Vyšlo v časopise: Cesk Slov Neurol N 2016; 79/112(Supplementum1): 7
Kategorie: Editorial

International col­laboration is es­sential for pres­sure ulcer management

Pres­sure ulcers are one of the biggest patient safety chal­lenges fac­ing healthcare worldwide. They have a major negative ef­fect on the patient’s quality of life and health, are as­sociated with increased morbidity and mortality, and generate considerable costs [1– 3]. Prevalence rates of up to 72.5% have been reported, with large variations between countries and clinical setting [4]. Despite quality improvement initiatives, non-adherence to pres­sure ulcer guidelines is widespread. Studies have shown that only 10% of patients at risk received ful­ly adequate prevention [5,6], while 70% of patients who were not at risk received some pres­sure ulcer prevention [6].

Ef­fective pres­sure ulcer prevention and treatment is requires shar­ing information and col­laboration. Not only within health care teams [7,8] and between health care teams and patients/ carers [7], but also in research and policy.

That is why the conference on pres­sure ulcers in the Czech Republic is spot on. This conference is an excel­lent example of shar­ing know­ledge and expertise at an international level. Speakers from all continents but also from all healthcare disciplines will present on a variety of topics related to pres­sure ulcer prevention and treatment. Presentations on incontinence as­sociated dermatitis, nutrition, surgical debridement and pres­sure mapp­ing show that clinical topics are relevant across borders. But also presentations and discus­sions about monitoring, policymak­ing and implementation at a national level are relevant in every country and at international level. The European Pres­sure Ulcer Advisory Panel (EPUAP) is therefore proud to support this national conference. On behalf of the EPUAP, I wish the organisers, speakers and all the attendants an excit­ing and inspir­ing day and look forward to future col­laboration.

prof. Lisette Schoonhoven, PhD

president of the European Pres­sure Ulcer Adv


1. Gorecki C, Nixon J, Madill A, et al. What influences the impact of pres­sure ulcers on health-related quality of life? A qualitative patient-focused exploration of contributory factors. J Tis­sue Viability, 2012;21(1):3– 12. doi: 10.1016/ j.jtv.2011.11.001.

2. Demar­re L, Van Lancker A, Van Hecke A, et al. The cost of prevention and treatment of pres­sure ulcers: a systematic review. Int J Nurs Stud 2015;52(11):1754– 74. doi: 10.1016/ j.ijnurstu.2015.06.006.

3. Thomas DR, Goode PS, Tarquine PH, et al. Hospital-acquired pres­sure ulcers and risk of death. J Am Geriatr Soc 1996;44(12):1435– 40.

4. National Pres­sure Ulcer Advisory Panel. Prevention and Treatment of Pres­sure Ulcers: Clinical Practice Guideline 2014.

5. Vanderwee K, Defloor T, Beeckman D, et al. As­ses­s­ing the adequacy of pres­sure ulcer prevention in hospitals: a nationwide prevalence survey. BMJ Qual Saf 2011;20(3):260– 7. doi: 10.1136/ bmjqs.2010.043125.

6. Vanderwee K, Clark M, Dealey C, et al. Pres­sure ulcer prevalence in Europe: a pilot study. J Eval Clin Pract 2007;13(2):227– 35.

7. Pinkney L, Nixon J, Wilson L, et al. Why do patients develop severe pres­sure ulcers? A retrospective case study. BMJ Open 2014;4(1):e004303. doi: 10.1136/ bmjopen-2013-004303.

8. Spilsbury K, Nelson A, Cul­lum N, et al. Pres­sure ulcers and their treatment and ef­fects on quality of life: hospital inpatient perspectives. J Adv Nurs 2007;57(5):494– 504.

Dětská neurologie Neurochirurgie Neurologie
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