Journal of Postgraduate Medicine, Education and Research

Register      Login

VOLUME 49 , ISSUE 1 ( January-March, 2015 ) > List of Articles

RESEARCH ARTICLE

Incidence of Bedsore among the admitted Patients in a Tertiary Care Hospital

Sukhpal Kaur, Manoj K Tewari, Parabjyot Kaur Sekhon

Citation Information : Kaur S, Tewari MK, Sekhon PK. Incidence of Bedsore among the admitted Patients in a Tertiary Care Hospital. J Postgrad Med Edu Res 2015; 49 (1):26-31.

DOI: 10.5005/jp-journals-10028-1138

Published Online: 00-03-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background and objective

Bedsore is a disruptive and often disabling condition affecting bedridden, infirm, debilitated and malnourished patients. We looked at the incidence of bedsores among the admitted patients in a tertiary care hospital.

Materials and methods

This was an observational cohort study covering 2408 patients. The patients were followed up every alternative day from the day of admission till their discharge/ death from the hospital. Katz index of independence in activities of daily living was used to evaluate the level of functional dependence of patients. Braden scale was used to assess the risk factors for the formation of bedsores.

Results

A pooled incidence of 5.9% was estimated. The incidence of bedsore was maximum in intensive care units (9.4%), followed by orthopedic units (8%), emergency wards (7.7%) and neurosurgical units (6%). Mean age was 44.6 ± 17.56 (14-90 years). Unconscious patients, those admitted through emergency, and those who stayed longer in emergency and on IV fluids had a significantly higher chance of developing bedsores. This was also true for patients on Jejunostomy/Gastrostomy feed or total parenteral nutrition (TPN); who needed elevation of the head end of the bed; for whom assistance was required to change their position; and the patients whose position was changed less frequently (p < 0.05). The sacrum was the most common site for all the four stages of bedsores.

Conclusion

A bedsore incidence of 6% mandates an urgent need to improve the quality of patient care in various units of the hospital. Appropriate equipment, adequate manpower and administrative concern and accountability is the need of the hour.

How to cite this article

Kaur S, Singh A, Dhillon MS, Tewari MK, Sekhon PK. Incidence of Bedsore among the Admitted Patients in a Tertiary Care Hospital. J Postgrad Med Edu Res 2015;49(1):26-31.


PDF Share
  1. Pressure ulcer prevention and management. JAMA 2003;289(2):223-226.
  2. Preventing pressure ulcers: a systematic review. JAMA 2006;296(8):974-984.
  3. Pressure ulcers in America: prevalence, incidence, and implications for future. An executive summary of the national pressure ulcer advisory panel monogrph. Adv Skin Wound Care 2001;14(4):208-215.
  4. Assessment and management of chronic pressure ulcers in the elderly. Med Clin North Am 2006 Sep;90(5):925-944.
  5. International experts’ perspectives on the state of nurse staffing and patient outcomes literature. J Nursing Scholarship 2007;39(4):290-297.
  6. Etiological factors in pressure sores: an experimental model. Arch Phys Med Rehabil 1981 Oct;62(10):492-498.
  7. Infected pressure ulcers in elderly individuals. Clin Infect Dis 2002 Dec 1;35(11):1390-1396.
  8. A survey of pressure sores in the over sixties on two orthopaedic wards. Int J Nurs Stud 1979;16(4):355-364.
  9. How elderly patients with femoral fracture develop pressure sores in hospital. Br Med J (Clin Res Ed) 1986 May 17;292(6531):1311-1313.
  10. The incidence of skin breakdown in a surgical intensive care unit. J Nurs Qual Assur 1986 Nov;1(1):77-81.
  11. A clinical trial of the braden scale for predicting pressure sore risk. Nurs Clin North Am 1987 Jun;22(2):417-428.
  12. Evaluating support surfaces for patients in transit through the accident and emergency department. J Clin Nurs 2000 Mar;9(2):189-198.
  13. Progress in the development of the index of ADL. Gerontologist 1970 Spring;10(1):20-30.
  14. The braden scale for predicting pressure sore risk. Nurs Res 1987 July-Aug;36(4):205-210.
  15. Pressure ulcer risk factors in an ICU population. Am J Crit Care 1995 Sep;4(5):361-367.
  16. The pressure sores: pathophysiology and principles of management. Ann Intern Med 1981 May;94(5):661-666.
  17. Decubitus prophylaxis: a prospective trial of the efficiency of alternating-pressure air-mattresses and water-mattresses. Acta Derm Venereol 1982;63(3):227-230.
  18. Impact of staff education of pressure ulcer development in elderly hospitalized patients. Arch Intern Med 1988 Oct;148(10):2241-2243.
  19. Pressure ulcers: incidence, economics, risk assessment. Consensus development conference statement. West Dundee, Ill: SN Publications 1989.
  20. Pressure ulcers among the elderly. N Engl J Med 1989 Mar;320(13):850-853.
  21. Pressure ulcers: a review. Arch Phys Med Rehabil 1994 Aug;75(8):908-917.
  22. Air-fluidized beds or conventional therapy for pressure sores: a randomized trial. Ann Intern Med 1987 Nov;107(5):641-648.
  23. Pressure ulcers in community-resident persons with spinal cord injury: prevalence and risk factors. Arch Phys Med Rehabil 1993 Nov;74(11):1172-1177.
  24. Trochanteric pressure in spinal cord injury. Arch Phys Med Rehabil 1982 Nov; 63(11):549-552.
  25. Management of pressure ulcers. Am J Health Syst Pharm 2004 Sep 15;61(18):1895-1907.
  26. Changing the records. Nurs Times 1998 Jun 17-23; 94(24):67-68.
PDF Share

© Jaypee Brothers Medical Publishers (P) LTD.