Abstract

Background: Pressure injuries are said to be nosocomial when they occur after twenty-four (24) hours on admission. Prevention of pressure injuries in high-risk patients such as those with spinal cord injury, the unconscious, and those with femoral neck fracture is essential. The static air-mattress is one of the pressure relieving devices used to prevent pressure injury in low resource countries. However, some patients develop pressure injuries despite being nursed on the air-mattress. The inflation pressure of the static air-mattress is usually not measured, thus is unknown. Therefore, the air-mattress may be over-inflated or under-inflated and ineffective in the prevention of pressure injury.

Highlights

  • Pressure injury is defined as a localized injury to the skin and/or soft tissue as a result of pressure alone, or in combination with shear forces, friction or moisture [1]

  • The incidence of pressure injury is low in this study, with an overall incidence of 5.7% (Figure 4)

  • The findings of this study show that the mean age of spinal cord injured patients in this study was 39.83 ± 14.13 years, which is similar to the mean age of 38.9 ± 11.4 years in a study of spinal cord injured patients done in Abuja, Nigeria [30]

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Summary

Introduction

Pressure injury is defined as a localized injury to the skin and/or soft tissue as a result of pressure alone, or in combination with shear forces, friction or moisture [1]. It has been referred to as pressure ulcer, decubitus ulcer, bed sore, and recently as pressure injury [2] It commonly affects immobile patients such as spinal cord injured patients; the elderly with femoral neck fracture and the unconscious; as well as those with vascular diseases [3] Pressure injury is a significant cause of morbidity, with a prevalence of 18.1% in Europe [4]. Nosocomial pressure injury, referred to as hospital-acquired pressure injury, is defined as that occurring after the first twenty-four hours of hospital admission [6]. Prevention is the gold standard in pressure injury management [9] It requires a multidisciplinary approach involving the plastic and orthopedic surgeons, nurses, dieticians, and orthotics unit. The air-mattress may be over-inflated or under-inflated and ineffective in the prevention of pressure injury

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