ArticleArchives of gerontology and geriatrics2017
Racial and ethnic disparities in the healing of pressure ulcers present at nursing home admission.
Article in Archives of gerontology and geriatrics, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Building evidence to advance health equity: a systematic review on care-related outcomes for older, minoritised populations in long-term care homes.Age and ageing · 2024Pooled it
- Impact of skin tone and cupping on erythema and thermal imaging measurements.Scientific reports · 2025Article
- Impact of Skin Tone and Cupping on Erythema and Thermal Imaging Measurements.Research square · 2025Article
- Methods for studying health disparities in U.S. nursing homes: a scoping review.BMC health services research · 2025Article
- Article
- Race and Ethnicity Are Related to Undesirable Home Health Care Outcomes in Seriously Ill Older Adults.Journal of the American Medical Directors Association · 2024Article
- Skin Pigmentation Impacts the Clinical Diagnosis of Wound Infection: Imaging of Bacterial Burden to Overcome Diagnostic Limitations.Journal of racial and ethnic health disparities · 2024Article
- Development and validation of the DHIS2 platform for integrating sociomedical data to study wound care outcomes.PloS one · 2024Article
- Impact of race and ethnicity on length of stay, discharge location, and total charges for inpatients with skin ulcers in New York.Archives of dermatological research · 2023Article
- Chronic wounds in persons living with dementia: An integrative review.International journal of older people nursing · 2022Review
- Natural History of Pressure Injury Among Ethnically/Racially Diverse Nursing Home Residents: The Pressure Ulcer Detection Study.Journal of gerontological nursing · 2021Observational
- Couple-kissing flaps for successful repair of severe sacral pressure ulcers in frail elderly patients.BMC geriatrics · 2017Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
backgroundPressure ulcers increase the risk of costly hospitalization and mortality of nursing home residents, so timely healing is important. Disparities in healthcare have been identified in the nursing home population but little is known about disparities in the healing of pressure ulcers. PURPOSE: To assess racial and ethnic disparities in the healing of pressure ulcers present at nursing home admission. Multi-levels predictors, at the individual resident, nursing home, and community/Census tract level, were examined in three large data sets.
methodsMinimum Data Set records of older individuals admitted to one of 439 nursing homes of a national, for-profit chain over three years with a stages 2-4 pressure ulcer (n=10,861) were searched to the 90-day assessment for the first record showing pressure ulcer healing. Predictors of pressure ulcer healing were analyzed for White admissions first using logistic regression. The Peters-Belson method was used to assess racial or ethnic disparities among minority group admissions.
resultsA significantly smaller proportion of Black nursing home admissions had their pressure ulcer heal than expected had they been part of the White group. There were no disparities in pressure ulcer healing disadvantaging other minority groups. Significant predictors of a nonhealing of pressure ulcer were greater deficits in activities of daily living and pressure ulcer severity.
conclusionsReducing disparities in pressure ulcer healing is needed for Blacks admitted to nursing homes. Knowledge of disparities in pressure ulcer healing can direct interventions aiming to achieve equity in healthcare for a growing number of minority nursing home admissions.
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