Epidemiological Profile of Pressure Ulcers in the Emergency Department of the University Hospital Center of Hospital du Mali

Bakary Dembélé; Abdoulaye Zié Kone; Yacouba Lazare Diallo; Sow Djénéba Sylla; Mody Traore; Mamadou Hema Ouattara; Ousmane Attaher; Boubacar Togola

doi:doi:10.11648/j.cmr.20211004.14

Epidemiological Profile of Pressure Ulcers in the Emergency Department of the University Hospital Center of Hospital du Mali

Bakary Dembélé, Abdoulaye Zié Kone, Yacouba Lazare Diallo, Sow Djénéba Sylla, Mody Traore, Mamadou Hema Ouattara, Ousmane Attaher, Boubacar Togola

Published in Clinical Medicine Research (Volume 10, Issue 4)

Received: 5 July 2021 Accepted: 16 July 2021 Published: 24 July 2021

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Abstract

Introduction: Pressure ulcers are skin lesions of ischemic origin linked to compression of the soft tissues between a hard surface and the bony protrusions. In 2016, 5.17% of patients developed preventable pressure ulcers in hospital. From this study, the Hôpital du Mali reinforced the care teams and involved carers in pressure ulcer prevention actions. The objective of this study was to assess the prevalence of pressure ulcers as well as prevention actions and their management in the emergency department. Method: This was a cross-sectional descriptive study from January 1 to December 31, 2020, based on the observation of the onset of pressure ulcers in patients. We included all patients hospitalized at the short-stay unit level. Results: of the 305 patients hospitalized during the period, 15 developed bedsores, or 4.9% prevalence rate. The sex ratio was 1.2. The average age of our series is 52 ± 14 years old, ranging between 21 and 87 years old. Seventy percent (70%) of pressure ulcers were discovered at stage I. Pressure ulcers located in the inter-gluteal folds were the most frequent with 90%. Conclusion: this study has enabled us to understand that the prevalence of pressure ulcers has decreased from 5.17% to 4.9% over the past four years. It encourages us to deepen the examination of the clinical, therapeutic and progressive peculiarities of this disease which is a credible indicator of the quality of care in a hospital structure.

Published in	Clinical Medicine Research (Volume 10, Issue 4)
DOI	10.11648/j.cmr.20211004.14
Page(s)	129-132
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Epidemiological Profile, Prevalence, Pressure Ulcer, Hôpital du Mali

References

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[2]	National Agency for Accreditation and Assessment, Consensus Conference: Prevention and treatment of pressure ulcers in adults and the elderly. Georges-Pompidou European Hospital - Paris. 2001. https://www.has-sante.fr/upload/docs/application/pdf/escarresdef_long.pdf, accessed September 12, 2020.
[3]	Defloor T., Gobert M., Bouzegta N., Beeckman D., Vanderwee K., Van D. T., (2008) Study of the prevalence of pressure ulcers in Belgian hospitals-PUMap Project.
[4]	Dembélé B., Koné AZ, Sow, DS, Attaher O., Kone A., Doumbia N., Diarra B., Sidibe AT, Ouattara, Z., Diallo Y. L, Ouattara MH, Mody., Dakouo J., Sow FT, Maiga, BA, Camara FK, Sanogo A., Coulibaly CA, (2019), Survey on the prevention and management of bedsores at the hospital in Mali, Revue Malienne de Science et de Technologie serie B. Flight. 0 No 22.
[5]	Fromantin I., Falcou MC., Baffie A., Petot C., Mazerat R., Jaouen C., (2011) Inception and validation of a pressure ulcer risk scale in oncology. J Wound Care. 20 (7): 328–334.
[6]	Samaké B. M., Mangané SM, Togola M, Mangané M, Diani N, Diallo A. Reasons for admitting elderly people in intensive care to the Gabriel Toure University Hospital in BAMAKO. Mali Med. 2015; 30 (1).
[7]	Fofana Y., Traore B., Faye O. and Al. Geriatric dermatoses in dermatological hospitalization in Bamako. Pan Afr Med J. 2016; 25 (206).
[8]	Bernard, P., 2005. Complications of supine immobility. Prevention and management: bedsore. Annals of Dermatology and Venereology, 132, 7S11-7S15.
[9]	Ceelen K. Aetiology of pressure ulcers A literature review. Part I of MSc-thesis, Eindhoven university of Technology, Faculty of Biomedical Engineering. 2003.
[10]	Keller BPJA, Wille J, van Ramshorst B, Wvd C. Pressure ulcers in intensive care patients: a review of risks and prevention. Intensive Care Med. 2002; 28: 1379–1388.
[11]	EPUA Panel. National Pressure Ulcer Advisory Panel. Prevention and treatment of pressure ulcers: guick reference guide Washington DC National Pressure Ulcer Advisory Panel; 2009.
[12]	Benbow M. Guidelines for the prevention and treatment of pressure ulcers. Nurs Stand (through 2013) 2006; 20 (52): 42.
[13]	Berlowitz D. Incidence and prevalence of pressure ulcers. In: Jini J, editor. Pressure ulcers in the aging population. New York: Springer; 2014. pp. 19–26.
[14]	Bluestein D, Javaheri A. Pressure ulcers: prevention, evaluation, and management. Am Fam Physician. 2008; 78 (10).
[15]	Macgregor L. International guidelines. Pressure ulcer prevention: prevalence and incidence in context. Consensus document. London: MEP Ltd.; 2009.
[16]	Soban LM, Hempel S, Munjas BA, Miles J, Rubenstein LV. Preventing pressure ulcers in hospitals: a systematic review of nurse-focused quality improvement interventions. Jt Comm J Qual Patient Saf. 2011; 37 (6): 245.
[17]	Chacon JMF, Blanes L, Hochman B, Ferreira LM. Prevalence of pressure ulcers among the elderly living in long-stay institutions in São Paulo. Sao Paulo Med J. 2009; 127 (4): 211–215.

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Bakary Dembélé, Abdoulaye Zié Kone, Yacouba Lazare Diallo, Sow Djénéba Sylla, Mody Traore, et al. (2021). Epidemiological Profile of Pressure Ulcers in the Emergency Department of the University Hospital Center of Hospital du Mali. Clinical Medicine Research, 10(4), 129-132. https://doi.org/10.11648/j.cmr.20211004.14

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ACS Style

Bakary Dembélé; Abdoulaye Zié Kone; Yacouba Lazare Diallo; Sow Djénéba Sylla; Mody Traore, et al. Epidemiological Profile of Pressure Ulcers in the Emergency Department of the University Hospital Center of Hospital du Mali. Clin. Med. Res. 2021, 10(4), 129-132. doi: 10.11648/j.cmr.20211004.14

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AMA Style

Bakary Dembélé, Abdoulaye Zié Kone, Yacouba Lazare Diallo, Sow Djénéba Sylla, Mody Traore, et al. Epidemiological Profile of Pressure Ulcers in the Emergency Department of the University Hospital Center of Hospital du Mali. Clin Med Res. 2021;10(4):129-132. doi: 10.11648/j.cmr.20211004.14

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@article{10.11648/j.cmr.20211004.14,
  author = {Bakary Dembélé and Abdoulaye Zié Kone and Yacouba Lazare Diallo and Sow Djénéba Sylla and Mody Traore and Mamadou Hema Ouattara and Ousmane Attaher and Boubacar Togola},
  title = {Epidemiological Profile of Pressure Ulcers in the Emergency Department of the University Hospital Center of Hospital du Mali},
  journal = {Clinical Medicine Research},
  volume = {10},
  number = {4},
  pages = {129-132},
  doi = {10.11648/j.cmr.20211004.14},
  url = {https://doi.org/10.11648/j.cmr.20211004.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20211004.14},
  abstract = {Introduction: Pressure ulcers are skin lesions of ischemic origin linked to compression of the soft tissues between a hard surface and the bony protrusions. In 2016, 5.17% of patients developed preventable pressure ulcers in hospital. From this study, the Hôpital du Mali reinforced the care teams and involved carers in pressure ulcer prevention actions. The objective of this study was to assess the prevalence of pressure ulcers as well as prevention actions and their management in the emergency department. Method: This was a cross-sectional descriptive study from January 1 to December 31, 2020, based on the observation of the onset of pressure ulcers in patients. We included all patients hospitalized at the short-stay unit level. Results: of the 305 patients hospitalized during the period, 15 developed bedsores, or 4.9% prevalence rate. The sex ratio was 1.2. The average age of our series is 52 ± 14 years old, ranging between 21 and 87 years old. Seventy percent (70%) of pressure ulcers were discovered at stage I. Pressure ulcers located in the inter-gluteal folds were the most frequent with 90%. Conclusion: this study has enabled us to understand that the prevalence of pressure ulcers has decreased from 5.17% to 4.9% over the past four years. It encourages us to deepen the examination of the clinical, therapeutic and progressive peculiarities of this disease which is a credible indicator of the quality of care in a hospital structure.},
 year = {2021}
}

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TY - JOUR
T1 - Epidemiological Profile of Pressure Ulcers in the Emergency Department of the University Hospital Center of Hospital du Mali
AU - Bakary Dembélé
AU - Abdoulaye Zié Kone
AU - Yacouba Lazare Diallo
AU - Sow Djénéba Sylla
AU - Mody Traore
AU - Mamadou Hema Ouattara
AU - Ousmane Attaher
AU - Boubacar Togola
Y1 - 2021/07/24
PY - 2021
N1 - https://doi.org/10.11648/j.cmr.20211004.14
DO - 10.11648/j.cmr.20211004.14
T2 - Clinical Medicine Research
JF - Clinical Medicine Research
JO - Clinical Medicine Research
SP - 129
EP - 132
PB - Science Publishing Group
SN - 2326-9057
UR - https://doi.org/10.11648/j.cmr.20211004.14
AB - Introduction: Pressure ulcers are skin lesions of ischemic origin linked to compression of the soft tissues between a hard surface and the bony protrusions. In 2016, 5.17% of patients developed preventable pressure ulcers in hospital. From this study, the Hôpital du Mali reinforced the care teams and involved carers in pressure ulcer prevention actions. The objective of this study was to assess the prevalence of pressure ulcers as well as prevention actions and their management in the emergency department. Method: This was a cross-sectional descriptive study from January 1 to December 31, 2020, based on the observation of the onset of pressure ulcers in patients. We included all patients hospitalized at the short-stay unit level. Results: of the 305 patients hospitalized during the period, 15 developed bedsores, or 4.9% prevalence rate. The sex ratio was 1.2. The average age of our series is 52 ± 14 years old, ranging between 21 and 87 years old. Seventy percent (70%) of pressure ulcers were discovered at stage I. Pressure ulcers located in the inter-gluteal folds were the most frequent with 90%. Conclusion: this study has enabled us to understand that the prevalence of pressure ulcers has decreased from 5.17% to 4.9% over the past four years. It encourages us to deepen the examination of the clinical, therapeutic and progressive peculiarities of this disease which is a credible indicator of the quality of care in a hospital structure.
VL - 10
IS - 4
ER -

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Author Information

Bakary Dembélé

General Directorate of the Hospital du Mali, Bamako, Mali
Abdoulaye Zié Kone

Ségou Regional Directorate of Veterinary Services, Bamako, Mali
Yacouba Lazare Diallo

Department of Medicine of the Hospital du Mali, Bamako, Mali
Sow Djénéba Sylla

Department of Medicine of the Hospital du Mali, Bamako, Mali
Mody Traore

Entrance Office Service, Hospital du Mali, Bamako, Mali
Mamadou Hema Ouattara

Intensive Care Unit of the Hospital du Mali, Bamako, Mali
Ousmane Attaher

General Directorate of the Hospital du Mali, Bamako, Mali
Boubacar Togola

Emergency Department of the Hospital du Mali, Bamako, Mali

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APA Style

Bakary Dembélé, Abdoulaye Zié Kone, Yacouba Lazare Diallo, Sow Djénéba Sylla, Mody Traore, et al. (2021). Epidemiological Profile of Pressure Ulcers in the Emergency Department of the University Hospital Center of Hospital du Mali. Clinical Medicine Research, 10(4), 129-132. https://doi.org/10.11648/j.cmr.20211004.14

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ACS Style

Bakary Dembélé; Abdoulaye Zié Kone; Yacouba Lazare Diallo; Sow Djénéba Sylla; Mody Traore, et al. Epidemiological Profile of Pressure Ulcers in the Emergency Department of the University Hospital Center of Hospital du Mali. Clin. Med. Res. 2021, 10(4), 129-132. doi: 10.11648/j.cmr.20211004.14

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AMA Style

Bakary Dembélé, Abdoulaye Zié Kone, Yacouba Lazare Diallo, Sow Djénéba Sylla, Mody Traore, et al. Epidemiological Profile of Pressure Ulcers in the Emergency Department of the University Hospital Center of Hospital du Mali. Clin Med Res. 2021;10(4):129-132. doi: 10.11648/j.cmr.20211004.14

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@article{10.11648/j.cmr.20211004.14,
  author = {Bakary Dembélé and Abdoulaye Zié Kone and Yacouba Lazare Diallo and Sow Djénéba Sylla and Mody Traore and Mamadou Hema Ouattara and Ousmane Attaher and Boubacar Togola},
  title = {Epidemiological Profile of Pressure Ulcers in the Emergency Department of the University Hospital Center of Hospital du Mali},
  journal = {Clinical Medicine Research},
  volume = {10},
  number = {4},
  pages = {129-132},
  doi = {10.11648/j.cmr.20211004.14},
  url = {https://doi.org/10.11648/j.cmr.20211004.14},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.cmr.20211004.14},
  abstract = {Introduction: Pressure ulcers are skin lesions of ischemic origin linked to compression of the soft tissues between a hard surface and the bony protrusions. In 2016, 5.17% of patients developed preventable pressure ulcers in hospital. From this study, the Hôpital du Mali reinforced the care teams and involved carers in pressure ulcer prevention actions. The objective of this study was to assess the prevalence of pressure ulcers as well as prevention actions and their management in the emergency department. Method: This was a cross-sectional descriptive study from January 1 to December 31, 2020, based on the observation of the onset of pressure ulcers in patients. We included all patients hospitalized at the short-stay unit level. Results: of the 305 patients hospitalized during the period, 15 developed bedsores, or 4.9% prevalence rate. The sex ratio was 1.2. The average age of our series is 52 ± 14 years old, ranging between 21 and 87 years old. Seventy percent (70%) of pressure ulcers were discovered at stage I. Pressure ulcers located in the inter-gluteal folds were the most frequent with 90%. Conclusion: this study has enabled us to understand that the prevalence of pressure ulcers has decreased from 5.17% to 4.9% over the past four years. It encourages us to deepen the examination of the clinical, therapeutic and progressive peculiarities of this disease which is a credible indicator of the quality of care in a hospital structure.},
 year = {2021}
}

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