Incidence and risk factors of pressure ulcers in a Tunisian University Hospital

Ghali, Héla; Rejeb, M Ben; Chelly, Souhir; Cheikh, Asma Ben; Khefacha, S.; Latiri, H Said

doi:10.1016/j.respe.2018.05.277

“…On the other hand, our finding is higher than a study done in China 1.58% a [19],3.3% in Turkish Hospital [20], and 3.22% in South-west Nigeria [23]. In contrary, the current study is low than 17.23% in Sub-Saharan Tertiary Centre [22], 18.2% in Norwegian [17], 18.7 % in Brazil [21],and 19.3 % in Tunisia [24]. The possible explanations for the above variations might be methodological differences (i.e., data analysis and eligibility of study participants), variation in quality of care and educational preparation among health care provider, policy and strategy difference.…”

Section: Sensitivity Analysiscontrasting

confidence: 92%

“…Numerous studies have shown substantial variation on the prevalence of pressure ulcers among hospitalized patients across the globe and revealed that the prevalence pressure ulcer was 14•9% in Swedish [16] ,18.2% in Norwegian [17],10.1% in São Paulo [18], 1.58% in China [19],3.3% in Turkish Hospital [20], 18.7 % in Brazil [21], 17.23% in Sub-Saharan Tertiary Centre [22], 3.22% in South-west Nigeria [23], and 19.3 % in Tunisia [24].…”

Section: Introductionmentioning

confidence: 99%

Evidence on the effect of position change on pressure ulcer among hospitalized adult patients in Ethiopia: systematic review and meta-analysis

Shiferaw

¹

,

Aynalem

²

,

Akalu

³

2019

Preprint

0

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Background Pressure ulcers (PU) aﬀect millions of people worldwide and always occur over bony areas of the body where pressure and tissue distortion is greatest. The national pooled prevalence of pressure ulcer remains unknown. Hence, this meta-analysis aimed to determine the effect of position change on pressure ulcer among hospitalized clients in Ethiopia. Methods Studies were retrieved through search engines in PubMed, Scopus, WHO afro library, Google Scholar, Africa journal online, PsycINFO and web-science following the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P). Analysis was done using STATA version 14 software. Heterogeneity between-study was checked using the I 2 and examined a potential publication bias by visual inspection of the funnel plot and Egger’s regression test statistic. The random-effect model was fitted to estimate the summary effects, odds ratios (ORs), and 95% confidence interval (CIs) across studies. Results Out of the reviewing 401 studies, 7 studies fulfilled the inclusion criteria and were included in the meta-analysis. The estimated pooled prevalence of pressure ulcer in Ethiopia was 11.7% (95% CI (7.28, 16.13%)). Based on the subgroup analysis, the estimated magnitude of pressure ulcer was 15.89% (95% CI: 35.34, 54.04) among studies their sample size were greater than or equals to 250. Those clients who have position change during hospitalization were 82% less likely to develop pressure ulcer [(OR: 0.18 (95% CI (0.07, 0.46)) than their counter part. Conclusion The overall prevalence of pressure ulcer in Ethiopia was relatively high. Position change of the client during hospitalization had paramount benefit to reduce the burden of pressure ulcer. Therefore, policymakers (federal minister of health) could give special attention to minimize the magnitude of pressure ulcer, and to improve the overall quality of healthcare service. Further, meta-analysis study could be conducted to identify individual and health care service related factors to the occurrence of pressure ulcer.

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“…in South-west Nigeria [23]. In contrary, the current study is low than 17.23% in Sub-Saharan Tertiary Centre [22], 18.2% in Norwegian [17], 18.7 % in Brazil [21],and 19.3 % in Tunisia [24].…”

Section: Discussioncontrasting

confidence: 56%

“…Numerous studies have shown substantial variation on the prevalence of pressure ulcers among hospitalized patients across the globe and revealed that the prevalence pressure ulcer was 14• 9% in Swedish [16] , 18.2% in Norwegian [17],10.1% in Sã o Paulo [18], 1.58% in China [19],3.3% in Turkish Hospital [20], and 18.7 % in Brazil [21]. On the other hand in Africa the magnitude of PU was 17.23% in Sub-Saharan Tertiary Centre [22], 3.22% in South-west Nigeria [23], 19.3 % in Tunisia [24].Furthermore, the prevalence of PUs in Ethiopia was 13.4% Wolaita Sodo University Teaching Hospital [25], 16.3% in Hiwot fana referral hospital [26],and 14.9% in Dessie Referral Hospital [27].…”

Section: Introductionmentioning

confidence: 99%

Evidence on the Effect of Position Change on Pressure Ulcer among Hospitalized Adult Patients in Ethiopia: Meta-Analysis and Systematic Review

Shibabaw¹,

Aynalem²,

Akalu³

2019

Preprint

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Background: Pressure ulcers (PU) aﬀect millions of people worldwide and always occur over bony areas of the body where pressure and tissue distortion is greatest. The national pooled prevalence of pressure ulcer remains unknown. Hence, the aim of this meta-analysis was to determine the effect of position change on pressure ulcer among hospitalized clients in Ethiopia. Methods: Studies were retrieved through search engines in PubMed, Scopus, WHO afro library, Google Scholar, Africa journal online, PsycINFO and web-science following the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P). Analysis was done using STATA version 14 software. We checked the between-study heterogeneity using the I2 and examined a potential publication bias by visual inspection of the funnel plot and Egger’s regression test statistic. The random-effect model was fitted to estimate the summary effects, odds ratios (ORs), and 95% confidence interval (CIs) across studies. Results: Out of the reviewing 401 studies, 7 studies fulfilled the inclusion criteria and were included in the meta-analysis. The estimated pooled prevalence of pressure ulcer in Ethiopia was 11.7% (95% CI (7.28, 16.13%)). Based on the subgroup analysis, the estimated magnitude of pressure ulcer was 15.89% (95% CI: 35.34, 54.04) among studies their sample size were greater than or equals to 250. Those clients who have position change during hospitalization were 85% less likely to develop pressure ulcer [(OR 0.15, 95%CI (0.06, 0.4)] than their counter part. Conclusion: The overall prevalence of pressure ulcer in Ethiopia was relatively high. Position change of the client during hospitalization had paramount benefit to reduce the burden of pressure ulcer. Therefore, policymakers could give special attention to minimize the magnitude of pressure ulcer in order to improve the overall quality of healthcare service. Further meta-analysis study is need to identify individual and health care service related factors to the occurrence of pressure ulcer.

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“…Hospital [20], and 3.22% in South-west Nigeria [23]. In contrary, the current study is low than 17.23% in Sub-Saharan Tertiary Centre [22], 18.2% in Norwegian [17], 18.7 % in Brazil [21],and 19.3 % in Tunisia [24]. The possible explanations for the above variations might be methodological differences (i.e., data analysis and eligibility of study participants), variation in quality of care and educational preparation among health care provider, policy and strategy difference.…”

Section: 13%)contrasting

confidence: 58%

Evidence on the Effect of Position Change on Pressure Ulcer among Hospitalized Adult Patients in Ethiopia: Meta-Analysis and Systematic Review

Shibabaw¹,

Aynalem²,

Akalu³

2019

Preprint

View full text Add to dashboard Cite

Background: Pressure ulcers (PU) aﬀect millions of people worldwide and always occur over bony areas of the body where pressure and tissue distortion is greatest. The national pooled prevalence of pressure ulcer remains unknown. Hence, the aim of this meta-analysis was to determine the effect of position change on pressure ulcer among hospitalized clients in Ethiopia. Methods: Studies were retrieved through search engines in PubMed, Scopus, WHO afro library, Google Scholar, Africa journal online, PsycINFO and web-science following the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols (PRISMA-P). Analysis was done using STATA version 14 software. We checked the between-study heterogeneity using the I2 and examined a potential publication bias by visual inspection of the funnel plot and Egger’s regression test statistic. The random-effect model was fitted to estimate the summary effects, odds ratios (ORs), and 95% confidence interval (CIs) across studies. Results: Out of the reviewing 401 studies, 7 studies fulfilled the inclusion criteria and were included in the meta-analysis. The estimated pooled prevalence of pressure ulcer in Ethiopia was 11.7% (95% CI (7.28, 16.13%)). Based on the subgroup analysis, the estimated magnitude of pressure ulcer was 15.89% (95% CI: 35.34, 54.04) among studies their sample size were greater than or equals to 250. Those clients who have position change during hospitalization were 85% less likely to develop pressure ulcer [(OR 0.15, 95%CI (0.06, 0.4)] than their counter part. Conclusion: The overall prevalence of pressure ulcer in Ethiopia was relatively high. Position change of the client during hospitalization had paramount benefit to reduce the burden of pressure ulcer. Therefore, policymakers could give special attention to minimize the magnitude of pressure ulcer in order to improve the overall quality of healthcare service. Further meta-analysis study is need to identify individual and health care service related factors to the occurrence of pressure ulcer.

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Incidence and risk factors of pressure ulcers in a Tunisian University Hospital

Cited by 12 publications

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Evidence on the effect of position change on pressure ulcer among hospitalized adult patients in Ethiopia: systematic review and meta-analysis

Evidence on the effect of position change on pressure ulcer among hospitalized adult patients in Ethiopia: systematic review and meta-analysis

Evidence on the Effect of Position Change on Pressure Ulcer among Hospitalized Adult Patients in Ethiopia: Meta-Analysis and Systematic Review

Evidence on the Effect of Position Change on Pressure Ulcer among Hospitalized Adult Patients in Ethiopia: Meta-Analysis and Systematic Review

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