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review · BMC Dermatology

Prevalence of pressure ulcers among hospitalized adult patients in Ethiopia: a systematic review and meta-analysis

202033 citationsOpen accessDebre Berhan University

In plain language

Pressure ulcers represent one of the leading causes of harm to patients internationally, yet their overall national burden in Ethiopia had remained unquantified. A systematic review and meta-analysis evaluated seven studies comprising 1,881 adult hospital patients across the country to establish this benchmark. The findings reveal a national pooled pressure ulcer prevalence of 11.7 percent. In a subgroup analysis restricted to studies with sample sizes of 250 participants or larger, the estimated prevalence rose to 15.89 percent. Overall, the occurrence of pressure ulcers among hospitalised patients in Ethiopia is relatively high. Addressing this issue requires focused attention from healthcare providers and policymakers to reduce patient harm. Additionally, further research is needed to determine the specific individual characteristics and healthcare service factors that drive the development of these ulcers in hospital settings.

Key takeaways

  • The pooled prevalence of pressure ulcers among hospitalised adult patients in Ethiopia is 11.7 percent.
  • In studies with sample sizes of 250 or more participants, the estimated prevalence reached 15.89 percent.
  • The analysis combined evidence across seven studies covering 1,881 total participants.
  • The overall burden of pressure ulcers in Ethiopian hospitals is considered relatively high, warranting focused policy and clinical attention.

Why it matters

Pressure ulcers are among the top causes of preventable patient harm worldwide. Establishing an accurate baseline prevalence for hospitalised adults in Ethiopia helps hospital administrators and policymakers recognise the scale of the problem. This baseline evidence is essential for directing clinical care improvements, improving patient safety, and guiding future investigations into healthcare delivery factors that contribute to ulcer development.

Commercialisation angle

The abstract does not indicate a commercialisation pathway or specific product. However, by establishing that pressure ulcers affect over one in ten hospitalised patients, the epidemiological data highlights a clinical need for healthcare facilities, medical device suppliers, and training organisations seeking to justify the introduction of preventative wound care solutions, specialised support surfaces, or patient monitoring tools into Ethiopian hospital systems.

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Abstract

BACKGROUND: Globally, PUs are recognized as one of the five most frequent causes of harm to clients. With millions affected globally, the national pooled prevalence of pressure ulcers in Ethiopia remains unknown. Hence, this review and meta-analysis aimed to determine the prevalence of pressure ulcers among hospitalized clients in Ethiopia. METHODS: test. A funnel plot and Egger's regression test was used to assess the presence of publication bias. The random-effect model was fitted to estimate summary effects and 95% confidence intervals (CIs) across studies. The analyses were performed using STATA™ Version 14 software. RESULTS: The pooled prevalence of pressure ulcer in Ethiopia was assessed using seven studies involving a total of 1881 participants. The pooled prevalence of pressure ulcers in Ethiopia was 11.7% (95% CI: 7.28, 16.13). The subgroup analysis showed that the estimated magnitude of pressure ulcers was 15.89% (95% CI: 13.32, 18.46); among studies, their sample size was greater than or equal to 250. CONCLUSION: The current review reported that the pooled prevalence of pressure ulcers in Ethiopia was relatively high. Hence, policymaker and healthcare providers should give attention to reduce the magnitude of pressure ulcers. Furthermore, further a meta-analysis study could be conducted to identify individual and health care service-related factors related to the occurrence of pressure ulcers.

Research topics

  • Pressure Ulcer Prevention and Management
  • Surgical site infection prevention
  • Diabetic Foot Ulcer Assessment and Management

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DOI: 10.1186/s12895-020-00112-z

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