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STATUS OF PRESSURE ULCER AMONG BEDRIDDEN PATIENTS AT A TERTIARY HOSPITAL IN BANGLADESH

Anup Mandal orcid  -  Physiotherapist, Department of Physiotherapy, Dreamland Child and Rehabilitation Care, Dhaka, Bangladesh, Bangladesh
*Md Mahmudul Hasan orcid scopus  -  Research Associate, Department of Research Education and Training, Al-Basar International Foundation, Dhaka, Bangladesh, Bangladesh
Bijon Biswas orcid  -  Physiotherapist, Department of Physiotherapy, Dreamland Child and Rehabilitation Care, Dhaka, Bangladesh, Bangladesh
Open Access Copyright 2026 Anup Mandal, Md Mahmudul Hasan, Bijon Biswas
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

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Abstract

Background: A major healthcare issue and frequently avoidable complication of immobile patients is pressure ulcers (PUs), which is a sign of quality healthcare. In resource-constrained country such as Bangladesh, no data exists on PU burden in specialized care. Objective: This research attempted to profile the condition of PUs among bedridden patients in a large tertiary orthopedic and rehabilitation hospital in Bangladesh. Methods: Purposive sampling (113) was used to sample bedridden patients (admission ≥3 weeks). Socio-demographic and clinical profiles data and preventive practices were gathered through semi-structured questionnaire and clinical assessment. Analysis was done through descriptive statistics and chi-square tests. Results: The PU prevalence was 12.4% (n=14/113). The average age of the group was 32.3 (±13.9) years, most (36.3%) of it consisted of young adults (19-28 years). Majority (74.3%) of the participants were males, most of rural origin (71.7%), with low educational status (30.1%) illiterate. Most of the ulcers were Stage I (78.6%), with most of them on the buttock (50%) and sacrum (42.9%). A most notable gap in prevention was identified: although 92% of the respondents mentioned having used preventive methods, 87.6% were not provided with a regular adjustment in posture. There was a significant finding of patient weight group with PU presence (p=0.036). Conclusion: The paper presents base findings about prevalence, distribution, and patient related factors of pressure ulcers in a dedicated tertiary care unit in Bangladesh, highlighting the importance of systematic surveillance and standardized preventive treatment measures.

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Keywords: Pressure ulcer, Bedridden patients, Prevalence, Prevention

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