Prevalence and prediction of pressure ulcers in admitted stroke patients in a tertiary care hospital

Farid, Jamila; Amin, Rabbia; Sheikh, Muhammad Aman; Irfan, Muhammad; AlRuwaili, Raed; Alruwaili, Mubarak; Ali, Naif H.; Albarrak, Anas Mohammad; Rahman, Saifur

doi:10.1016/j.jtv.2022.07.010

Cited by 4 publications

(3 citation statements)

References 24 publications

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“…They found that the study group had poor hygiene (6.7%), was undernourished (11.7%), and did not use preventive mattresses (79.2%). Pressure ulcer risk factors included not being positioned (6.7%) and not being aware (10%) 21 . In our study, the frequencies of mobility in different pressure ulcer patients showed that the patient who had a score less than 3 means that they were unable to move or to do any activity and didn't change their positions after every 2 hours.…”

Section: Discussionmentioning

confidence: 99%

Prevalence of Pressure Ulcers among patients in Ibn e Sina Hospital

Fatima¹,

Altaf²,

Hassan³

et al. 2023

PJMHS

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Background: Pressure is a localized injury to the skin and underlying tissue usually over a bony prominence, as a result of pressure, or pressure contributing to shear. Objective: The main objective was to determine the prevalence of pressure ulcers in the patients of Ibn e Sina hospital Multan and to determine the risk factors contributing to pressure ulcers by using Braden Scale. Methodology: It was a cross-sectional observational study conducted on 246 patients of Ibn e Sina hospital Multan. During the 6 months of the study, patients were interviewed regarding their demographics and risk factors for pressure ulcers according to the Braden scale. Spss21 was used to analyze the data. Results: Out of 246 patients, 74.8% of male patients had pressure ulcers. The patients were from 25 to 85 years old. The pressure ulcers were more frequent among the 45 to 65 years age group (i.e., 44.7%) and married patients (95.5%). Among 246 patients only 4.5% patients were at extra high risk and most of the patients were at low risk (69.5%) by using the Braden scale. This data will help physicians, researchers, and policymakers in Pakistan and other nations advocate for the needs of pressure ulcer patients. Conclusion: According to this study pressure ulcers were more frequent in male married patients of the middle age group. Most of the patients were at low risk of developing pressure ulcers on the Braden Scale. Keywords: Pressure ulcer PU, Pressure sores, Pressure Injuries, Prevalence, Risk factors, Braden Scale, Braden score, Hospitals, Intensive care units

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Section: Discussionmentioning

confidence: 99%

Prevalence of Pressure Ulcers among patients in Ibn e Sina Hospital

Fatima¹,

Altaf²,

Hassan³

et al. 2023

PJMHS

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“…These lesions, resulting from sustained pressure leading to damage of skin and underlying tissues, are particularly prevalent in patients with reduced mobility, a frequent consequence of stroke. 4,5 The development of PUs in this patient population is a matter of considerable concern due to their adverse effects on quality of life, heightened infection risk and the complexities associated with their management. The pathogenesis of PUs in stroke survivors is intricate and multifactorial.…”

Section: Introductionmentioning

confidence: 99%

“…Among the myriad of post‐stroke complications, pressure ulcers (PUs), also known as bedsores or decubitus ulcers, emerge as a common and critical issue. These lesions, resulting from sustained pressure leading to damage of skin and underlying tissues, are particularly prevalent in patients with reduced mobility, a frequent consequence of stroke 4,5 . The development of PUs in this patient population is a matter of considerable concern due to their adverse effects on quality of life, heightened infection risk and the complexities associated with their management.…”

Section: Introductionmentioning

confidence: 99%

Comparative analysis of pressure ulcer development in stroke patients within and outside healthcare facilities: A systematic review and meta‐analysis

Yu,

Sun,

Hao

et al. 2024

International Wound Journal

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The risk of pressure ulcers in stroke patients is a significant concern, impacting their recovery and quality of life. This systematic review and meta‐analysis investigate the prevalence and risk factors of pressure ulcers in stroke patients, comparing those in healthcare facilities with those in home‐based or non‐clinical environments. The study aims to elucidate how different care settings affect the development of pressure ulcers, serving as a crucial indicator of patient care quality and management across diverse healthcare contexts. Following PRISMA guidelines, a comprehensive search was conducted across PubMed, Embase, Web of Science and the Cochrane Library. Inclusion criteria encompassed studies on stroke patients in various settings, reporting on the incidence or prevalence of pressure ulcers. Exclusion criteria included non‐stroke patients, non‐original research and studies with incomplete data. The Newcastle–Ottawa scale was used for quality assessment, and statistical analyses involved both fixed‐effect and random‐effects models, depending on the heterogeneity observed. A total of 1542 articles were initially identified, with 11 studies meeting the inclusion criteria. The studies exhibited significant heterogeneity, necessitating the use of a random‐effects model. The pooled prevalence of pressure injuries was 9.53% in patients without family medical services and 2.64% in patients with medical services. Sensitivity analysis confirmed the stability of these results, and no significant publication bias was detected through funnel plot analysis and Egger's linear regression test. The meta‐analysis underscores the heightened risk of pressure injuries in stroke patients, especially post‐discharge. It calls for concerted efforts among healthcare providers, policymakers and caregivers to implement targeted strategies tailored to the specific needs of different care environments. Future research should focus on developing and evaluating interventions to effectively integrate into routine care and reduce the incidence of pressure injuries in stroke patients.

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