Prevalence of pressure ulcers in Africa: A systematic review and meta-analysis

Journal article


Anthony, Denis, Alosaimi, Dalyal, Korsah, Kwadwo, Safari, Reza and Shiferaw, Wondimeneh Shibabaw 2021. Prevalence of pressure ulcers in Africa: A systematic review and meta-analysis. Journal of Tissue Viability. https://doi.org/10.1016/j.jtv.2020.10.003
AuthorsAnthony, Denis, Alosaimi, Dalyal, Korsah, Kwadwo, Safari, Reza and Shiferaw, Wondimeneh Shibabaw
Abstract

A recent global review of pressure ulcers contained no studies from Africa. To identify the prevalence and incidence of pressure ulcers in Africa. Bibliographic databases, African specific databases, grey literature. Studies with prevalence or incidence data of pressure ulcers from Africa since the year 2000. Any age, including children, in any setting, specifically including hospital patients from any clinical area but not restricted to hospital settings. Holy score for bias, Joanna Briggs Institute Critical Appraisal Instrument. We followed the PRISMA guideline for systematic reviews. We searched Embase, Medline, Scopus, CINHAL, Google Scholar, specialist African databases and grey literature for studies reporting incidence or prevalence data. Nineteen studies met the inclusion criteria and were included in the study. Point prevalence rates varied from 3.4% to 18.6% for medical/surgical and other general hospital units with a pooled prevalence of 11%, for grades II-IV 5%. For spinal injury units the pooled prevalence was 44%. Restricted to English, French and Arabic. Prevalence of pressure ulcers in Africa reported here is similar to figures from a recent review of prevalence in Europe and two recent global reviews of hospitalised patients. Prevalence of pressure ulcers in spinal cord injury patients is similar to figures from a review of developing countries. The reporting of prevalence is lacking in detail in some studies. Studies using an observational design employing physical examination of patients showed higher prevalence than those relying on other methods such as medical notes or databases. Further prevalence and incidence studies are needed in Africa. Reporting of such studies should ensure items in the “Checklist for Prevalence Studies” from Joanna Briggs Institute (or similar well regarded resources) are addressed and the PICOS model and PRISMA guidelines are employed. Systematic review registration number. Prospero registration number CRD42020180093

Keywordspressure ulcers; prevalence
Year2021
JournalJournal of Tissue Viability
PublisherElsevier
ISSN0965-206X
Digital Object Identifier (DOI)https://doi.org/10.1016/j.jtv.2020.10.003
Web address (URL)http://hdl.handle.net/10545/625317
http://creativecommons.org/licenses/by-nc-nd/4.0/
hdl:10545/625317
Publication dates27 Oct 2021
Publication process dates
Deposited04 Nov 2020, 09:59
Accepted23 Oct 2020
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Attribution-NonCommercial-NoDerivatives 4.0 International

ContributorsUniversity of Derby, College of Nursing, King Saud University, Saudi Arabia, Institute of Medicine and College of Health Sciences, Debre Berhan University, Ethiopia and School of Nursing and Midwifery, University of Ghana, Ghana
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