Prevalence of pressure ulcer in Iran's intensive care units: A systematic review and meta-analysis
Nursing Practice Today, 2020•eprints.bmsu.ac.ir
Background & Aim: Pressure ulcer (PU) is a costly, painful, and often a preventable problem
with varying prevalence in different health centers. PU is associated with prolonged length of
stay and mortality. This systematic review and meta-analysis aimed to estimate the
prevalence of PU in Iran's intensive care units (ICUs). Methods & Materials: In this research,
9 articles published in Persian and English were studied. National (Science Information
Database (SID) and Magiran) and international databases (PubMed, Scopus, and Web of …
with varying prevalence in different health centers. PU is associated with prolonged length of
stay and mortality. This systematic review and meta-analysis aimed to estimate the
prevalence of PU in Iran's intensive care units (ICUs). Methods & Materials: In this research,
9 articles published in Persian and English were studied. National (Science Information
Database (SID) and Magiran) and international databases (PubMed, Scopus, and Web of …
Background & Aim
Pressure ulcer (PU) is a costly, painful, and often a preventable problem with varying prevalence in different health centers. PU is associated with prolonged length of stay and mortality. This systematic review and meta-analysis aimed to estimate the prevalence of PU in Iran’s intensive care units (ICUs).
Methods & Materials
In this research, 9 articles published in Persian and English were studied. National (Science Information Database (SID) and Magiran) and international databases (PubMed, Scopus, and Web of Science) were searched using the keywords of pressure ulcers, bedsore, pressure sore, decubitus ulcer, pressure injury, Iran, and all of the possible combinations without time limitations.
Results
The total prevalence of PU in Iran’s ICUs was 19.59 (95 confidence interval CI: 13.15-25.97). The prevalence of PU in region 1 of the country (Alborz, Tehran, Qazvin, Mazandaran, Semnan, Golestan, and Gom) was 28.55% (95% CI: 12.27-44.84), and it was 10.31 (95% CI: 3.88-16.75) in other areas of the country. Meta-regression results showed a significant relationship between the prevalence of PU and the mean age of the patients (P=0.012) as well as the study sample size (P=0.043).
Conclusion
We found that the overall prevalence of PU in Iran’s ICUs was relatively high. Considering the high prevalence of PU in Iranian ICUs, it seems necessary to investigate and implement effective interventions to control and reduce this problem. © 2020, Tehran University of Medical Sciences. All rights reserved.
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