Latest & greatest articles for pressure ulcer

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Top results for pressure ulcer

141. Treatment of pressure ulcers: a systematic review. (Full text)

Treatment of pressure ulcers: a systematic review. Many treatments for pressure ulcers are promoted, but their relative efficacy is unclear.To systematically review published randomized controlled trials (RCTs) evaluating therapies for pressure ulcers.The databases of MEDLINE, EMBASE, and CINAHL were searched (from inception through August 23, 2008) to identify relevant RCTs published in the English language.Methodological characteristics and outcomes were extracted by 3 investigators.A total (...) RCTs evaluating nutritional supplements, 1 higher-quality trial found that protein supplementation of long-term care residents improved wound healing compared with placebo (improvement in Pressure Ulcer Scale for Healing mean [SD] score of 3.55 [4.66] vs 3.22 [4.11], respectively; P < .05). Other nutritional supplement RCTs showed mixed results. Among 54 RCTs evaluating absorbent wound dressings, 1 found calcium alginate dressings improved healing compared with dextranomer paste (mean wound surface

2008 JAMA PubMed

142. Support surfaces for pressure ulcer prevention. (Full text)

Support surfaces for pressure ulcer prevention. Pressure ulcers (also known as bedsores, pressure sores, decubitus ulcers) are areas of localised damage to the skin and underlying tissue due to pressure, shear or friction. They are common in the elderly and immobile and costly in financial and human terms. Pressure-relieving beds, mattresses and seat cushions are widely used as aids to prevention in both institutional and non-institutional settings.This systematic review seeks to answer (...) the following questions:(1) to what extent do pressure-relieving cushions, beds, mattress overlays and mattress replacements reduce the incidence of pressure ulcers compared with standard support surfaces?(2) how effective are different pressure-relieving surfaces in preventing pressure ulcers, compared to one another?For this second update the Cochrane Wounds Group Specialised Register was searched (28/2/08), The Cochrane Central Register of Controlled Trials (CENTRAL)(2008 Issue 1), Ovid MEDLINE (1950

2008 Cochrane PubMed

143. A systematic review of wound cleansing for pressure ulcers (PubMed)

A systematic review of wound cleansing for pressure ulcers The aim of this study was to use a Cochrane systematic review process to explore the effect of wound cleansing solutions and techniques on pressure ulcer healing.Pressure ulcers impose a significant financial burden on health care systems and negatively affect the quality of life. Wound cleansing is an important component of pressure ulcer care; however, there is uncertainty regarding best practice.Systematic review.The Specialised (...) with saline (RR 3.00, 95% CI 0.21, 41.89). No statistically significant change in healing was seen for ulcers cleansed with, or without, a whirlpool (RR 2.10, 95% CI 0.93-4.76).There is little trial evidence to support the use of any particular wound cleansing solution or technique for pressure ulcers. Relevance to clinical practice. No firm recommendations for ways of cleansing pressure ulcers in clinical practice can be made, the lack of RCT evidence should be a concern for health care providers.

2008 EvidenceUpdates

144. Inpatients felt that pressure ulcers had emotional, mental, physical, and social effects on quality of life because nurses did not adequately treat or manage their pain or discomfort

Inpatients felt that pressure ulcers had emotional, mental, physical, and social effects on quality of life because nurses did not adequately treat or manage their pain or discomfort Inpatients felt that pressure ulcers had emotional, mental, physical, and social effects on quality of life because nurses did not adequately treat or manage their pain or discomfort | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your (...) ulcers had emotional, mental, physical, and social effects on quality of life because nurses did not adequately treat or manage their pain or discomfort Article Text Qualitative Inpatients felt that pressure ulcers had emotional, mental, physical, and social effects on quality of life because nurses did not adequately treat or manage their pain or discomfort Statistics from Altmetric.com Request Permissions If you wish to reuse any or all of this article please use the link below which will take you

2008 Evidence-Based Nursing

145. Preventing recurrent pressure ulcers in veterans with spinal cord injury: impact of a structured education and follow-up intervention (PubMed)

Preventing recurrent pressure ulcers in veterans with spinal cord injury: impact of a structured education and follow-up intervention To test the hypothesis that enhanced education and structured follow-up after pressure ulcer surgery will result in fewer recurrences.Randomized controlled trial.Veterans Affairs medical center.Forty-nine veteran men with spinal cord injury or dysfunction were approached on admission for pressure ulcer surgery. Five never had surgery, 2 refused to participate (...) , and one withdrew. Forty-one were randomized into 3 groups. Three participants' ulcers did not heal, so follow-up could not begin.Group 1 received individualized pressure ulcer education and monthly structured telephone follow-up (n=20); group 2 received monthly mail or telephone follow-up without educational content (n=11); and group 3 received quarterly mail or telephone follow-up without educational content (n=10). Follow-up continued until recurrence, death, or 24 months.Time to pressure ulcer

2008 EvidenceUpdates

146. Risk assessment tools for the prevention of pressure ulcers. (PubMed)

Risk assessment tools for the prevention of pressure ulcers. Pressure ulcer risk assessment is a component of the assessment process used to identify individuals at risk of developing a pressure ulcer. 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. A review was conducted to clarify the role of pressure ulcer risk assessment in clinical (...) practice.The objective of this review was to determine whether using structured, systematic pressure ulcer risk assessment tools, in any health care setting, reduces the incidence of pressure ulcers.The following databases were searched: MEDLINE (January 1966 to April Week 3, 2008); EMBASE (1974 to Week 17, 2008); CINAHL (1982 to April Week 4, 2008); The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, issue 2, 2008); The Wounds Group Specialised Register (searched 29/4/2008

2008 Cochrane

147. Alternating pressure air mattresses as prevention for pressure ulcers: A literature review (PubMed)

Alternating pressure air mattresses as prevention for pressure ulcers: A literature review The purpose of this paper is to examine and synthesise the literature on alternating pressure air mattresses (APAMs) as a preventive measure for pressure ulcers.Literature review.PubMed, Cinahl, Central, Embase, and Medline databases were searched to identify original and relevant articles. Additional publications were retrieved from the references cited in the publications identified during (...) the electronic database search.Thirty-five studies were included. Effectiveness and comfort of APAMs were the main focuses of the studies evaluating APAMs. Pressure ulcer incidence, contact interface pressure, and blood perfusion were the most frequently used outcome measures to evaluate the effectiveness of APAMs. Fifteen randomised controlled trials (RCTs) analysed the pressure ulcer incidence. One RCT compared a standard hospital mattress with an APAM and found that the APAM was a more effective

2008 EvidenceUpdates

148. Pressure ulcers in the long-term care setting.

Pressure ulcers in the long-term care setting. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund You are here Guidelines and Measures Funding for the National Guideline Clearinghouse

2008 American Medical Directors Association

149. Comparison of Negative Pressure Wound Therapy Utilizing Vacuum-Assisted Closure to Advanced Moist Wound Therapy in the Treatment of Diabetic Foot Ulcers A Multicenter Randomized Controlled Trial (Full text)

Comparison of Negative Pressure Wound Therapy Utilizing Vacuum-Assisted Closure to Advanced Moist Wound Therapy in the Treatment of Diabetic Foot Ulcers A Multicenter Randomized Controlled Trial The purpose of this study was to evaluate safety and clinical efficacy of negative pressure wound therapy (NPWT) compared with advanced moist wound therapy (AMWT) to treat foot ulcers in diabetic patients.This multicenter randomized controlled trial enrolled 342 patients with a mean age of 58 years; 79 (...) % were male. Complete ulcer closure was defined as skin closure (100% reepithelization) without drainage or dressing requirements. Patients were randomly assigned to either NPWT (vacuum-assisted closure) or AMWT (predominately hydrogels and alginates) and received standard off-loading therapy as needed. The trial evaluated treatment until day 112 or ulcer closure by any means. Patients whose wounds achieved ulcer closure were followed at 3 and 9 months. Each study visit included closure assessment

2008 EvidenceUpdates PubMed

150. Review: support surfaces, nutritional supplements, and topical agents help prevent pressure ulcers

Review: support surfaces, nutritional supplements, and topical agents help prevent pressure ulcers Review: support surfaces, nutritional supplements, and topical agents help prevent pressure ulcers | 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: support surfaces, nutritional supplements, and topical agents help prevent pressure ulcers Article Text Treatment Review: support surfaces, nutritional supplements, and topical agents help

2008 Evidence-Based Nursing

151. Alternating pressure air mattresses as prevention for pressure ulcers: a literature review

Alternating pressure air mattresses as prevention for pressure ulcers: a literature review Alternating pressure air mattresses as prevention for pressure ulcers: a literature review Alternating pressure air mattresses as prevention for pressure ulcers: a literature review Vanderwee K, Grypdonck M, Defloor T CRD summary The authors concluded that alternating pressure air mattresses were likely to be more effective than standard hospital mattresses, but no conclusions could be reached about (...) their comfort and further research was required. The authors’ conclusions appeared to reflect the evidence, but incomplete reporting of review methods and any differences between studies made it difficult to assess their reliability. Authors' objectives To examine studies evaluating alternating pressure air mattresses for the prevention of pressure ulcers. Searching PubMed/MEDLINE, CINAHL, EMBASE and Cochrane Central Register of Controlled Trials were searched from 1980 to September 2006 for studies

2008 DARE.

152. A systematic review of the use of hydrocolloids in the treatment of pressure ulcers

A systematic review of the use of hydrocolloids in the treatment of pressure ulcers A systematic review of the use of hydrocolloids in the treatment of pressure ulcers A systematic review of the use of hydrocolloids in the treatment of pressure ulcers Heyneman A, Beele H, Vanderwee K, Defloor T CRD summary This review included randomised trials comparing hydrocolloid dressings with other types of dressing or one another. The review was largely descriptive, but reported that hydrocolloids were (...) more effective than gauze dressings and less effective than other types for various outcomes. The conclusions were based on one or two small trials of uncertain validity and should be treated with caution. Authors' objectives To evaluate the effects of hydrocolloids on the healing of pressure ulcers. Searching The authors searched PubMed, EMBASE, Cochrane Central Register of Controlled Trials and CINAHL to January 2007 for studies published in Dutch, English, French or German. Search terms were

2008 DARE.

153. The effectiveness of topical negative pressure in the treatment of pressure ulcers: a literature review

The effectiveness of topical negative pressure in the treatment of pressure ulcers: a literature review The effectiveness of topical negative pressure in the treatment of pressure ulcers: a literature review The effectiveness of topical negative pressure in the treatment of pressure ulcers: a literature review van den Boogaard M, de Laat E, Spauwen P, Schoonhoven L CRD summary This narrative review of the effectiveness of topical negative pressure in the treatment of pressure ulcers concluded (...) that topical negative pressure was not proven to be more effective than other interventions. The reliability of these conclusions is limited by the small size of included studies and the lack of information on participants, outcomes, study selection and data extraction. Authors' objectives To assess the effectiveness of vacuum-assisted closure (VAC) therapy and in particular topical negative pressure in the treatment of pressure ulcers. Searching MEDLINE, EMBASE and CINAHL were searched from 1992 to 2007

2008 DARE.

154. A systematic review of the use of hydrocolloids in the treatment of pressure ulcers (PubMed)

A systematic review of the use of hydrocolloids in the treatment of pressure ulcers The aim of this systematic literature review was to describe the current evidence in the field of pressure ulcer treatment with hydrocolloids and to give recommendations for clinical practice and further research.Pressure ulcers are a common problem in clinical practice and generate substantial expense. A wide range of dressings is available but little is known about the effect on pressure ulcer healing.A (...) Cochrane-based search strategy was used in four databases (PubMed, Embase, the Cochrane Central Register of Controlled Trials and the Cumulative Index to Nursing and Allied Health Literature), manuals and reference lists. Randomised controlled trials on the treatment of pressure ulcers with hydrocolloids, as defined by the British National Formulary, were systematically included and analysed.Twenty-nine publications, dealing with 28 different studies, met the inclusion criteria and were included

2008 EvidenceUpdates

155. Alternating pressure mattresses were more cost effective than alternating pressure overlays for preventing pressure ulcers

Alternating pressure mattresses were more cost effective than alternating pressure overlays for preventing pressure ulcers Alternating pressure mattresses were more cost effective than alternating pressure overlays for preventing pressure ulcers | 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 Alternating pressure mattresses were more cost effective than alternating pressure overlays for preventing pressure ulcers Article Text Economics

2008 Evidence-Based Nursing

156. Similar proportions of patients developed pressure ulcers on alternating pressure overlays and alternating pressure mattresses

Similar proportions of patients developed pressure ulcers on alternating pressure overlays and alternating pressure mattresses Similar proportions of patients developed pressure ulcers on alternating pressure overlays and alternating pressure mattresses | 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 Similar proportions of patients developed pressure ulcers on alternating pressure overlays and alternating pressure mattresses Article Text

2008 Evidence-Based Nursing

157. Negative pressure wound therapy promoted healing of diabetic foot ulcers more than advanced moist wound therapy

Negative pressure wound therapy promoted healing of diabetic foot ulcers more than advanced moist wound therapy Negative pressure wound therapy promoted healing of diabetic foot ulcers more than advanced moist wound therapyCommentary | 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 Negative pressure wound therapy promoted healing of diabetic foot ulcers more than advanced moist wound therapyCommentary Article Text Treatment Negative pressure

2008 Evidence-Based Nursing

158. Review: evidence of the effectiveness of hydrocolloids for healing pressure ulcers is limited

Review: evidence of the effectiveness of hydrocolloids for healing pressure ulcers is limited Review: evidence of the effectiveness of hydrocolloids for healing pressure ulcers is limitedCommentary | 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: evidence of the effectiveness of hydrocolloids for healing pressure ulcers is limitedCommentary Article Text Treatment Review: evidence of the effectiveness of hydrocolloids for healing

2008 Evidence-Based Nursing

159. A systematic review of the effectiveness of negative pressure wound therapy in the management of diabetes foot ulcers

A systematic review of the effectiveness of negative pressure wound therapy in the management of diabetes foot ulcers 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.

2008 DARE.

160. Assessment and management of stage I to IV pressure ulcers.

Assessment and management of stage I to IV pressure ulcers. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund You are here Guidelines and Measures Funding for the National Guideline

2007 Registered Nurses' Association of Ontario