Pattern of pressure ulcers in a tertiary hospital in south-south Nigeria

A 1- year prospective study

https://doi.org/10.53730/ijhs.v6nS6.10988

Authors

  • Ohiaeri I. C. Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Federal Medical Centre, Asaba, Delta State, Nigeria
  • Otene C. I. Department of Surgery, Delta State University Abraka, Delta State, Nigeria
  • Akpo E. E. Department of Surgery, Delta State University Abraka, Delta State, Nigeria
  • Asaboro S. Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Federal Medical Centre, Asaba, Delta State, Nigeria
  • Akalawu M. U. Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Federal Medical Centre, Asaba, Delta State, Nigeria

Keywords:

pressure, ulcers, pattern, tertiary hospital

Abstract

Background: Pressure ulcers are a common cause of increased morbidity in patients who are bedridden or wheelchair-bound. Objectives: This is to look at the pattern of pressure ulcers in our facility with the objectives to determine the demographic distribution such as age and sex, sites and stage of the ulcers, co-morbidities and duration of immobilisation prior to onset of ulcer. Methods: This is a prospective study of patients seen within 12 months in the ward or in the surgical outpatient and followed up till discharge or death. Patients were enlisted into the study as they presented. Those with previous surgical treatment of pressure ulcers at the same site were excluded. Results: AGE: range from 15 to 91 years with a mean age of 63.7 years, modal age of 70 years and peak age group 65-79 years (>45 years of age). One patient (10%) was a 15 year old. M: F= 1.2:1. The duration of immobilization prior to development of ulcer ranged from 2 weeks to 20 years. Most of our patients had cerebrovascular disease, 25.8%, as the co-morbidity causing immobilization. Sacral ulcers (61%) were most common site followed by trochanteric (22%). Stage 2 pressure ulcers were the commonest stage. 

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References

Amir Y, Ian F.E, Halfens R, Lohman C., Schois J. Pressure ulcer prevalence and care in Indonesian Hospitals, Cross sectional evaluation using extended Donabedian model. Osteomy Wound Manage. 2017 Feb; 63(2):8-23.

Amir Y, Meijers J, Halfens R. Retrospective study of pressure ulcer prevalence in Dutch hospitals since 2001. J Wound Care 2011 Jan; 20 (1):18, 20-5.

Bergstrom N, Braden B. A prospective study of pressure ulcer risk amongst institutionalized elderly. J Am Geriatr. Soc 1992; 40: 747-758.

Berlowitz D. Epidemiology. Pathogenesis and risk assessment of pressure-induced skin and soft tissue injury. J Am Geriatr Soc 1988; 36:807.

Cooper D.M, Yu E.Z Hannesy P et al. Determination of cytokines in chronic wounds. Ann Surg1994; 219: 688-692.

Davis J.S. The operative treatment of scars following bedsores. Surgery.1938; 3:1-7.

Description of NPUAP National Pressure Ulcer Advisory Panel. Adv Wound Care (New Rochelle).1995;8: suppl 93-suppl 95.

Edsberg LE, Black JM, Goldberg M, McNichol L, Moore L, Sieggreen M. Revised National Pressure Ulcer Advisory Panel Pressure Injury Staging System. J Wound Ostomy Continence Nurs 2016 Nov; 46(6): 585-597.

Gadamu H. Hailu M, Amano A. Prevalence and associated factors of pressure ulcer amongst hospitalized patients at Felegehwit referral hospital Bahir Dar Ethopia. Advances in nursing vol 2014.

International Association of Enterostomal Therapists. Dermal wound: pressure sores. Philosophy of the IAET. J Enterostomal Ther 1988; 15(1): 4-17.

Iyun A.O, Malomo A.O, Oluwatosin O.M, Ademola S.A, Shokunbi M.T. Pattern of presentation of pressure ulcers in traumatic SCI patients in UCH Ibadan. Int Wound J. G2012 Apr; 9(2):206-13.

Jani, J. R., Bajamal, A. H., Utomo, S. A., Parenrengi, M. A., Fauzi, A. A., Utomo, B., & Dwihapsari, Y. (2021). Correlation between magnetic resonance imaging (MRI) and dynamic mechanical analysis (DMA) in assessing consistency of brain tumor. International Journal of Health & Medical Sciences, 4(2), 260-266. https://doi.org/10.31295/ijhms.v4n2.1737

Janis J.E, Kenken J.M. Pressure ulcers in selected readings in plastic surgery 2003; 9(39): 1-42.

Kwon R, Rendon J.L, Janis J.E. Pressure sores. In: P.C Nelligan(ed) Plastic Surgery 4th Ed vol 6, Elsevier, Canada. 2018: 350-380.

Lamon J.D Jr, Alexander E Jr. Secondary closure of decubitus ulcers with the aid of penicillin JAMA. 1945; 127:396.

Nwadinigwe C.U, Amaefule K, Uduezue A.O. Pattern of pressure sores in spinal injured patients within the first 6 months of injury. Nigerian Journal of Orthopaedics and trauma; 12 (1)1(2013).

Reuler J.B, Cooney T.G. The pressure sore: pathophysiology and principles of management. Ann Intern. Med 1981; 94: 661-666.

Rowlings J.T. Pathological changes in mummies. Proc R Soc Med 1961; 54: 409-415.

Shea J.P. Pressure sores: classification and management. Clin Orthop Relat Res 1975; 112: 89-100.

Widana, I.K., Sumetri, N.W., Sutapa, I.K., Suryasa, W. (2021). Anthropometric measures for better cardiovascular and musculoskeletal health. Computer Applications in Engineering Education, 29(3), 550–561. https://doi.org/10.1002/cae.22202

Wound, Ostomy and Continence Nurses Society position statement on Avoidable versus Unavoidable Pressure Ulcers. J Wound Ostomy Continence Nurs 2009 July-August; 36 (4): 378-381.

Published

23-07-2022

How to Cite

Ohiaeri, I. C., Otene, C. I., Akpo, E. E., Asaboro, S., & Akalawu, M. U. (2022). Pattern of pressure ulcers in a tertiary hospital in south-south Nigeria: A 1- year prospective study. International Journal of Health Sciences, 6(S6), 6312–6324. https://doi.org/10.53730/ijhs.v6nS6.10988

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Peer Review Articles