Decubitus ulcer collection summary

We collect data about decubitus ulcers (pressure ulcers, pressure injuries, pressure sores, bed sores) because they are iatrogenic hospital-acquired complications associated with preventable harm, poor patient outcomes, and are key indicators of quality and safety in clinical care. This data can be analyzed in the context of our broader data collection, see Data User Portal for the Manitoba Critical Care and Medicine Databases.

We collect Comorbid Diagnosis, Admit Diagnosis and Acquired Diagnosis / Complication as the following ICD10 Diagnoses; see the links for definitions:

Decubitus ulcer codes:
Decubitus (pressure) ulcer, Stage I (surface reddening), of heel Decubitus (pressure) ulcer, Stage I (surface reddening), of other area Decubitus (pressure) ulcer, Stage I (surface reddening), of sacral area Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), of heel Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), of other area Decubitus (pressure) ulcer, Stage II (to fascia, just under skin), of sacral area Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle), of heel Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle), of other area Decubitus (pressure) ulcer, Stage III (deep, to but not including muscle), of sacral area Decubitus (pressure) ulcer, Stage IV (involves bone), of heel Decubitus (pressure) ulcer, Stage IV (involves bone), of other area Decubitus (pressure) ulcer, Stage IV (involves bone), of sacral area Decubitus (pressure) ulcer, stage not indicated, of heel Decubitus (pressure) ulcer, stage not indicated, of other area Decubitus (pressure) ulcer, stage not indicated, of sacral area Pressure-induced deep tissue damage, of heel Pressure-induced deep tissue damage, of other area Pressure-induced deep tissue damage, of sacral area

Prior to a Change to coding locations for Decubitus Ulcers on 2025-07-01 we coded the stages but not the locations. This is also when we started coding Decubitus Deep Tissue Damage. We report on decubitus ulcers as part of the indicator ICU Acquired Ulcer Rate, which is listed in Critical Care Program Quality Indicator Report and the WRHA ICU Hospital-Acquired Conditions report.

Our collection of data for the ICU Acquired Ulcer Rate indicator led to the 2024 investigation of 2022 rise in the number of decubitus ulcers after outliers in this indicator were identified.

The Decubitus Ulcer Study is an example of how our data has supported a change initiative around decubitus ulcers, when we supported collection on the influence of special care on ulcers in the internal medicine ward setting.

Regarding data quality, while we don't have ongoing checks specific to pressure injuries, controls around this data are included in our overall Data Integrity Checks which apply to broader diagnosis collection and general data quality.

Decubitus ulcer collection summary

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