Latest & greatest articles for pressure ulcer

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Top results for pressure ulcer

121. Association of race and sites of care with pressure ulcers in high-risk nursing home residents. (PubMed)

Association of race and sites of care with pressure ulcers in high-risk nursing home residents. A variety of nursing home quality improvement programs have been implemented during the last decade but their implications for racial disparities on quality are unknown.To determine the longitudinal trend of racial disparities in pressure ulcer prevalence among high-risk, long-term nursing home residents and to assess whether persistent disparities are related to where residents received (...) care.Observational cohort study of pressure ulcer rates in 2.1 million white and 346,808 black residents of 12,473 certified nursing homes in the United States that used the nursing home resident assessment; Online Survey, Certification, and Reporting files; and Area Resource Files for 2003 through 2008. Nursing homes were categorized according to their proportions of black residents.Risk-adjusted racial disparities between and within sites of care and risk-adjusted odds of pressure ulcers in stages 2 through 4

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2011 JAMA

122. AAWC Pressure Ulcer Guidelines

AAWC Pressure Ulcer Guidelines Association for the Advancement of Wound Care Guideline of Pressure Ulcer Guidelines Legend: Bold: Evidence Level A. Italics = Level B, Normal = Level C; Underlined if cost analysis was performed. Each recommendation has Content Validity > 0.75 based on 31 multidisciplinary independent survey respondents. © Association for the Advancement of Wound Care 2010 October 1, 2010 Page 1 of 14 Reference citation: Association for the Advancement of Wound Care (AAWC (...) ) Guideline of Pressure Ulcer Guidelines. Malvern, Pennsylvania: Association for the Advancement of Wound Care (AAWC) 2010 I. PATIENT AND PRESSURE ULCER ASSESSMENT A. PATIENT PRESSURE ULCER (PU) RISK ASSESSMENT FOR ALL SETTINGS 1. For all settings, a trained professional should assess and document PU risk within 72 h of admission or on change of any PU risk factor, using a valid, reliable scale with good predictive validity for the setting and for patient age and cognition (Comfort, 2008; Magnan

2011 Association for the Advancement of Wound Care

123. Cross-sectional study: The Braden Scale and Care Dependency Scale each demonstrate at least 70% sensitivity and specificity for identifying inpatients at risk of pressure ulcer

Cross-sectional study: The Braden Scale and Care Dependency Scale each demonstrate at least 70% sensitivity and specificity for identifying inpatients at risk of pressure ulcer The Braden Scale and Care Dependency Scale each demonstrate at least 70% sensitivity and specificity for identifying inpatients at risk of pressure ulcer | Evidence-Based Nursing 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 least 70% sensitivity and specificity for identifying inpatients at risk of pressure ulcer Article Text Nursing issues Cross-sectional study The Braden Scale and Care Dependency Scale each demonstrate at least 70% sensitivity and specificity for identifying inpatients at risk of pressure ulcer Jürgen Stausberg Statistics from Altmetric.com Commentary on: Tannen A , Balzer K , Kottner J , et al . Diagnostic accuracy of two pressure ulcer risk scales and a generic nursing assessment tool

2011 Evidence-Based Nursing

124. Preventing pressure ulcers in long-term care: a cost-effectiveness analysis

Preventing pressure ulcers in long-term care: a cost-effectiveness analysis Preventing pressure ulcers in long-term care: a cost-effectiveness analysis Preventing pressure ulcers in long-term care: a cost-effectiveness analysis Pham B, Stern A, Chen W, Sander B, John-Baptiste A, Thein HH, Gomes T, Wodchis WP, Bayoumi A, Machado M, Carcone S, Krahn M 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 The study assessed the cost-effectiveness of different strategies to prevent pressure ulcers in elderly people in long-term care facilities. The authors concluded that, compared with conventional care, a strategy based on pressure-distribution mattresses was cost-effective. Improving prevention with perineal foam cleanser and dry

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2011 NHS Economic Evaluation Database.

125. Randomised controlled trial: Skin protection wheelchair cushions for older nursing home residents reduce 6-month incidence of ischial tuberosity pressure ulcers compared with segmented foam cushions

Randomised controlled trial: Skin protection wheelchair cushions for older nursing home residents reduce 6-month incidence of ischial tuberosity pressure ulcers compared with segmented foam cushions Skin protection wheelchair cushions for older nursing home residents reduce 6-month incidence of ischial tuberosity pressure ulcers compared with segmented foam cushions | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage (...) wheelchair cushions for older nursing home residents reduce 6-month incidence of ischial tuberosity pressure ulcers compared with segmented foam cushions Article Text Care of the older person Randomised controlled trial Skin protection wheelchair cushions for older nursing home residents reduce 6-month incidence of ischial tuberosity pressure ulcers compared with segmented foam cushions Dimitri Beeckman 1 , 2 , Katrien Vanderwee 2 Statistics from Altmetric.com Commentary on: Brienza D , Kelsey S , Karg P

2011 Evidence-Based Nursing

126. Preventing pressure ulcers in hospitals: a systematic review of nurse-focused quality improvement interventions

Preventing pressure ulcers in hospitals: a systematic review of nurse-focused quality improvement interventions Preventing pressure ulcers in hospitals: a systematic review of nurse-focused quality improvement interventions Preventing pressure ulcers in hospitals: a systematic review of nurse-focused quality improvement interventions Soban LM, Hempel S, Munjas BA, Miles J, Rubenstein LV CRD summary The review found that quality improvement interventions for pressure ulcer prevention may reduce (...) overall incidence of hospital-acquired pressure ulcers. As the authors noted, these findings should be regarded cautiously due to the low quality of the evidence and differences between the studies. Authors' objectives To evaluate nurse-focused quality improvement interventions for preventing pressure ulcers in hospitals. Searching PubMed, CINAHL, The Cochrane Library, DARE, Web of Science and the websites of the Robert Wood Johnson Foundation and the US Agency for Healthcare Research and Quality were

2011 DARE.

127. Review: alternative-foam mattresses and some operating-table overlays reduce pressure ulcers more than standard surfaces

Review: alternative-foam mattresses and some operating-table overlays reduce pressure ulcers more than standard surfaces Review: alternative-foam mattresses and some operating-table overlays reduce pressure ulcers more than standard surfacesCommentary | Evidence-Based Nursing 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 Review: alternative-foam mattresses and some operating-table overlays reduce pressure ulcers more than standard surfacesCommentary Article

2010 Evidence-Based Nursing

128. Pressure-reducing support surfaces for pressure ulcers

Pressure-reducing support surfaces for pressure ulcers Pressure-reducing support surfaces for pressure ulcers Pressure-reducing support surfaces for pressure ulcers Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Pressure-reducing support surfaces for pressure ulcers. Lansdale: HAYES, Inc.. 2010 Authors' conclusions Pressure-reducing support surfaces are used (...) to relieve pressure in patients at risk of developing pressure ulcers, and to promote healing of existing pressure ulcers. Final publication URL The report may be purchased from: Indexing Status Subject indexing assigned by CRD MeSH Bedding and Linens; Beds; Equipment Designs; Pressure Ulcer; Protective Devices; Skin Ulcer Language Published English Country of organisation United States English summary An English language summary is available. Address for correspondence HAYES, Inc., 157 S. Broad Street

2010 Health Technology Assessment (HTA) Database.

129. Cross-sectional study: Small study finds 27.7% prevalence of pressure ulcers in paediatric hospitals in Switzerland, with many cases caused by external medical devices

Cross-sectional study: Small study finds 27.7% prevalence of pressure ulcers in paediatric hospitals in Switzerland, with many cases caused by external medical devices Small study finds 27.7% prevalence of pressure ulcers in paediatric hospitals in Switzerland, with many cases caused by external medical devices | Evidence-Based Nursing 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 Small study finds 27.7% prevalence of pressure ulcers in paediatric hospitals

2010 Evidence-Based Nursing

130. Cross-sectional study: Wound prevalence in community care settings in Ireland ranges from 2.7% in prisons to 33.5% in intellectual disability services, with pressure ulcers, leg ulcers, self-inflicted abrasions and surgical wounds the most common

Cross-sectional study: Wound prevalence in community care settings in Ireland ranges from 2.7% in prisons to 33.5% in intellectual disability services, with pressure ulcers, leg ulcers, self-inflicted abrasions and surgical wounds the most common Wound prevalence in community care settings in Ireland ranges from 2.7% in prisons to 33.5% in intellectual disability services, with pressure ulcers, leg ulcers, self-inflicted abrasions and surgical wounds the most common | Evidence-Based Nursing We (...) of institutional accounts Username * Password * your user name or password? You are here Wound prevalence in community care settings in Ireland ranges from 2.7% in prisons to 33.5% in intellectual disability services, with pressure ulcers, leg ulcers, self-inflicted abrasions and surgical wounds the most common Article Text Prevalence Cross-sectional study Wound prevalence in community care settings in Ireland ranges from 2.7% in prisons to 33.5% in intellectual disability services, with pressure ulcers, leg

2010 Evidence-Based Nursing

131. Disease-specific, versus standard, nutritional support for the treatment of pressure ulcers in institutionalized older adults: a randomized controlled trial (PubMed)

Disease-specific, versus standard, nutritional support for the treatment of pressure ulcers in institutionalized older adults: a randomized controlled trial To investigate whether a disease-specific nutritional approach is more beneficial than a standard dietary approach to the healing of pressure ulcers (PUs) in institutionalized elderly patients.Twelve-week follow-up randomized controlled trial (RCT).Four long-term care facilities in the province of Como, Italy.Twenty-eight elderly subjects (...) vs control).Ulcer healing was evaluated using the Pressure Ulcer Scale for Healing (PUSH; 0=complete healing, 17=greatest severity) tool and area measurement (mm(2) and %).The sampled groups were well matched for age, sex, nutritional status, oral intake, type of feeding, and ulcer severity. After 12 weeks, both groups showed significant improvement (P<.001). The treatment produced a higher rate of healing, the PUSH score revealing a significant difference at Week 12 (-6.1+/-2.7 vs -3.3+/-2.4; P

2009 EvidenceUpdates

132. Assessing predictive validity of the modified Braden scale for prediction of pressure ulcer risk of orthopaedic patients in an acute care setting (PubMed)

Assessing predictive validity of the modified Braden scale for prediction of pressure ulcer risk of orthopaedic patients in an acute care setting To assess and compare the predictive validity of the modified Braden and Braden scales and to identify which of the modified Braden subscales are predictive in assessing pressure ulcer risk among orthopaedic patients in an acute care setting.Although the Braden scale has better predictive validity, literature has suggested that it can be used (...) in conjunction with other pressure ulcer risk calculators or that some other subscales be added. To increase the predictive power of the Braden scale, a modified Braden scale by adding body build for height and skin type and excluding nutrition was developed.A prospective cohort study.A total of 197 subjects in a 106-bed orthopaedic department of an acute care hospital in Hong Kong were assessed for their risk for pressure ulcer development by the modified Braden and Braden scales. Subsequently, daily skin

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2009 EvidenceUpdates

133. Repositioning for treating pressure ulcers. (PubMed)

Repositioning for treating pressure ulcers. Pressure, from lying or sitting on a particular part of the body, results in oxygen deprivation to the affected area. If a patient with an existing pressure ulcer continues to lie or bear weight on the affected area, the tissues become depleted of blood flow and there is no oxygen or nutrient supply to the wound, and no removal of waste products from the wound, all of which are necessary for healing. Patients who cannot reposition themselves require (...) assistance. International best practice advocates the use of repositioning as an integral component of a pressure ulcer management strategy. This review has been conducted to clarify the role of repositioning in the management of patients with pressure ulcers.To assess the effects of repositioning patients on the healing rates of pressure ulcers.We searched the following databases: the Cochrane Wounds Group Specialised Register (5 December 2008); the Cochrane Central Register of Controlled Trials

2009 Cochrane

134. A systematic review of therapeutic interventions for pressure ulcers after spinal cord injury (PubMed)

A systematic review of therapeutic interventions for pressure ulcers after spinal cord injury To systematically review evidence on the prevention and treatment of pressure ulcers in those with a spinal cord injury (SCI).For this evidence-based review, the following data sources were used: MEDLINE/PubMed, CINAHL, EMBASE, and PsycINFO.To be selected for inclusion in the current review, there had to have been an intervention, studies had to have 3 or more subjects, and 50% or more (...) in the systematic review, 7 were randomized controlled trials (RCTs) that dealt with treatment for pressure ulcers, and there was 1 RCT on prevention. Despite the cost-effectiveness of prevention, little research exists on preventative interventions, and what does exist is mostly level 4 evidence. More research is needed for both prevention and treatment, but especially the former.

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2009 EvidenceUpdates

135. [Validation of an assessment scale of the risk of pressure ulcers in hospitalised children]

[Validation of an assessment scale of the risk of pressure ulcers in hospitalised children] Validacion de una escala de valoracion del riesgo de ulceras por presion en ninos hospitalizados [Validation of an assessment scale of the risk of pressure ulcers in hospitalised children] Validacion de una escala de valoracion del riesgo de ulceras por presion en ninos hospitalizados [Validation of an assessment scale of the risk of pressure ulcers in hospitalised children] Quesada C, Iruretagoyena ML (...) de valoracion del riesgo de ulceras por presion en ninos hospitalizados. [Validation of an assessment scale of the risk of pressure ulcers in hospitalised children] Vitoria-Gasteiz: Basque Office for Health Technology Assessment (OSTEBA). D-09-08. 2009 Authors' objectives

The aim of this study is to translate and validate a valuation scale of the risk of developing PU in hospitalised children: the Braden Q scale. The specific aims are as follows:
Determine the validity of the contents

2009 Health Technology Assessment (HTA) Database.

136. Economic evaluation of pressure ulcer care: a cost minimization analysis of preventive strategies

Economic evaluation of pressure ulcer care: a cost minimization analysis of preventive strategies Economic evaluation of pressure ulcer care: a cost minimization analysis of preventive strategies Economic evaluation of pressure ulcer care: a cost minimization analysis of preventive strategies Schuurman JP, Schoonhoven L, Defloor T, van Engelshoven I, van Ramshorst B, Buskens E 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 examined the clinical and economic impact of a mainly technical-aid approach versus a mainly human-intervention approach for the prevention of pressure ulcers in hospitalised patients. The authors concluded that the technical approach was as effective as human intervention, but was much cheaper

2009 NHS Economic Evaluation Database.

137. Insufficient evidence on repositioning patients for treatment of pressure ulcers

Insufficient evidence on repositioning patients for treatment of pressure ulcers PEARLS Practical Evidence About Real Life Situations PEARLS are succinct summaries of Cochrane Systematic Reviews for primary care practitioners. They Insufficient evidence on repositioning patients for treatment of pressure ulcers Clinical question How effective is repositioning patients for treatment of pressure ulcers? Bottom line Despite the widespread use of repositioning as a component of the management plan (...) for individuals with existing pressure ulcers, there is no randomised controlled trial (RCT) evidence that assesses the effects of repositioning patients on the healing rates of pressure ulcers. Caveat Pressure from lying or sitting on a particular part of the body results in oxygen deprivation to the affected area. If a patient with an existing pressure ulcer continues to lie or bear weight on the affected area, the tissues become depleted of blood flow and there is no oxygen or nutrient supply to the wound

2009 Cochrane PEARLS

138. Review: little evidence exists for type of dressing or support surface or for nutritional supplements for pressure ulcers

Review: little evidence exists for type of dressing or support surface or for nutritional supplements for pressure ulcers Review: little evidence exists for type of dressing or support surface or for nutritional supplements for pressure ulcersCommentary | Evidence-Based Nursing 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 (...) Text Treatment Review: little evidence exists for type of dressing or support surface or for nutritional supplements for pressure ulcers Commentary Statistics from Altmetric.com Question Are different treatments effective for pressure ulcers? Review scope Included studies were randomised controlled trials (RCTs) published in English that reported outcomes that included wound size or complete healing. Review methods Medline, EMBASE/Excerpta Medica, and CINAHL (all to Aug 2008) were searched for RCTs

2009 Evidence-Based Nursing

139. Specialty mattresses for the prevention and management of pressure ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines

Specialty mattresses for the prevention and management of pressure ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines Specialty mattresses for the prevention and management of pressure ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines Specialty mattresses for the prevention and management of pressure ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines Tran K, Nkansah E 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 Tran K, Nkansah E. Specialty mattresses for the prevention and management of pressure ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). 2009 Authors' conclusions The literature identified indicates that both “low-tech” CLP

2009 Health Technology Assessment (HTA) Database.

140. Clinical use of interface pressure to predict pressure ulcer development: a systematic review

Clinical use of interface pressure to predict pressure ulcer development: 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.

2009 DARE.