.46 pressure ulcers, of which 37.5% were full thickness. Over half (51.5%) were discharged to a healthcare facility, 33% to home, and 14% died or received hospice care. The 30-day readmission rate was 15.5%.
Conclusion: Clinically-validated surveillance data show a higher prevalence of POA-PU than reported with administrative data. Electronically-extracted EHR data provides population health evidence of community PU occurrence that may be useful for risk stratification, prevention, and care coordination for integrated health systems.
"],"dc:identifier":["https://elischolar.library.yale.edu/ysndt/1026"],"dc:subject":["Community","Population Health","Pressure Ulcers","Prevalence","Registry","Surveillance"],"dc:title":["Community Pressure Ulcer Occurrence: Description On Hospital Admission"],"thesis:degree_discipline":["Yale University School of Nursing"],"thesis:degree_level":["Open Access Thesis"],"thesis:degree_name":["Doctor of Nursing Practice (DNP)"]},"updated_at":"2026-07-24T06:16:00Z"}