Petra Búřilová

Evaluation of Selected Pres­sure Ulcer Management International Guidelines (AGREE II Tool)

Aim: The aim of this study was to analyse methodological quality of selected clinical guidelines for the management of pres sure ulcers with the use of AGREE II tool. Material and methods: Descriptive study with qualitative research methodology. The evaluated clinical guidelines were identified and selected through a literature search and accord ing to suggestions from international scientifi c societies focused on wound management. In total, four pairs of as ses sors evaluated methodological quality of four international clinical guidelines us ing the AGREE II tool (the Appraisal of Guidelines for REsearch & Evaluation). Six domains of quality were evaluated: Scope and Purpose, Stakeholder Involvement, Rigour of Development, Clarity of Presentation, Applicability, Editorial Independence. Results: The selected clinical guidelines had relatively high methodological quality and all of them were suggested for use in clinical practice by the as ses sors after some minor cor rections with respect to the Czech clinical practice. All of the evaluated guidelines had the highest score in the Scope and Purpose domain (more than 80%). There were rather substential diff erences in other domains. The lowest score was in the fol low ing domains : Applicability Rigour of Development and Editorial Independence. Conclusion: Methodological quality of all selected and evaluated clinical guidelines for the management of pressure ulcer was quite high except the Editorial Independence and Rigour of Development domains. Evaluation of clinical guidelines with the use of AGRE II was conducted as part of a process of adaptation of clinical guidelines for the Czech healthcare settings. Over all methodological quality was the highest for the Prevention and Treatment of Pres sure Ulcers : Quick Reference Guide (85.71%). V práci byly citovány všechny použité bibliografi cké zdroje. Autorky deklarují, že studie nemá žádný konfl ikt zájmu. Autoři deklarují, že v souvislosti s předmětem studie nemají žádné komerční zájmy. The authors declare they have no potential confl icts of interest concerning drugs, products, or services used in the study. Redakční rada potvrzuje, že rukopis práce splnil ICMJE kritéria pro publikace zasílané do biomedicínských časopisů. The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers. S. Saibertová, A. Pokorná, S. Vasmanská, P. Búřilová, N. Müllerová, L. Fiedlerová, D. Svobodová, P. Camprová, G. Šmelková, L. Kubátová 1 Katedra ošetřovatelství, LF MU, Brno 2 LF UK a FN Plzeň 3 1. LF UK a VFN v Praze 4 ÚVN – VFN Praha PhDr. Simona Saibertová Katedra ošetřovatelství, LF MU Kamenice 5 625 00 Brno e-mail: saibert@med.muni.cz Přijato k recenzi: 19. 5. 2016 Přijato do tisku: 12. 6. 2016

The Pres­sure Ulcers Monitor­ing in Patiens with Neurological Diseases – Analyse of the National Register of Hospitalized Patients

Aim: The aim of this study was to analyse hospital stays related to pressure ulcers (according to ICD 10) in acute and long-term care facilities in the Czech Republic (2007–2014) in neurologically ill patients with limited mobility. Material and methods: Observational cross-sectional study using routinely collected data from the National Register of Hospitalized Patients. Results: Of total 17,762,854 hospital records 8,150 (0.05%) had the selected neurological diagnosis and pressure ulcers (L89). Detailed analyses were performed in 4,924 records (0.03%): patients with the selected neurological diagnosis and with a pressure ulcer as a primary diagnosis (n = 75); neurological diagnosis as the primary diagnosis and pressure sores as a secondary diagnosis (n = 3,248); a pressure sore as the only primary diagnosis in patients with a selected neurological diagnosis (n = 1,601). Neurological diagnoses included: brain injury and bleeding (n = 2,766); neurodegenerative and oncological diseases (n = 1,707); spinal cord traumatic injury (n = 451). Conclusion: Duration of hospitalization in patients with pressure ulcers in an acute care setting diff ers according to the main neurological diagnosis and whether the pressure ulcer was listed as the primary or secondary diagnosis (p < 0.001). Duration of hospital stay diff ers in an long-term care setting according to the grade of pressure ulcer (p = 0.040). In acute and long-term settings, the age of patients with pressure ulcers is statistically signifi cantly diff erent according to the neurological diagnosis and grade of pressure sore (p < 0.001). Tato práce byla podpořena z programového projektu Ministerstva zdravotnictví ČR s reg. č. 15-29111A s názvem: Registr dekubitálních lézí – sjednocení sledování a strategie preventivních intervencí na národní úrovni. Veškerá práva podle předpisů na ochranu duševního vlastnictví jsou vyhrazena. Autoři deklarují, že v souvislosti s předmětem studie nemají žádné komerční zájmy. The authors declare they have no potential confl icts of interest concerning drugs, products, or services used in the study. Redakční rada potvrzuje, že rukopis práce splnil ICMJE kritéria pro publikace zasílané do biomedicínských časopisů. The Editorial Board declares that the manuscript met the ICMJE “uniform requirements” for biomedical papers. A. Pokorná1, K. Benešová2,3, J. Mužík2,3, P. Búřilová1, J. Jarkovský2,3, L. Dušek2,3 1 Katedra ošetřovatelství, LF MU, Brno 2 Institut biostatistiky a analýz, LF MU, Brno 3 Ústav zdravotnických informací a statistiky ČR, Praha  doc. PhDr. Andrea Pokorná, Ph.D. Katedra ošetřovatelství LF MU Kamenice 5 625 00 Brno e-mail: apokorna@med.muni.cz Přijato k recenzi: 21. 7. 2016 Přijato do tisku: 11. 8. 2016