Latest & greatest articles for pressure ulcer

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Top results for pressure ulcer

81. Risk assessment tools for the prevention of pressure ulcers. (Full text)

Risk assessment tools for the prevention of pressure ulcers. Use of pressure ulcer risk assessment tools or scales is a component of the assessment process used to identify individuals at risk of developing a pressure ulcer. Indeed, use of a risk assessment tool is recommended by many international pressure ulcer prevention guidelines, however it is not known whether using a risk assessment tool makes a difference to patient outcomes. We conducted a review to provide a summary of the evidence (...) pertaining to pressure ulcer risk assessment in clinical practice.To determine whether using structured, systematic pressure ulcer risk assessment tools, in any health care setting, reduces the incidence of pressure ulcers.In December 2013, for this second update, we searched the Cochrane Wounds Group Specialised Register; The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library); Ovid MEDLINE; Ovid EMBASE; and EBSCO CINAHL.Randomised controlled trials (RCTs) comparing the use

2014 Cochrane PubMed

82. Patient lifts and transfer equipment for preventing pressure ulcers: a review of clinical and cost-effectiveness and guidelines

Patient lifts and transfer equipment for preventing pressure ulcers: a review of clinical and cost-effectiveness and guidelines Patient lifts and transfer equipment for preventing pressure ulcers: a review of clinical and cost-effectiveness and guidelines Patient lifts and transfer equipment for preventing pressure ulcers: a review of clinical and cost-effectiveness and guidelines CADTH Record Status This is a bibliographic record of a published health technology assessment from a member (...) of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation CADTH. Patient lifts and transfer equipment for preventing pressure ulcers: a review of clinical and cost-effectiveness and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response - Summary with Critical Appraisal. 2013 Authors' conclusions There was no evidence in the literature searched pertaining to the clinical or cost-effectiveness of patient lifts

2014 Health Technology Assessment (HTA) Database.

83. Clinical and economic benefit of enzymatic debridement of pressure ulcers compared to autolytic debridement with a hydrogel dressing

Clinical and economic benefit of enzymatic debridement of pressure ulcers compared to autolytic debridement with a hydrogel dressing Clinical and economic benefit of enzymatic debridement of pressure ulcers compared to autolytic debridement with a hydrogel dressing Clinical and economic benefit of enzymatic debridement of pressure ulcers compared to autolytic debridement with a hydrogel dressing Waycaster C, Milne CT Record Status This is a critical abstract of an economic evaluation that meets (...) the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. CRD summary This study aimed to assess the cost-effectiveness of collagenase enzymatic debridement, compared with hydrogel autolytic debridement, for the treatment of pressure ulcers. The authors concluded that collagenase ointment was cost-effective compared with hydrogel autolysis

2014 NHS Economic Evaluation Database.

84. Pressure ulcers: prevention and management

Pressure ulcers: prevention and management Pressure ulcers: pre Pressure ulcers: prev vention and ention and management management Clinical guideline Published: 23 April 2014 nice.org.uk/guidance/cg179 © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and-conditions#notice-of- rights).Y Y our responsibility our responsibility The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence (...) be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Pressure ulcers: prevention and management (CG179) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 29Contents Contents Introduction 4 Key priorities

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

85. Turning for the Prevention and Management of Pressure Ulcers

Turning for the Prevention and Management of Pressure Ulcers Turning for the Prevention and Management of Pressure Ulcers: OHTAC Recommendation. October 2014; pp. 1–12 Turning for the Prevention and Management of Pressure Ulcers: OHTAC Recommendation Ontario Health Technology Advisory Committee October 2014 Turning for the Prevention and Management of Pressure Ulcers: OHTAC Recommendation. October 2014; pp. 1–12 2 Suggested Citation This report should be cited as follows: Ontario Health (...) Technology Advisory Committee (OHTAC). Turning for the Prevention and Management of Pressure Ulcers: OHTAC recommendation [Internet]. Toronto: Queen's Printer for Ontario; 2014 October. 12 p. Available from: http://www.hqontario.ca/evidence/publications-and-ohtac-recommendations/ontario-health- technology-assessment-series/turn-multisite-trial. Permission Requests All inquiries regarding permission to reproduce any content in Health Quality Ontario reports should be directed to EvidenceInfo@hqontario.ca

2014 Health Quality Ontario

86. Negative pressure wound therapy for managing diabetic foot ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines

Negative pressure wound therapy for managing diabetic foot ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines Negative pressure wound therapy for managing diabetic foot ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines Negative pressure wound therapy for managing diabetic foot ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines CADTH Record Status This is a bibliographic record of a published health (...) technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation CADTH. Negative pressure wound therapy for managing diabetic foot ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response. 2014 Authors' conclusions The evidence presented in this report supports greater clinical efficacy of negative pressure wound therapy

2014 Health Technology Assessment (HTA) Database.

87. Natural sheepskins for the treatment of pressure ulcers: clinical effectiveness, cost-effectiveness, and guidelines

Natural sheepskins for the treatment of pressure ulcers: clinical effectiveness, cost-effectiveness, and guidelines Natural sheepskins for the treatment of pressure ulcers: clinical effectiveness, cost-effectiveness, and guidelines Natural sheepskins for the treatment of pressure ulcers: clinical effectiveness, cost-effectiveness, and guidelines CADTH Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality (...) of this assessment has been made for the HTA database. Citation CADTH. Natural sheepskins for the treatment of pressure ulcers: clinical effectiveness, cost-effectiveness, and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response. 2014 Authors' conclusions One health technology assessment report and two systematic reviews regarding the clinical effectiveness of natural sheepskins for the treatment of pressure ulcers in adults with impaired mobility were identified

2014 Health Technology Assessment (HTA) Database.

88. Systematic review: The effectiveness of pressure ulcer risk assessment instruments and associated intervention protocols remains uncertain

Systematic review: The effectiveness of pressure ulcer risk assessment instruments and associated intervention protocols remains uncertain The effectiveness of pressure ulcer risk assessment instruments and associated intervention protocols remains uncertain | BMJ Evidence-Based Medicine We use cookies to improve our service and to tailor our content and advertising to you. You can manage your cookie settings via your browser at any time. To learn more about how we use cookies, please see our (...) . Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? Search for this keyword Search for this keyword Main menu Log in using your username and password For personal accounts OR managers of institutional accounts Username * Password * your user name or password? You are here The effectiveness of pressure ulcer risk assessment instruments and associated intervention protocols remains uncertain Article

2014 Evidence-Based Medicine (Requires free registration)

89. Pressure ulcer risk assessment and prevention: comparative effectiveness

Pressure ulcer risk assessment and prevention: comparative effectiveness Pressure ulcer risk assessment and prevention: comparative effectiveness Pressure ulcer risk assessment and prevention: comparative effectiveness Chou R, Dana T, Bougatsos C, Blazina I, Starmer A, Reitel K, Buckley D Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation (...) Chou R, Dana T, Bougatsos C, Blazina I, Starmer A, Reitel K, Buckley D. Pressure ulcer risk assessment and prevention: comparative effectiveness. Rockville: Agency for Healthcare Research and Quality (AHRQ). Comparative Effectiveness Review No. 87. 2013 Authors' conclusions Although risk-assessment instruments can identify patients at higher risk for pressure ulcers, more research is needed to understand how the use of risk-assessment instruments impacts pressure ulcer incidence compared

2013 Health Technology Assessment (HTA) Database.

90. Pressure ulcer treatment strategies: comparative effectiveness

Pressure ulcer treatment strategies: comparative effectiveness Pressure ulcer treatment strategies: comparative effectiveness Pressure ulcer treatment strategies: comparative effectiveness Saha S, Smith MEB, Totten A, Fu R, Wasson N, Rahman B, Motu'apuaka M, Hickam DH Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation of the quality of this assessment has been made for the HTA database. Citation Saha S, Smith MEB (...) , Totten A, Fu R, Wasson N, Rahman B, Motu'apuaka M, Hickam DH. Pressure ulcer treatment strategies: comparative effectiveness. Rockville: Agency for Healthcare Research and Quality (AHRQ). Comparative Effectiveness Review No. 90. 2013 Authors' conclusions Pressure ulcers affect up to 3 million Americans and are a major source of morbidity, mortality, and health care cost. This review summarizes evidence comparing the effectiveness and safety of pressure ulcer treatment strategies. Final publication

2013 Health Technology Assessment (HTA) Database.

91. Hospital report cards for hospital-acquired pressure ulcers: how good are the grades? (Full text)

Hospital report cards for hospital-acquired pressure ulcers: how good are the grades? Value-based purchasing programs use administrative data to compare hospitals by rates of hospital-acquired pressure ulcers (HAPUs) for public reporting and financial penalties. However, validation of these data is lacking.To assess the validity of the administrative data used to generate HAPU rates by comparing the rates generated from these data with those generated from surveillance data.Retrospective

2013 Annals of Internal Medicine PubMed

92. Mini Nutritional Assessment as a Useful Method of Predicting the Development of Pressure Ulcers in Elderly Inpatients (Full text)

Mini Nutritional Assessment as a Useful Method of Predicting the Development of Pressure Ulcers in Elderly Inpatients To determine the usefulness of the Mini Nutritional Assessment (MNA) and plasma amino acid analysis in predicting the formation of pressure ulcers (PUs) in inpatients.Prospective, observational cohort study with a mean observation period of 62.2 ± 86.4 days.Intermediate and acute care wards of a hospital in rural Japan.Inpatients with an average age of 85.0 ± 7.6 (N = 422).Mini

2013 EvidenceUpdates PubMed

93. Efficacy of Topical Atorvastatin for the Treatment of Pressure Ulcers: A Randomized Clinical Trial (PubMed)

Efficacy of Topical Atorvastatin for the Treatment of Pressure Ulcers: A Randomized Clinical Trial To evaluate the effects of topical atorvastatin on the healing process of pressure ulcers in critically ill patients.Randomized, double-blind, placebo-controlled clinical trial.Medical-surgical intensive care unit of a university-affiliated teaching hospital in Tehran, Iran.One hundred four patients with stage I or II pressure ulcers, graded according to the 2-digit Stirling Pressure Sore Severity (...) Scale.Patients were randomized to receive topical atorvastatin 1% ointment (51 patients [atorvastatin group]) or placebo ointment (53 patients [control group]) applied once/day to pressure ulcers for 14 days in addition to standard care for pressure ulcers.The efficacy of each treatment was assessed on days 7 and 14. Efficacy was determined based on the degree of healing of the existing pressure ulcer by using the 2-digit Stirling scale. The baseline stage of the pressure ulcers did not differ significantly

2013 EvidenceUpdates

94. Dressings and topical agents for preventing pressure ulcers. (Full text)

Dressings and topical agents for preventing pressure ulcers. Pressure ulcers, which are localised injury to the skin, or underlying tissue or both, occur when people are unable to reposition themselves to relieve pressure on bony prominences. Pressure ulcers are often difficult to heal, painful and impact negatively on the individual's quality of life. The cost implications of pressure ulcer treatment are considerable, compounding the challenges in providing cost effective, efficient health (...) services. Efforts to prevent the development of pressure ulcers have focused on nutritional support, pressure redistributing devices, turning regimes and the application of various topical agents and dressings designed to maintain healthy skin, relieve pressure and prevent shearing forces. Although products aimed at preventing pressure ulcers are widely used, it remains unclear which, if any, of these approaches are effective in preventing the development of pressure ulcers.To evaluate the effects

2013 Cochrane PubMed

95. Pressure ulcer treatment strategies: a systematic comparative effectiveness review (Full text)

Pressure ulcer treatment strategies: a systematic comparative effectiveness review Pressure ulcer treatment strategies: a systematic comparative effectiveness review Pressure ulcer treatment strategies: a systematic comparative effectiveness review Smith ME, Totten A, Hickam DH, Fu R, Wasson N, Rahman B, Motu'apuaka M, Saha S CRD summary The authors concluded that moderate-strength evidence showed that healing of pressure ulcers in adults was improved with use of air-fluidised beds, protein (...) supplementation, radiant heat dressings and electrical stimulation. There was insufficient or no evidence of a favourable effect for any of the interventions on complete wound healing. The authors' conclusion is likely to be reliable. Authors' objectives To compare the effectiveness and safety of treatment strategies for adults with pressure ulcers. Searching MEDLINE, EMBASE, CINAHL, EBM Reviews, Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Database of Systematic Reviews, DARE and HTA

2013 DARE. PubMed

96. Pressure ulcer risk assessment and prevention: comparative effectiveness

Pressure ulcer risk assessment and prevention: comparative effectiveness Pressure ulcer risk assessment and prevention: comparative effectiveness Pressure ulcer risk assessment and prevention: comparative effectiveness Chou R, Dana T, Bougatsos C, Blazina I, Starmer A, Reitel K, Buckley D CRD summary This generally well-conducted review concluded that commonly used instruments can predict which patients are more likely to develop a pressure ulcer. There were no clear differences in test (...) accuracy between methods. Advanced static support surfaces were more effective than standard mattresses for reducing risk of pressure ulcers. The review conclusions seem appropriate. Authors' objectives To evaluate the predictive ability of pressure ulcer risk assessment tools and the benefits and harms of interventions to prevent and treat pressure ulcers. Searching MEDLINE, CINAHL and Cochrane Database of Systematic Reviews were searched to July 2012 for studies in English; full search strategies

2013 DARE.

97. The effect of oxandrolone on the healing of chronic pressure ulcers in persons with spinal cord injury: a randomized trial. (PubMed)

The effect of oxandrolone on the healing of chronic pressure ulcers in persons with spinal cord injury: a randomized trial. Anabolic steroids have been reported to improve wound healing.To determine whether oxandrolone increases the percentage of target pressure ulcers (TPUs) that heal compared with placebo and whether healed ulcers remain closed 8 weeks after treatment.Parallel-group, placebo-controlled, randomized trial conducted from 1 August 2005 to 30 November 2008. Patients, clinical care

2013 Annals of Internal Medicine

98. Patient Lifts and Transfer Equipment for Preventing Pressure Ulcers: A Review of Clinical and Cost-Effectiveness and Guidelines

Patient Lifts and Transfer Equipment for Preventing Pressure Ulcers: A Review of Clinical and Cost-Effectiveness and Guidelines Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts (...) . TITLE: Patient Lifts and Transfer Equipment for Preventing Pressure Ulcers: A Review of Clinical and Cost-Effectiveness and Guidelines DATE: 19 March 2013 CONTEXT AND POLICY ISSUES A pressure ulcer is an area of localized persistent injury to the skin that may include blisters, open wounds, or even necrosis, and which may extend to the underlying muscles and bones. 1-3 Tissue damage typically occurs as a result of sustained loading on a particular body area, sometimes accompanied with shear

2013 Canadian Agency for Drugs and Technologies in Health - Rapid Review

99. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review

Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review Untitled Document The CRD Databases will not be available from 08:00 BST on Friday 4th October until 08:00 BST on Monday 7th October for essential maintenance. We apologise for any inconvenience.

2013 DARE.

100. Interrater agreement, reliability and validity of the Glamorgan Paediatric Pressure Ulcer Risk Assessment Scale (PubMed)

Interrater agreement, reliability and validity of the Glamorgan Paediatric Pressure Ulcer Risk Assessment Scale To determine (1) What is the degree of interrater agreement and reliability of Glamorgan scale item and sum scores? and (2) Are Glamorgan scale sum scores valid?Pressure ulcer risk assessment scales are recommended for use in clinical practice. For paediatric patients, 12 instruments are currently described. Empirical evidence about the performance of Glamorgan scale scores (...) in clinical practice is limited.An observational validation study was conducted on a paediatric cardiac unit of a large university hospital in Germany in April and May 2010.Children were assessed simultaneously and independently by varying convenience samples of three nurses per assessment situation. Pressure ulcer risk was measured by the Glamorgan scale and a 100 mm Visual Analogue Scale (VAS). Proportions of agreement (po ), multirater kappa and intraclass correlation coefficients were

2013 EvidenceUpdates