Latest & greatest articles for pressure ulcer

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Top results for pressure ulcer

161. A comparison of diabetic foot ulcer outcomes using negative pressure wound therapy versus historical standard of care

A comparison of diabetic foot ulcer outcomes using negative pressure wound therapy versus historical standard of care A comparison of diabetic foot ulcer outcomes using negative pressure wound therapy versus historical standard of care A comparison of diabetic foot ulcer outcomes using negative pressure wound therapy versus historical standard of care Lavery L A, Boulton A J, Niezgoda J A, Sheehan P 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. Health technology The study compared the use of negative pressure wound therapy (NPWT) as a treatment for diabetic foot ulcers with standard wet-to-moist wound therapy. Type of intervention Treatment. Economic study type Cost-effectiveness analysis Study population The study population used

2007 NHS Economic Evaluation Database.

162. Clinical practice guideline: The use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care

Clinical practice guideline: The use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care clinical practice guidelines National Collaborating Centre for Nursing and Supportive Care Guidelines commissioned by the National Institute for Clinical Excellence First published October 2003 Reprinted January 2005 The use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers (...) in primary and secondary care1 The use of pressure- relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care Guidelines commissioned by the National Institute for Clinical Excellence Published by the Royal College of Nursing, 20 Cavendish Square, London W1G 0RN First published October 2003 Reprinted January 2005 Publication code: 002 444 ISBN: 1-904114-12-1 © 2005 Royal College of Nursing. All rights reserved. No part of this publication may

2007 Royal College of Nursing

163. Preventing pressure ulcers: a systematic review. (PubMed)

Preventing pressure ulcers: a systematic review. Pressure ulcers are common in a variety of patient settings and are associated with adverse health outcomes and high treatment costs.To systematically review the evidence examining interventions to prevent pressure ulcers.MEDLINE, EMBASE, and CINAHL (from inception through June 2006) and Cochrane databases (through issue 1, 2006) were searched to identify relevant randomized controlled trials (RCTs). UMI Proquest Digital Dissertations, ISI Web (...) of Science, and Cambridge Scientific Abstracts were also searched. All searches used the terms pressure ulcer, pressure sore, decubitus, bedsore, prevention, prophylactic, reduction, randomized, and clinical trials. Bibliographies of identified articles were further reviewed.Fifty-nine RCTs were selected. Interventions assessed in these studies were grouped into 3 categories, ie, those addressing impairments in mobility, nutrition, or skin health. Methodological quality for the RCTs was variable

2006 JAMA

164. Therapeutic ultrasound for pressure ulcers. (PubMed)

Therapeutic ultrasound for pressure ulcers. Pressure ulcers have been recorded as occurring in 5 to 32% of patients admitted to a UK District General Hospital (the precise rate depends on case-mix) and 4 to 7% in the community. They represent a major burden of sickness and reduced quality of life for patients and their carers, and are costly to health service providers. Pressure ulcers are treated by using wound dressings, relieving pressure on the wound, by treating concurrent conditions which (...) were included. Two RCTs compared ultrasound therapy with sham ultrasound and the third compared a combination of ultrasound and ultraviolet light with laser and with standard treatment. Neither of the two RCTs comparing ultrasound with sham found a significant difference in healing rates. The trials were pooled, in the absence of significant heterogeneity. There was no evidence of benefit associated with the use of ultrasound in the treatment of pressure ulcers. In the three-arm comparison

2006 Cochrane

165. Electromagnetic therapy for treating pressure ulcers. (PubMed)

Electromagnetic therapy for treating pressure ulcers. Pressure ulcers are defined as areas "of localized damage to the skin and underlying tissue caused by pressure, shear, friction and/or the combination of these". In the UK, pressure ulcers occur in 5 to 32% of District General Hospitals people and in 4 to 7% of people in community settings. Electromagnetic therapy, in which electrodes produce an electromagnetic field across the wound, may improve healing of chronic wounds such as pressure (...) identified no new trials. Two RCTs were identified for inclusion in the original review (total of 60 participants). One was a three-armed study comparing electromagnetic therapy with electromagnetic therapy in combination with standard therapy, and with standard therapy alone, on 17 female and 13 male with grade II and III pressure ulcers. The other study compared electromagnetic therapy with sham therapy in 30 male participants with a spinal cord injury and a grade II or grade III pressure ulcer.Neither

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2006 Cochrane

166. Randomised, controlled trial of alternating pressure mattresses compared with alternating pressure overlays for the prevention of pressure ulcers: PRESSURE (pressure relieving support surfaces) trial. (PubMed)

Randomised, controlled trial of alternating pressure mattresses compared with alternating pressure overlays for the prevention of pressure ulcers: PRESSURE (pressure relieving support surfaces) trial. To compare whether differences exist between alternating pressure overlays and alternating pressure mattresses in the development of new pressure ulcers, healing of existing pressure ulcers, and patient acceptability.Pragmatic, open, multicentre, randomised controlled trial.11 hospitals in six NHS (...) trusts.1972 people admitted to hospital as acute or elective patients.Participants were randomised to an alternating pressure mattress (n = 982) or an alternating pressure overlay (n = 990).The proportion of participants developing a new pressure ulcer of grade 2 or worse; time to development of new pressure ulcers; proportions of participants developing a new ulcer within 30 days; healing of existing pressure ulcers; and patient acceptability.Intention to treat analysis found no difference

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2006 BMJ

167. Assessment and Management of Pressure Ulcers - Education Program

Assessment and Management of Pressure Ulcers - Education Program Assessment and Management of Pressure Ulcers Educational Workshop Materials — Facilitator’s Guide Based on the Registered Nurses’ Association of Ontario Best Practice Guideline: Assessment and Management of Stage I to IV Pressure Ulcers March 2006Educational Workshop: Assessment and Management of Pressure Ulcers Nursing Best Practice Guidelines Program Registered Nurses’ Association of Ontario Acknowledgement The Registered Nurses (...) ’ Association of Ontario (RNAO) and the Nursing Best Practice Guidelines Program would like to acknowledge the following individuals and organizations for their contributions to the development of these workshops on the Assessment and Management of Pressure Ulcers: The Humber River Regional Hospital, Villa Colombo and Central Park Lodge for their role in implementing and evaluating the guideline Assessment and Management of Stage I to IV Pressure Ulcers through the pilot site implementation initiative

2006 Registered Nurses' Association of Ontario

168. Risk assessment scales for pressure ulcer prevention: a systematic review

Risk assessment scales for pressure ulcer prevention: 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.

2006 DARE.

169. Preventing pressure ulcers: a systematic review

Preventing pressure ulcers: 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.

2006 DARE.

170. Risk assessment & prevention of pressure ulcers.

Risk assessment & prevention of 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 Clearinghouse

2005 Registered Nurses' Association of Ontario

171. Pressure ulcers: guideline development and economic modelling

Pressure ulcers: guideline development and economic modelling Pressure ulcers: guideline development and economic modelling Pressure ulcers: guideline development and economic modelling Legood R, McInnes 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. Health technology The use of pressure-relieving devices for the prevention of pressure ulcers. In particular, the analysis focused on high-specification foams and standard hospital mattresses (defined as mattresses without pressure-relieving qualities). Type of intervention Primary prevention. Economic study type Cost-effectiveness analysis. Study population The study population comprised a hypothetical cohort of patients at risk of developing pressure ulcers. The analysis was carried

2005 NHS Economic Evaluation Database.

172. Comparison of pressure ulcer treatments in long-term care facilities: clinical outcomes and impact on cost

Comparison of pressure ulcer treatments in long-term care facilities: clinical outcomes and impact on cost Comparison of pressure ulcer treatments in long-term care facilities: clinical outcomes and impact on cost Comparison of pressure ulcer treatments in long-term care facilities: clinical outcomes and impact on cost Narayanan S, Van Vleet J, Strunk B, Ross R N, Gray 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. Health technology The study examined the use of balsam Peru, hydrogenated castor oil and trypsin (BCT) ointment in the treatment of pressure ulcers. BCT ointment was compared with BCT plus other treatment (BCT+O) and with "Other" treatments. The other treatments were not uniform between BCT+O and Other, and included all other

2005 NHS Economic Evaluation Database.

173. Cost-effectiveness of pressure-relieving devices for the prevention and treatment of pressure ulcers

Cost-effectiveness of pressure-relieving devices for the prevention and treatment of pressure ulcers Cost-effectiveness of pressure-relieving devices for the prevention and treatment of pressure ulcers Cost-effectiveness of pressure-relieving devices for the prevention and treatment of pressure ulcers Fleurence R L 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. Health technology Three strategies for the prevention and treatment of pressure ulcers (PUs) in patients admitted to hospital were examined. The strategies were alternating pressure mattress replacements (APMRs), alternating pressure overlays (APOs), and high-specification foam mattress (standard care strategy, SC). Type of intervention Primary prevention and treatment

2005 NHS Economic Evaluation Database.

174. Efficacy of advanced dressings in the treatment of pressure ulcers: a systematic review

Efficacy of advanced dressings in the treatment of pressure ulcers: 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.

2005 DARE.

175. Enteral nutritional support in prevention and treatment of pressure ulcers: a systematic review and meta-analysis

Enteral nutritional support in prevention and treatment of pressure ulcers: a systematic review and meta-analysis 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.

2005 DARE.

176. Clinical activity-based cost effectiveness of traditional versus modern wound management in patients with pressure ulcers

Clinical activity-based cost effectiveness of traditional versus modern wound management in patients with pressure ulcers Clinical activity-based cost effectiveness of traditional versus modern wound management in patients with pressure ulcers Clinical activity-based cost effectiveness of traditional versus modern wound management in patients with pressure ulcers Ohura T, Sanada H, Mino Y 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. Health technology Three alternative strategies for the management of pressure ulcers were examined. The strategies were: wound treatment with modern dressings that maintain a moist environment in combination with a standardised wound management algorithm (MC/A); wound treatment with traditional dressings

2004 NHS Economic Evaluation Database.

177. Nutritional interventions for preventing and treating pressure ulcers. (PubMed)

Nutritional interventions for preventing and treating pressure ulcers. Pressure ulcers affect 10% of people in hospitals and older people are at highest risk. The correlation between nutritional intake and the development of pressure ulcers is suggested by several studies, but the results are inconsistent.To evaluate the effectiveness of enteral and parenteral nutrition on the prevention and treatment of pressure ulcers.The Cochrane Wounds Group Specialised Trials Register and the Cochrane (...) Central register of Controlled Trials were searched in September 2002. An additional search of PubMed and Cinahl and hand search of conference proceedings and journals was performed, bibliographies of relevant articles were examined and experts in the field as well as manufacturers were contacted in order to find additional literature that may be relevant.Randomised controlled trials evaluating the effectiveness of enteral or parenteral nutrition on the prevention and treatment of pressure ulcers

2003 Cochrane

178. Pressure ulcer prevention: pressure ulcer risk assessment and prevention, including the use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care

Pressure ulcer prevention: pressure ulcer risk assessment and prevention, including the use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care Pressure ulcer prevention: pressure ulcer risk assessment and prevention, including the use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care Pressure ulcer prevention: pressure ulcer risk (...) assessment and prevention, including the use of pressure-relieving devices (beds, mattresses and overlays) for the prevention of pressure ulcers in primary and secondary care National Institute for Clinical Excellence 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 National Institute for Clinical Excellence. Pressure ulcer prevention: pressure ulcer risk assessment

2003 Health Technology Assessment (HTA) Database.

179. Healing pressure ulcers with collagen or hydrocolloid: a randomized, controlled trial

Healing pressure ulcers with collagen or hydrocolloid: a randomized, controlled trial Healing pressure ulcers with collagen or hydrocolloid: a randomized, controlled trial Healing pressure ulcers with collagen or hydrocolloid: a randomized, controlled trial Graumlich J F, Blough L S, McLaughlin R G, Milbrandt J C, Calderon C L, Agha S A, Scheibel L W 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. Health technology The use of topical type I collagen dressing (daily) for the treatment of Stage II or III pressure ulcers. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population The study population comprised individuals with at least one Stage II or III pressure ulcer, as defined by the National

2003 NHS Economic Evaluation Database.

180. Prospective cohort study of routine use of risk assessment scales for prediction of pressure ulcers. (PubMed)

Prospective cohort study of routine use of risk assessment scales for prediction of pressure ulcers. To evaluate whether risk assessment scales can be used to identify patients who are likely to get pressure ulcers.Prospective cohort study.Two large hospitals in the Netherlands.1229 patients admitted to the surgical, internal, neurological, or geriatric wards between January 1999 and June 2000.Occurrence of a pressure ulcer of grade 2 or worse while in hospital.135 patients developed pressure (...) ulcers during four weeks after admission. The weekly incidence of patients with pressure ulcers was 6.2% (95% confidence interval 5.2% to 7.2%). The area under the receiver operating characteristic curve was 0.56 (0.51 to 0.61) for the Norton scale, 0.55 (0.49 to 0.60) for the Braden scale, and 0.61 (0.56 to 0.66) for the Waterlow scale; the areas for the subpopulation, excluding patients who received preventive measures without developing pressure ulcers and excluding surgical patients, were 0.71

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2002 BMJ