SPECTRUM OF PRESSURE ULCERS AT A TERTIARY CARE UNIT

Pir Saad

Abstract


Background: Pressure ulcer is a painful comorbid condition deteriorating the physical and psychological conditions of the already chronically bedridden patients. The major purpose of this study was to assess the spectrum of pressure ulcers at Ayub Teaching Hospital, a tertiary care unit. These findings could be used to come up with recommendations to bring about a relative relief to pressure ulcers patients. Methods: Questionnaire based data was collected from an inpatient population who had developed pressure ulcers at Ayub Teaching Hospital, Abbottabad, over a period of nine months. The sampling technique used was non probability purposive sampling. Results: Out of a total of 101 patients, 56 (55.4%) were males and 45 (44.6%) were females. Age varied from 15 years to 87 years. Mean age was 57.44 SD±16.25 years. Anaemia (25.7%) was found to be the most prevalent comorbid condition. Non-Government Organizations (NGOs) support was provided to 14 (13.9%) patients. Stroke (20.8%) was the primary cause of putting the patients to bed for prolonged periods followed by spinal trauma (15.8%), heart diseases (14.9%) and malignancy (11.9%). Pressure ulcer grade-2 was most prevalent (34.7%). Length of hospital stay was less than 41 days for 30.7% of the patients, 41 to 60 days for 32.7% of the patients and 61 days or more for 32.7% of the patients. The most commonly involved site was the sacrum (40.6%). 33.7% made postural changes in less than 2 hours, 31.7% every 2 hours, 23.8% in more than 2 but less than 6 hours, 8.9% 6 hourly or more and 2% didn’t make them at all. Only 16.8% of the patients used air mattresses. Conclusion: Rehabilitation units need to be established throughout the country. More NGOs involvement and financial assistance extension is extremely needed by the patients suffering from chronically bedridden morbidities. Nutritional monitoring with primary emphasis on anaemia and immunity boosting is need of the day for such patients.

Keywords: Pressure ulcer, Bed sores, Anaemia, Stroke, 


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