Prevalence of injuries in the field of primary care in view of the record-keeping variations
Section: Healthcare Management
How to quote
Puig Girbau N, Teixidó Vargas C, Estébanez Perpina JL, Bosch Fortuna S. Prevalencia de lesiones en el ámbito de la atención primaria, a propósito de las variantes de registro. Metas Enferm 2013; 16(2):6-10
Authors
1Núria Puig Girbau, 2Cristina Teixidó Vargas, 3José Luis Estébanez Perpina, 4Sandra Bosch Fortuna
Position
1Enfermera. Máster en Enfermería de Salud Pública y Comunitaria por la Universidad de Barcelona. Centro de Atención Primaria (CAP) Llefià, Badalona 6. Servicio de Atención Primaria (SAP) Barcelonès Nord-Maresme. Institut Català de la Salut (ICS).2Enfermera. Máster en Intervención social y sanitaria en la comunidad por la Universidad Autónoma de Barcelona. CAP Rda. Cerdanya. SAP Barcelonès Nord-Maresme. ICS.3Enfermero. Máster en Enfermería de Salud Pública y Comunitaria por la Universidad de Barcelona. CAP Serraparera. SAP Cerdanyola-Ripollet. ICS.4Enfermera. Máster en prescripción enfermera y seguimiento farmacoterapéutico por la Universidad de Valencia. CAP Montornés. SAP Mollet-Granollers. ICS.
Contact address
Cristina Teixidó Vargas. Centro de Atención Primaria Ronda Cerdanya. C/ Vallés, 37. 08303 Mataró (Barcelona).
Contact email: cteixido.bnm.ics@gencat.cat
Abstract
Material and method: Multi-center, descriptive cross-sectional or prevalence study in urban environment of the Primary Health Care network in Barcelona (North Metropolitan Area, serving 1,404,807 inhabitants). The study variables were the NANDA and ICD-10 diagnosis related to injuries recorded in the e-CAP application, age, gender and geographic distribution. The injuries were divided into: deterioration of tissue integrity, deterioration of skin integrity, wound, ulcer and burn.
Results: A total of 39,374 injury records were located, having meant a 2.8% prevalence. A total of 53% of the injuries were recorded under the “deterioration of tissue integrity” nursing diagnosis. The greatest prevalence was also found for this diagnosis (1.49%). The breakdown of the records according to ICD-10 totaled 41% of all, 59% having employed the international NANDA classification. For all age ranges, the highest percentage was that of “deterioration of tissue integrity”. By genders, 49% of the injuries were recorded in females.
Conclusions: A high degree of variability exists in what is recorded on the Primary Care clinical records and in the use of diagnostics. The number of patients diagnosed with “deterioration of tissue integrity” indicates that the criterion for employing this diagnosis is not homogeneous among all of these professionals. Recording data properly must not entail any overload for professionals, nor involve an expense in the application. It is crucial to avail of efficacious, efficient, effective record-keeping systems.
Keywords:
burns; descriptive cross-sectional study; ICD-10; information systems; injuries; NANDA; Nurse diagnosis; prevalence; Primary Health Care; records; research; ulcerswounds
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