Aims:

To obtain updated, global and adjusted epidemiological indicators for pressure injuries (PI) and others dependence-related skin lesions (DRSL) in Spanish primary healthcare (PHC) centres. To describe the clinical features of both people with DRSL and the lesions.

Methods:

Observational, cross-sectional study through a survey (5th National Prevalence Study), aimed to PHC in Spain. Data collected through a secure on-line form. Variables: characteristics of the centres, number of patients with each type of DRSL, classification of each lesion, size and time of evolution. Three prevalence values were calculated: crude population prevalence; in people over 65 years of age; and in people in home care programs (HCP).

Results:

Data have been obtained for a population of almost 763,000 people attended at Spanish PHC in 98 centers. 14.3% of the centres stated that they did not have any person with DRSL attended at the time of obtaining the data. In the group of persons in home care programmes, the prevalence of DRSL was 6.11%. According to the type of lesions: pressure 4.79%, moistureassociated lesions (MAL) 1.39%, friction 1.81%, combined 1.05% and skin tears 1.05%. The lesions originated in the patient's own home in 83.3% of cases, and only 16.7% were of nosocomial origin.

Conclusions:

The prevalence of DRSL in patients treated in was 6.11%, with PI being the most frequent lesion. Prevalence value is similar to that found in 2009 and slightly lesser than that of 2014. Both the PI and others DRSL are mostly developed in the home, unlike the situation in hospitals, where hospital-acquired injuries are predominant. So, prevention of DRSL in people in home care programmes should be a priority.

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