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 Release 22.0, Sept. 2008
 
Chapter : ch21. Dermatology Section : Pressure Ulceration
  National Pressure Ulcer Advisory Panel (NPUAP) Staging System for Pressure Ulcerations

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Overview :

Pressure ulcers can be classified using a staging system, which can be used to describe lesions and compare therapies.

 

Findings

Stage

nonblanching erythema of intact skin

I

partial-thickness skin loss involving the epidermis, dermis or both. The ulcer is superficial and may appear as an abrasion, blister or shallow crater.

II

Full-thickness skin loss involving damage or necrosis to subcutaneous tissue, which may extend down to but not through underlying fascia. The ulcer may appear as a deep crater with or without undermining of adjacent tissue.

III

Full-thickness skin loss with extensive destruction, tissue necrosis or damage to muscle, bone or supporting structures such as joint capsule

IV

 

  References:

Agency for Health Care Policy and Research, U.S. Department of Health and Human Services. Pressure Ulcers in Adults: Prediction and Prevention. Clinical Practice Guideline 3. AHCPR 92-0047. 1992.

Breslow RA, Bergstrom N. Nutritional prediction of pressure ulcers. J Am Diet Assoc. 1994; 94: 1301-1304.

Gawron CL. Risk factors for and prevalence of pressure ulcers among hospitalized patients. J WOCN. 1994; 21: 232-240.

Kanj LF, Wilking SVB, et al. Pressure ulcers. J Am Acad Dermatol. 1998; 38: 517-536.

National Pressure Ulcer Advisory Panel. Pressure ulcers prevalence, cost and risk assessment: consensus development conference statement. Decubitus. 1989; 2: 24-28.

 

 

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