A Retrospective Study of the Prevalence of Pressure Sores: the University of Port Harcourt Teaching Hospital Experience

Tombari J Gbeneol, Adaeze C Nwachukwu

Abstract


Background: Bed sores occur when there is friction or unrelieved pressure on the soft tissue skin, subcutaneous, muscle against a hard surface or against a bony prominence. It produces as a secondary medical condition; a problematic wound prolonging patients duration of hospitalization with its attendant morbidity and mortality and a huge financial burden. It is a global challenge that this study will aid its early identification, prevention and treatment reducing its morbidity and mortality and financial costs.  

Aim: The aim of this study is to determine the prevalence and impact of pressure sores in patients admitted to the University of Port Harcourt Teaching Hospital, Nigeria. 

Methods: The data were obtained retrospectively from 65 patients’ record at the University of Port Harcourt Teaching Hospital, Port Harcourt, spanning from 2014 to 2019.  The age ranges between 14 to 95 years. The data was analysed and results presented as frequency tables and pictures. 

Results: The results showed pressure sore occurrence in University of Port Harcourt Teaching Hospital, Port Harcourt with more cases in Pott’s Disease of the spine (TB), (27.45%) followed by Cerebrovascular Accident (CVA) (19.61%) and Sickle cell Disease (SCD) (17.65%). Pressure sores occurring at sacral and trochanteric sites were mostly wounds from SCD, Pott’s and CVA. Sacral pressure sore site was the most predominant with percentage frequency of 75%. This was followed by trochanteric pressure sore site with a frequency of 12.5%. Pressure sore development is aggravated by several factors such as poor nutrition, incontinence with persistent soilage and moisture, dementia, paralysis, friction and shear forces. Prolong stay in a particular position and age are real contributory factors. Conclusion: Pressure sores are common and measures should be taken to quickly detect and prevent pressure sore as it has  huge financial burden and prolonged hospital stay and its attendant nosocomial infection.


Keywords


pressure sore, occurrence, University of Port Harcourt Teaching Hospital, Port Harcourt.

References


Beckrich K and Aronovitch S (1999).Hospital-acquired pressure ulcers: A comparison of costs in medical vs. surgical patients. Nursing economics (PUBMED). 17(5):263-71.

Daniel RK, Terzis JK, Cummingham (1976). Sensory Skin Flaps for Coverings of Pressure Sores in paraplegic patients. A preliminary Report.PlastReconstr Surg. 58:317

Dharmarajan TS, Ahmed S (2003) The growing problem of pressure ulcers.Evaluation and management for an among population. Postgrad Med., 113(5):77–90.

Elizabeth A Ayello , Caroline Dowsett, Gregory S Schultz, R Gary Sibbald, Vincent Falanga, Keith Harding et al., (2004). Time Heals all Wounds. Nursing. 34(4): 36-41. doi: 10.1097/00152193-200404000-00040.

Emejulu Jude‑Kennedy C, Nwadi UV, Obiegbu HO (2015). Does Improvised Waterbed Reduce the Incidence of Pressure Ulcers in Patients with Spinal Injury? Nigerian Journal of Surgery. 21(2): 119-123.

Fisher AR, Well G, Harrison MB. (2004). Factors associated with pressure Ulcer in adults in acute care Hospitals. Adv Skin Wound Care. 17: 80.

Ladwig GP, Robson MC, Liu R (2002). Ratios of Activated Matrix Metalloproteinase-9 to Tissue Inhibitor of Metalloproteinase-1 in Wound Fluids are inversely correlated with healing of pressure ulcers. Wound Repair Regen. 10: 26.

Maklebust J (1987). Pressure Ulcers: Etiology and Prevention. NursClin North Am., 22(2): 359-377

Niezgoda JA and Mendez-Eastman S (2006).The Effective Management of Pressure Ulcers.Advances in Skin & Wound Care: The Journal for Prevention and Healing. 19(1): 3-15.

Nwomeh BC, Yager DR, Colden IK (1998). Physiology of the Chronic Wound. ClinPlast Surg., 25: 341

Onigbinde AT, Olafimihan KF, Ojoawo A, Mothabeng J, Ogundiran OO(2011). Management of decubitus ulcer using gentamycin sulphateiontophoresis: a case study. The Internet Journal of Allied Health Sciences and Practice 9(1): 1540–80.

Pound P, Gompertz P and Ebrahim S (1998). Illness in the context ofolder age: the case of stroke.Sociology of Health and Illness. 20:489–506.

Premkumar K (2005).Decubitus Ulcers. Pathophysiology and the role ofmassage therapists. Massage and Bodywork.100–104.

Robson MC, Duke WF and Krizek TJ (1973).Rapid Bacterial Screening in the Treatment of Civilian Wounds. J Surg Res., 14: 426-430

Stal S, Serure A, Donovan W (1983). The perioperative Management of the patient with pressure sores. Ann Plast Surg., 11:347.

Wilhelmi BJ, Neumeister M (2010) Pressure Ulcers, Surgical Treatmentand Principles. http://emedicine.medscape.com/article/1293724-overview(accessed 20 July, 2020)


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ISSN: 1597-4292

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