The annual audit report summarizes wound care and surveillance data from 2016. A total of 802 complex wounds were recorded, with the majority (352) occurring on the lower limbs. 99 amputations of the lower limbs were also reported. Risk assessment of patients using the Braden scale found 70 patients at high risk of developing pressure ulcers. A total of 152 pressure ulcers were reported in 2016, with the majority (109) healing successfully. New initiatives in 2016 included group education sessions on wound prevention and individual education to prevent wound infections.

1. ANNUAL AUDIT 2016
WOUND CARE SURVEILLANCE
PROGRAMME

2. COMPLEX WOUNDS 2016
ANATOMICAL DISTRIBUTION
Month Upper limb Lower limb Torso Head& Neck Perineum
Jan 23 22 9 3 2
Feb 38 36 10 4 3
March 25 23 14 6 2
April 15 35 18 5 0
May 13 27 12 8 1
June 15 29 10 2 1
July 19 23 23 3 1
Aug 10 30 15 2 0
Sept 9 22 7 2 0
Oct 15 38 15 3 0
Nov 23 28 13 8 0
Dec 24 39 13 5 1
Total 229 352 159 51 11

3. COMPLEX WOUNDS (n=802)
0
50
100
150
200
250
300
350
400
UPPER LIMB LOWER LIMB TORSO HEAD AND NECK PERI

4. AMPUTATIONS
UPPER LIMB LOWER LIMB GENDER
DISTRIBUTION
TOTAL
A/E B/E A/K B/K MALE FEMALE
37 8 55 44 132 12 144
TOTAL UL:45 TOTAL LL:99

5. AMPUTATIONS:ANATOMICAL
DISTRIBUTION
0
10
20
30
40
50
60
A/E B/E A/K B/K
UPPER LIMB LOWER LIMB

6. DISARTICULATION
SHOULDER KNEE HIP ELBOW TOTAL
2 3 3 NIL 8

7. OTHER PROCEDURES
NPWT TOTAL NUMBER:160
COLOSTOMY:28
ILEOSTOMY:4
HERNIOPLASTY:8
COLOSTOMY CLOSURE:26

8. RISK ASSESSMENT AS PER BRADEN
SCORE
RISK ASSESSMENT/DAY 2016
HIGH RISK 70
MODERATE RISK 35
LOW RISK 37
NO RISK 30
TOTAL 172

9. RISK ASSESSMENT PER DAY
0
20
40
60
80
100
120
140
160
180
HIGH RISK MODERATE RISK LOW RISK NO RISK TOTAL

10. PRESSURE ULCER
PLACE OF ORIGIN NEURO SURGERY ORTHO TOTAL
HOSPITALIZED 28 19 7 54
FOLLOW UP CASE 25 15 1 41
DIRECT ADMITTED 36 13 8 57

11. PRESSURE ULCER DEPARTMENT WISE
0
10
20
30
40
50
60
NEURO SURGERY ORTHO TOTAL
HOSPITALIZED
FOLLOW UP CASE
DIRECT ADMITTED

12. OUTCOME OF PRESSURE ULCER N=152
FOPD
EXPIRED
HEALED
39
109
4

13. NEW INITIATIVES
• Group education in neurosurgery ward twice
in a month
• Individual education on prevention of wound
infection in minor OT,ED