Latest & greatest articles for pressure ulcer

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Top results for pressure ulcer

21. Efficacy of mummy on healing of pressure ulcers: A randomized controlled clinical trial on hospitalized patients in intensive care unit (Full text)

Efficacy of mummy on healing of pressure ulcers: A randomized controlled clinical trial on hospitalized patients in intensive care unit Mummy is a mineral substance which according to Persian medicine texts, may be useful in treatment of chronic ulcers.The present study was performed with the aim of determining the effect of mummy on healing of pressure in male patients who had been hospitalized due to cerebrospinal injury in the Intensive Care Unit.This randomized, placebo-controlled clinical (...) trial was performed on 75 patients who had pressure ulcer at Shahid Bahonar Hospital in Kerman, Iran, from September 2016 to March 2017. The control group received normal saline and routine wound dressing, while the intervention group received mummy water solution 20% in addition to normal saline and routine wound dressing on a daily basis. Data was recorded based on the PUSH method. In both groups, ulcers were evaluated on days 0, 7, 14, 21 and 28 for the variables of ulcer surface area, the amount

2018 Electronic physician PubMed

22. [The Epidemiology of Pressure Ulcer in Germany: Systematic Review].

[The Epidemiology of Pressure Ulcer in Germany: Systematic Review]. Pressure ulcers are considered as indicators of the quality of care. The aim of this study was to provide a systematic review of the incidence and prevalence of pressure ulcers in Germany between 2010 and 2015.The databases PubMed, CINAHL, DIMDI, Web of Science, LIVIVO, Google, Google Scholar, as well as the publishers Springer and the Thieme were searched until the end of February 2016. The extracted data were monitored by two (...) 0.07% to 4.37%. No incidence figures and no routine data collections were identified for ambulatory settings. Prevalence varied between 2 and 4% (including category 1).Review results indicate that pressure ulcers are frequent within all health care settings in Germany. Disregarding methodological limitations, pressure ulcer prevalence is between 2% and 5% in long-term care patients. Due to the heterogeneity of the available data, generalizable statements are not possible for the hospital settings

2018 Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))

23. Pressure ulcer

Pressure ulcer Pressure ulcer - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Pressure ulcer Last reviewed: February 2019 Last updated: March 2018 Summary Pressure ulcers are commonly encountered in patients admitted to hospital and those in long-term care facilities. Older people, and all patients with limited mobility or impaired sensation, are at particular risk. Pressure damage most commonly occurs over bony (...) are appropriate strategies to prevent pressure ulcers. Management of pressure ulcers is determined by the location and condition or severity of the wound. Wounds should be managed in accordance with wound care practices or policies. Definition Pressure ulcers have been defined by the National Pressure Ulcer Advisory Panel and the European Pressure Ulcer Advisory Panel as localised injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure or of pressure in combination

2018 BMJ Best Practice

24. Natural Sheepskins for Prevention or Treatment of Pressure Ulcers: Clinical Effectiveness. Cost-Effectiveness, and Guidelines

Natural Sheepskins for Prevention or Treatment of Pressure Ulcers: Clinical Effectiveness. Cost-Effectiveness, and Guidelines Natural Sheepskins for Prevention or Treatment of Pressure Ulcers: Clinical Effectiveness. Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Natural Sheepskins for Prevention or Treatment of Pressure Ulcers: Clinical Effectiveness. Cost-Effectiveness, and Guidelines Natural Sheepskins for Prevention or Treatment of Pressure Ulcers: Clinical (...) Effectiveness. Cost-Effectiveness, and Guidelines Published on: December 8, 2017 Project Number: RB1170-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical effectiveness of natural sheepskins for the prevention or treatment of pressure ulcers in adults with impaired mobility? What is the cost-effectiveness of natural sheepskins for the prevention or treatment of pressure ulcers in adults with impaired mobility? What

2017 Canadian Agency for Drugs and Technologies in Health - Rapid Review

25. Foam dressings for treating pressure ulcers. (Full text)

Foam dressings for treating pressure ulcers. Pressure ulcers, also known as pressure injuries and bed sores, are localised areas of injury to the skin or underlying tissues, or both. Dressings made from a variety of materials, including foam, are used to treat pressure ulcers. An evidence-based overview of dressings for pressure ulcers is needed to enable informed decision-making on dressing use. This review is part of a suite of Cochrane Reviews investigating the use of dressings (...) in the treatment of pressure ulcers. Each review will focus on a particular dressing type.To assess the clinical and cost effectiveness of foam wound dressings for healing pressure ulcers in people with an existing pressure ulcer in any care setting.In February 2017 we searched: the Cochrane Wounds Specialised Register; the Cochrane Central Register of Controlled Trials (CENTRAL); Ovid MEDLINE (including In-Process & Other Non-Indexed Citations); Ovid Embase; EBSCO CINAHL Plus and the NHS Economic Evaluation

2017 Cochrane PubMed

26. Mepilex Border dressings for preventing pressure ulcers

Mepilex Border dressings for preventing pressure ulcers Mepilex Border dressings for preventing pressure ulcers | Advice | NICE Mepilex Border dressings for preventing pressure ulcers Medtech innovation briefing [MIB124] Published date: October 2017 Advice This advice has been updated and replaced by . Explore © NICE [year]. All rights reserved. Subject to .

2017 National Institute for Health and Clinical Excellence - Advice

27. The Efficacy of Pressure Ulcer Treatment With Cathodal and Cathodal-Anodal High-Voltage Monophasic Pulsed Current: A Prospective, Randomized, Controlled Clinical Trial (Full text)

The Efficacy of Pressure Ulcer Treatment With Cathodal and Cathodal-Anodal High-Voltage Monophasic Pulsed Current: A Prospective, Randomized, Controlled Clinical Trial Studies show that anode and cathode electrical stimulation (ES) promotes the healing of wounds, but specific protocols for both electrodes are not available.To compare the effectiveness of cathodal versus cathodal+anodal ES in the treatment of Category II-IV pressure ulcers (PrUs).Prospective, randomized, controlled, clinical

2017 EvidenceUpdates PubMed

28. The cost-effectiveness of a patient centred pressure ulcer prevention care bundle: Findings from the INTACT cluster randomised trial (Full text)

The cost-effectiveness of a patient centred pressure ulcer prevention care bundle: Findings from the INTACT cluster randomised trial Pressure ulcers are serious, avoidable, costly and common adverse outcomes of healthcare.To evaluate the cost-effectiveness of a patient-centred pressure ulcer prevention care bundle compared to standard care.Cost-effectiveness and cost-benefit analyses of pressure ulcer prevention performed from the health system perspective using data collected alongside (...) a cluster-randomised trial.Eight tertiary hospitals in Australia.Adult patients receiving either a patient-centred pressure ulcer prevention care bundle (n=799) or standard care (n=799).Direct costs related to the intervention and preventative strategies were collected from trial data and supplemented by micro-costing data on patient turning and skin care from a 4-week substudy (n=317). The time horizon for the economic evaluation matched the trial duration, with the endpoint being diagnosis of a new

2017 EvidenceUpdates PubMed

29. Dressings and topical agents for treating pressure ulcers. (Full text)

Dressings and topical agents for treating pressure ulcers. Pressure ulcers, also known as bedsores, decubitus ulcers and pressure injuries, are localised areas of injury to the skin or the underlying tissue, or both. Dressings are widely used to treat pressure ulcers and promote healing, and there are many options to choose from including alginate, hydrocolloid and protease-modulating dressings. Topical agents have also been used as alternatives to dressings in order to promote healing.A clear (...) and current overview of all the evidence is required to facilitate decision-making regarding the use of dressings or topical agents for the treatment of pressure ulcers. Such a review would ideally help people with pressure ulcers and health professionals assess the best treatment options. This review is a network meta-analysis (NMA) which assesses the probability of complete ulcer healing associated with alternative dressings and topical agents.To assess the effects of dressings and topical agents

2017 Cochrane PubMed

30. Anabolic steroids for treating pressure ulcers. (Full text)

Anabolic steroids for treating pressure ulcers. Pressure ulcers, also known as bed sores, pressure sores or decubitus ulcers develop as a result of a localised injury to the skin or underlying tissue, or both. The ulcers usually arise over a bony prominence, and are recognised as a common medical problem affecting people confined to a bed or wheelchair for long periods of time. Anabolic steroids are used as off-label drugs (drugs which are used without regulatory approval) and have been used (...) as adjuvants to usual treatment with dressings, debridement, nutritional supplements, systemic antibiotics and antiseptics, which are considered to be supportive in healing of pressure ulcers. Anabolic steroids are considered because of their ability to stimulate protein synthesis and build muscle mass. Comprehensive evidence is required to facilitate decision making, regarding the benefits and harms of using anabolic steroids.To assess the effects of anabolic steroids for treating pressure ulcers.In March

2017 Cochrane PubMed

31. Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles

Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles | CADTH.ca CADTH Document Viewer Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles Table of Contents Search this document Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure (...) in order to relieve unsafe pressures. The SurroSense Rx system is used in addition to current standard-of-care treatment for the prevention of plantar ulcers in diabetic patients. There is currently no available evidence that using the SurroSense Rx system prevents plantar ulcers. However, there are ongoing clinical trials that may identify patient populations that will benefit from its use. Issue Over time, high blood sugar in people living with diabetes causes damage to the peripheral nerves

2017 CADTH - Issues in Emerging Health Technologies

32. Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles

Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles | CADTH.ca CADTH Document Viewer Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles Table of Contents Search this document Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure (...) in order to relieve unsafe pressures. The SurroSense Rx system is used in addition to current standard-of-care treatment for the prevention of plantar ulcers in diabetic patients. There is currently no available evidence that using the SurroSense Rx system prevents plantar ulcers. However, there are ongoing clinical trials that may identify patient populations that will benefit from its use. Issue Over time, high blood sugar in people living with diabetes causes damage to the peripheral nerves

2017 CADTH - Issues in Emerging Health Technologies

33. Pressure mapping to prevent pressure ulcers in a hospital setting: A pragmatic randomised controlled trial

Pressure mapping to prevent pressure ulcers in a hospital setting: A pragmatic randomised controlled trial Pressure ulcers cause suffering to patients and costs to society. Reducing pressure at the interface between the patient's body and the support surface is a valid clinical intervention for reducing the risk of pressure ulcers. However, studies have shown that knowledge of how to reduce pressure and shear and to prevent pressure ulcers is lacking.To evaluate the effect of a pressure mapping (...) system on pressure ulcer prevalence and incidence in a hospital setting.Pragmatic randomised controlled trial.A geriatric/internal medical ward with 26 beds in a Swedish university hospital.190 patients were recruited (intervention: n=91; control: n=99) over a period of 9 months. Patients were eligible if they were over 50 years old, admitted to the ward between Sunday 4pm and Friday 4pm, and expected to stay in the ward ≥3 days.The continuous bedside pressure mapping system displays the patient's

2017 EvidenceUpdates

34. Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines

Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines Absorbable Delivery Products for Treatment of Patients with Periprosthetic Infections: Clinical and Cost-Effectiveness | CADTH.ca Find the information you need Absorbable Delivery Products for Treatment of Patients with Periprosthetic Infections: Clinical and Cost-Effectiveness Absorbable Delivery Products for Treatment of Patients with Periprosthetic Infections: Clinical and Cost

2017 Canadian Agency for Drugs and Technologies in Health - Rapid Review

35. Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines

Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines | CADTH.ca Find the information you need Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines (...) Published on: April 3, 2017 Project Number: RC0866-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of polyurethane foam dressings for the prevention of pressure ulcers? What is the cost-effectiveness of polyurethane foam dressings for the prevention of pressure ulcers? What are the evidence-based guidelines regarding the use of polyurethane foam dressings for the prevention of pressure

2017 Canadian Agency for Drugs and Technologies in Health - Rapid Review

36. Topical phenytoin for treating pressure ulcers. (PubMed)

Topical phenytoin for treating pressure ulcers. Pressure ulcers are common in clinical practice and pose a significant health problem worldwide. Apart from causing suffering to patients, they also result in longer hospital stays and increase the cost of health care. A variety of methods are used for treating pressure ulcers, including pressure relief, patient repositioning, biophysical strategies, nutritional supplementation, debridement, topical negative pressure, and local treatments (...) including dressings, ointments and creams such as bacitracin, silver sulphadiazine, neomycin, and phenytoin. Phenytoin is a drug more commonly used in the treatment of epilepsy, but may play an important role in accelerating ulcer healing.To assess the effects of topical phenytoin on the rate of healing of pressure ulcers of any grade, in any care setting.In September 2016, we searched the following electronic databases to identify relevant randomized clinical trials: the Cochrane Wounds Specialised

2017 Cochrane

37. Prevalence of postoperative pressure ulcer: A systematic review and meta-analysis. (Full text)

Prevalence of postoperative pressure ulcer: A systematic review and meta-analysis. A pressure ulcer is a serious safety issue in healthcare systems. The patient's rate of infection with an ulcer, especially a postoperative ulcer, is critical, as it is dictated by factors such as being in a fixed position during surgery, the type of anesthesia used, the duration of surgery, and patient-related factors. The present study was conducted to carry out a systematic assessment of the prevalence (...) of a postoperative pressure ulcer and to find its general prevalence using a meta-analysis.The researchers searched databases, including PubMed, Google Scholar, Scopus, Science Direct, the Thomson Reuters' Web of Science (WOS). For English articles published online between January 2000 and October 2015 on the subject of a pressure ulcer, a total of 19 articles were ultimately selected based on the study inclusion criteria. Then results were analyzed in Stata-11.The 19 articles qualified for entering the meta

2017 Electronic physician PubMed

39. Risk Assessment and Prevention of Pressure Ulcers

Risk Assessment and Prevention of Pressure Ulcers Risk Assessment and Prevention of Pressure Ulcers | Registered Nurses' Association of Ontario l’Association des infirmières et infirmiers autorisés de l’Ontario Speaking out for nursing. Speaking out for health. » » Risk Assessment and Prevention of Pressure Ulcers Project / Initiative: Type of Guideline: Clinical Status: Published Publish Date: 2002 About this Guideline : Define early interventions for pressure ulcer prevention, and to manage (...) Stage I pressure ulcers. This best practice guideline assists nurses who work in diverse practice settings to identify adults who are at risk of pressure ulcers. This guideline focuses its recommendations on: Practice Recommendations including assessment, planning, intervention and discharge/transfer of care Educational Recommendations for supporting the skills required for nurses working with adults at risk for pressure ulcers Organization & Policy Recommendations addressing the importance

2017 Registered Nurses' Association of Ontario

40. Reconstructive surgery for treating pressure ulcers. (Full text)

Reconstructive surgery for treating pressure ulcers. The management of pressure ulcers involves several interventions ranging from pressure-relieving measures such as repositioning, to treatments that can include reconstructive surgery. Such surgery may be considered for recalcitrant wounds when full thickness skin loss arises and deeper structures such as muscle fascia and even bone are exposed. The surgery commonly involves wound debridement followed by the addition of new tissue (...) into the wound. Whilst reconstructive surgery is an accepted means of ulcer management, the benefits and harms of surgery compared with non-surgical treatments, or alternative surgical approaches are not clear.To assess the effects of reconstructive surgery for healing pressure ulcers (stage II or above), comparing surgery with no surgery or comparing alternative forms of surgery in any care setting.We searched the following electronic databases to identify reports of relevant randomised clinical trials

2016 Cochrane PubMed