OBJECTIVE: The objective of this study was to assess whether there are racial and ethnic disparities in the time to development of a pressure ulcer and number of pressure ulcer treatments in individuals aged 65 and older after nursing home admission. METHOD: Multi-level predictors of time to a pressure ulcer from three national surveys were analyzed using Cox proportional hazards regression for White Non-Hispanic residents. Using the Peters-Belson method to assess for disparities, estimates from the regression models were applied to American Indians/Alaskan Natives, Asians/Pacific Islanders, Blacks, and Hispanics separately resulting in estimates of expected outcomes as if they were White Non-Hispanic, and were then compared with their observed outcomes. RESULTS: More Blacks developed pressure ulcers sooner than expected. No disparities in time to a pressure ulcer disadvantaging other racial/ethnic groups were found. There were no disparities in pressure ulcer treatment for any group. DISCUSSION: Reducing disparities in pressure ulcer development offers a strategy to improve the quality of nursing home care.
OBJECTIVE: The objective of this study was to assess whether there are racial and ethnic disparities in the time to development of a pressure ulcer and number of pressure ulcer treatments in individuals aged 65 and older after nursing home admission. METHOD: Multi-level predictors of time to a pressure ulcer from three national surveys were analyzed using Cox proportional hazards regression for White Non-Hispanic residents. Using the Peters-Belson method to assess for disparities, estimates from the regression models were applied to American Indians/Alaskan Natives, Asians/Pacific Islanders, Blacks, and Hispanics separately resulting in estimates of expected outcomes as if they were White Non-Hispanic, and were then compared with their observed outcomes. RESULTS: More Blacks developed pressure ulcers sooner than expected. No disparities in time to a pressure ulcer disadvantaging other racial/ethnic groups were found. There were no disparities in pressure ulcer treatment for any group. DISCUSSION: Reducing disparities in pressure ulcer development offers a strategy to improve the quality of nursing home care.
Authors: D Weintraub; A Raskin; P E Ruskin; A L Gruber-Baldini; S I Zimmerman; J R Hebel; P German; J Magaziner Journal: Psychiatr Serv Date: 2000-10 Impact factor: 3.084
Authors: Mona Baumgarten; David Margolis; Carol van Doorn; Ann L Gruber-Baldini; J Richard Hebel; Sheryl Zimmerman; Jay Magaziner Journal: J Am Geriatr Soc Date: 2004-08 Impact factor: 5.562
Authors: Lynn E Eberly; James S Hodges; Kay Savik; Olga Gurvich; Donna Z Bliss; Christine Mueller Journal: Stat Med Date: 2013-05-24 Impact factor: 2.373
Authors: Marshall H Chin; Amanda R Clarke; Robert S Nocon; Alicia A Casey; Anna P Goddu; Nicole M Keesecker; Scott C Cook Journal: J Gen Intern Med Date: 2012-08 Impact factor: 5.128
Authors: Donna Z Bliss; Olga Gurvich; Kay Savik; Lynn E Eberly; Susan Harms; Christine Mueller; Judith Garrard; Kristen Cunanan; Kjerstie Wiltzen Journal: Arch Gerontol Geriatr Date: 2017-06-27 Impact factor: 3.250
Authors: Donna Z Bliss; Adam J Becker; Olga V Gurvich; Cynthia S Bradley; Erica Timko Olson; Mary T Steffes; Carol Flaten; Scott Jameson; John P Condon Journal: J Wound Ostomy Continence Nurs Date: 2022 Mar-Apr 01 Impact factor: 1.970
Authors: Barbara Resnick; Kimberly Van Haitsma; Ann Kolanowski; Elizabeth Galik; Marie Boltz; Jeanette Ellis; Liza Behrens; Karen Eshraghi Journal: J Am Med Dir Assoc Date: 2021-12-08 Impact factor: 7.802
Authors: Donna Z Bliss; Olga V Gurvich; Kay Savik; Lynn E Eberly; Susan Harms; Jean F Wyman; Christine Mueller; Judith Garrard; Beth Virnig Journal: Res Nurs Health Date: 2015-09-04 Impact factor: 2.228
Authors: Tetyana Pylypiv Shippee; Chanee D Fabius; Shekinah Fashaw-Walters; John R Bowblis; Manka Nkimbeng; Taylor I Bucy; Yinfei Duan; Weiwen Ng; Odichinma Akosionu; Jasmine L Travers Journal: J Am Med Dir Assoc Date: 2021-12-24 Impact factor: 4.669
Authors: Ravinder Bamba; James J Madden; Ashley N Hoffman; Justine S Kim; Wesley P Thayer; Lillian B Nanney; Marcia E Spear Journal: Plast Reconstr Surg Glob Open Date: 2017-01-18