Browsing by Author "Almaw, Aklog"

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    The Magnitude and Factors Associated with Pressure Ulcer Among Patients Admitted to Adult Medical and Surgical ICU, Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: 6-Month Retrospective Study
    (Addis Abeba University, 2018-07) Almaw, Aklog; Dr.Kebede, Dawit ( MD, Internist, Consultant Pulmonary and Critical Care Physician)2
    Title: The Magnitude and Factors Associated with Pressure Ulcer Among Patients Admitted to Adult Medical and Surgical ICU, Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia: 6-Month Retrospective Study, from January 1,2018 to July 1, 2018. Background: Pressure ulcer represents a widespread, painful, and expensive health care problem directly associated with increased morbidity, mortality, and length of hospital stay. Knowledge of the magnitude and factors associated with to the development of pressure ulcer allows identification of patients at risk for ulcer development such that preventive measures may then be targeted to those specific patients. There were no previous local studies assessing the magnitude and factors associated with pressure ulcer among ICU admitted patients and this study aimed to fill this gap. Objective: To assess the magnitude and factors associated with pressure ulcer among patients admitted to adult medical and surgical ICU unit of Tikur Anbessa specialized hospital (TASH). Methods and materials: A 6-month facility based retrospective cross-sectional study was conducted to determine the magnitude and factors associated with pressure ulcer among patients admitted to adult medical and surgical ICU unit of Tikur Anbessa Specialized hospital (TASH). The study was done in a sample of 237 patients which were admitted to the ICU of TASH, from January 1,2018 to July 1, 2018. Data were collected using structured checklists from chart reviews. The collected data was cleaned and analyzed using SPSS version 26. Bivariate and Multivariate logistic regression models were used to identify the degree of the association. The degree of association between dependent and independent variables was interpreted by using crude odds ratio with 95% confidence intervals and P-value <0.05 was considered statistically significant. Results: From a sample of 237, a total of 58 (24.5%) participants had pressure ulcer. The magnitude of pressure ulcer among MICU admitted study participants was 36.6% whereas among SICU admitted participants was 11.4%. The length of ICU stay was found to be strongly associated with the development of pressure ulcer. Those who stayed in the ICU for more than 14 days were 8.9 times at increased risk of developing pressure ulcer compared to those who stayed for less than 14 days (AOR=8.995, P value=<0.0001, 95% CI 3.634 to 22.264). Conclusion: A quarter of adult patients admitted to the ICU had pressure ulcer and prolonged hospital stay was found to be associated with the development of the ulcer.