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Pressure Ulcers in the Arab World

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Handbook of Healthcare in the Arab World
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Abstract

Pressure ulcers are a major cause of mortality, morbidity, poor quality of life, and increased health care cost and also key indicators of the quality of nursing care and patient safety in the healthcare setting, especially in intensive care units and in homes for the elderly. Although pressure ulcers are predictable, preventable, and potentially curable, they can still lead to sepsis and death. Their true incidence and prevalence rates are inaccurate (under-reported) and likely to be high despite nursing efforts.

In this chapter, we discuss the incidence and prevalence of pressure ulcers in the Arab world and consider the general and specific risk factors for pressure ulcers in the region. A comparison with worldwide prevalence rates will also be presented. Prevention starts by predicting their occurrence and identifying the patients at risk; pressure ulcers do not end despite intense nursing efforts in hospitals or in institutions for the elderly. The paramedical industry promotes a wide variety of products, starting with small pressure relief devices and leading to advanced automatic shifting pressure hospital beds and wheelchairs.

Finally, the medical and surgical managements of pressure ulcers will be discussed in depth, in addition to nutritional aspects, psychosocial impact, and financial burden on both the patients’ families and also on the health care system. We also consider the impact of negative pressure wound therapy and platelet rich plasma to the medico-surgical management of pressure ulcers. The availability of several medico-surgical and adjuvant tools limits the risk of developing non-healing pressure ulcers, even though there are instances of non-healers.

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References

  • Boyko T, Longaker M, Yang G (2018) Review of the current management of pressure ulcers. Adv Wound Care 7(2):57–67

    Google Scholar 

  • Brandeis GH et al (1989) Incidence and healing rates of pressure ulcers in the nursing homes. Decubitus 2:60–62

    PubMed  Google Scholar 

  • Breslow R (1991) Nutritional starts and diet intake of patients with pressure ulcers: review of research literature 1943 to 1989. Decubitus 4:16–21

    CAS  PubMed  Google Scholar 

  • Cowart V (1987) Pressure ulcers preventable, say many clinicians. JAMA 257:589–593

    CAS  PubMed  Google Scholar 

  • Dib M (2008) Pressure ulcers: prevention and management. J Med Liban 56(2):112–117

    PubMed  Google Scholar 

  • Dolynchuk K, Keast D, Campbell K et al (2000) Best practices in the prevention and treatment of pressure ulcers. Ostomy Wound Manage 46(11):38–52

    CAS  PubMed  Google Scholar 

  • Eachempati SR, Hydo LJ, Barrie PS (2001) Factors influencing the development of decubitus ulcers in critically ill surgical patients. Crit Care Med 29:1678–1682

    CAS  PubMed  Google Scholar 

  • El Enein NY, Zaghloul AA (2011) Nurses’ knowledge of prevention and management of pressure ulcer at a Health Insurance Hospital in Alexandria. Int J Nurs Pract 17(3):262–268. https://doi.org/10.1111/j.1440-172X.2011.01933.x

    PubMed  Google Scholar 

  • El Saghir NS, Bizri AR, Shabb NS, Husami TW, Salem Z, Shamseddine AI (1997) Pressure ulcer accelerated healing with local injections of granulocyte macrophage-colony stimulating factor. J Infect 35(2):179–182. https://doi.org/10.1016/S0163-4453(97)91809-0

    PubMed  Google Scholar 

  • Espejo E, AndrĂ©s M, Borrallo RM, Padilla E, Garcia-Restoy E, Bella F, Complex Wounds Working Group (2018) Bacteremia associated with pressure ulcers: a prospective cohort study. Eur J Clin Microbiol Infect Dis 37(5):969–975. https://doi.org/10.1007/s10096-018-3216-8.

    PubMed  PubMed Central  Google Scholar 

  • Fife C, Otto G, Capsuto EG, Brandt K, lyssy K, Murphy K, Short C (2001) Incidence of pressure ulcers in a neurologic intensive care unit. Crit Care Med 29:283–290

    CAS  PubMed  Google Scholar 

  • Fuoco U et al (1997) Anaemia and serum protein alteration in patients with pressure ulcers. Spinal Cord 35(1):58–60

    CAS  PubMed  Google Scholar 

  • Galhardo VAC et al (2010) Health related quality of life and depression in older patients with pressure ulcers. Wounds 22(1):20–26

    PubMed  Google Scholar 

  • Ghoussob K et al (2011) Prospective study about predictive factors of bedsore occurrence in a university hospital center. J Med Liban 59(2):75–79

    Google Scholar 

  • Levines JM (2005) Historical perspective on pressure ulcers. J Am Geriatr Soc 53(7):1248–1251

    Google Scholar 

  • Mallah Z, Nassar N, Badr L (2015) The effectiveness of a pressure ulcer intervention program on the prevalence of hospital acquired pressure ulcers; Controlled before and after study. Appl Nurs Res 28(Z):106–113. https://doi.org/10.1016/j.apnr.2014.07.001

    PubMed  Google Scholar 

  • Mclnnes E, Jammali-Blasi A, Bell-Syer SE, Dumville JC, Middleton V, Cullum N (2015) Support surfaces for pressure ulcer prevention. Cochrane Database Syst Rev 9:CD001735

    Google Scholar 

  • National Pressure Ulcer Advisory Panel (1989) Pressure ulcers prevalence, cost and risk assessment: consensus development conference statement. Decubitus 2:24–28

    Google Scholar 

  • National Pressure Ulcer Advisory Panel (2001) Pressure ulcers in America: prevalence, incidence and implications for the future: an executive summary of the National Pressure ulcer advisory panel monograph. Skin Wound Care 14(4):208–215

    Google Scholar 

  • Norton D (1989) Calculating the risk: reflections on the Norton scale. Decubitus 14(4):208–215

    Google Scholar 

  • Park KH, Choi H (2016) Prospective study on incontinence-associated dermatitis and its severity instrument for verifying its ability to predict the development of pressure ulcers in patients with fecal incontinence. Int Wound J 13(Suppl 1):20–25

    PubMed  Google Scholar 

  • Perdue RW, Wilson JL (1989) Decubitus ulcers. J Am Board Fam Pract 2:43–48

    CAS  PubMed  Google Scholar 

  • Reuler JB, Cooney TG (1981) The pressure sore: pathophysiology and principles of management. Ann Intern Med 94:661–666

    CAS  PubMed  Google Scholar 

  • Saleh MY, Al-Hussami M, Anthony D (2013) Pressure ulcer prevention and treatment knowledge of Jordanian nurses. J Tissue Viability 22(1):1–11. https://doi.org/10.1016/j.jtv.2013.01.003

    PubMed  Google Scholar 

  • Schulz G, Barillo D, Mozingo D, Chin G (2004) Wound bed preparation and a brief history of TIME. Int Wound J 1(1):19–32

    Google Scholar 

  • Sen CK, Gordillo GM, Roy S et al (2009) Human skin wounds: a major and snowballing threat to public health and the economy. Wound Repair Regen 17:763–771

    PubMed  PubMed Central  Google Scholar 

  • Tariq G (2014) Pressure ulcer prevalence and prevention in Sheikh Khalifa Medical City. Abu Dhabi Wounds Middle East 1(2):1–7

    Google Scholar 

  • Tayyib N et al (2015) Saudi Arabian adult intensive care unit pressure ulcer incidence and risk factors: a prospective cohort study. Int Wound J 13:912. https://doi.org/10.1111/iwj.12406

    PubMed  Google Scholar 

  • Tubeishat A et al (2011) Pressure ulcers in Jordan: a point prevalence study. J Tissue Viability 20(1):14–19

    Google Scholar 

  • Xakellis GC, Chrischilles EA (2000) Hydrocolloid versus saline-gauze dressings in treating pressure ulcers. Ostomy Wound Manage 46(11):38–52

    Google Scholar 

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Correspondence to Jamil Halabi .

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Halabi, J. (2020). Pressure Ulcers in the Arab World. In: Laher, I. (eds) Handbook of Healthcare in the Arab World. Springer, Cham. https://doi.org/10.1007/978-3-319-74365-3_158-1

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  • DOI: https://doi.org/10.1007/978-3-319-74365-3_158-1

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74365-3

  • Online ISBN: 978-3-319-74365-3

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