Latest & greatest articles for pressure ulcer

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Top results for pressure ulcer

81. Preventing Pressure Ulcers: A Multi-site RCT in Nursing Homes

Preventing Pressure Ulcers: A Multi-site RCT in Nursing Homes Preventing Pressure Ulcers: A Multi-site RCT in Nursing Homes Nancy Bergstrom PhD, RN, FAAN University of Texas Health Science Center at Houston Houston, Texas Susan D. Horn PhD International Severity Information Systems, Inc. and the Institute for Clinical Outcomes Research Salt Lake City, Utah Mary Pat Rapp PhD, RN University of Texas Health Science Center at Houston Houston, Texas Anita Stern PhD, RN University of Toronto, Toronto (...) Results i Conclusion i Background 1 Methods 2 Design and Participants 2 Protocol with Onsite NH Training 3 Data Analysis 5 Results 6 Discussion 17 Conclusions 10 References 11 i | P a g e Executive Summary Context Pressure at the interface between bony prominences and support surfaces, sufficient to occlude or reduce blood flow, is thought to cause pressure ulcers (PrUs). PrUs are prevented by providing support surfaces that redistribute pressure, and turning residents to reduce length of exposure

2012 Health Quality Ontario

82. A systematic review of the performance of instruments designed to measure the dimensions of pressure ulcers

A systematic review of the performance of instruments designed to measure the dimensions of pressure 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.

2012 DARE.

83. A national guideline for the prevention of pressure ulcers

A national guideline for the prevention of pressure ulcers A national guideline for the prevention of pressure ulcers A national guideline for the prevention of pressure ulcers Beeckman D, Matheï C, Van Lancker A, Van Houdt S, Vanwalleghem G, Gryson L, Heyman H, Thyse C, Toppets A, Stordeur S, Van den Heede K 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 Beeckman D, Matheï C, Van Lancker A, Van Houdt S, Vanwalleghem G, Gryson L, Heyman H, Thyse C, Toppets A, Stordeur S, Van den Heede K. A national guideline for the prevention of pressure ulcers. Brussels: Belgian Health Care Knowledge Centre (KCE). KCE Reports 193C. 2012 Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Practice Guidelines as Topics; Pressure Ulcer Language Published English Country of organisation Belgium English summary An English language

2012 Health Technology Assessment (HTA) Database.

84. Pressure ulcers management: an economic evaluation

Pressure ulcers management: an economic evaluation Pressure ulcers management: an economic evaluation Pressure ulcers management: an economic evaluation Foglia E, Restelli U, Napoletano AM, Coclite D, Porazzi E, Bonfanti M, Croce D 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 objective was to assess the cost and effectiveness of advanced dressings for pressure ulcers in patients receiving integrated care at home. The authors concluded that advanced dressings could produce considerable savings in resources and improve treatment efficacy. There were some limitations to the reporting and methods, particularly in the study design and sensitivity analysis, which mean that the authors' conclusions should be treated with caution

2012 NHS Economic Evaluation Database.

85. Preventing Pressure Ulcers in Long-term Care: A Cost-effectiveness Analysis Full Text available with Trip Pro

Preventing Pressure Ulcers in Long-term Care: A Cost-effectiveness Analysis Pressure ulcers are common in many care settings, with adverse health outcomes and high treatment costs. We evaluated the cost-effectiveness of evidence-based strategies to improve current prevention practice in long-term care facilities.We used a validated Markov model to compare current prevention practice with the following 4 quality improvement strategies: (1) pressure redistribution mattresses for all residents, (2 (...) ) oral nutritional supplements for high-risk residents with recent weight loss, (3) skin emollients for high-risk residents with dry skin, and (4) foam cleansing for high-risk residents requiring incontinence care. Primary outcomes included lifetime risk of stage 2 to 4 pressure ulcers, quality-adjusted life-years (QALYs), and lifetime costs, calculated according to a single health care payer's perspective and expressed in 2009 Canadian dollars (Can$1 = US$0.84).Strategies cost on average $11.66 per

2011 EvidenceUpdates

86. Support surfaces for intraoperative prevention of pressure ulcers in patients undergoing surgery: a cost-effectiveness analysis

Support surfaces for intraoperative prevention of pressure ulcers in patients undergoing surgery: a cost-effectiveness analysis Support surfaces for intraoperative prevention of pressure ulcers in patients undergoing surgery: a cost-effectiveness analysis Support surfaces for intraoperative prevention of pressure ulcers in patients undergoing surgery: a cost-effectiveness analysis Pham B, Teague L, Mahoney J, Goodman L, Paulden M, Poss J, Li J, Sikich NJ, Lourenco R, Ieraci L, 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 objective was to evaluate the cost-effectiveness of pressure-redistribution overlays for the prevention of pressure ulcers, during surgery. The authors concluded

2011 NHS Economic Evaluation Database.

87. Pressure-relieving devices for treating heel pressure ulcers. (Abstract)

Pressure-relieving devices for treating heel pressure ulcers. Pressure ulcers are areas of localised damage to the skin and underlying tissue caused by pressure or shear. Pressure redistribution devices are used as part of the treatment to reduce the pressure on the ulcer. The anatomy of the heel and the susceptibility of the foot to vascular disease mean that pressure ulcers located there require a particular approach to pressure relief.To determine the effects of pressure-relieving (...) interventions for treating pressure ulcers on the heel.We searched the Cochrane Wounds Group Specialised Register (searched 25 March 2011); The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2011, Issue 1); Ovid MEDLINE (1948 to March Week 3 2011); Ovid EMBASE (1980 to 2011 Week 12);Ovid MEDLINE (In-Process & Other Non-Indexed Citations March 29, 2011); and EBSCO CINAHL (1982 to 25 March 2011). We applied no language or publication date restrictions.We included randomised

2011 Cochrane

88. Improving the quality of pressure ulcer care with prevention: a cost-effectiveness analysis Full Text available with Trip Pro

Improving the quality of pressure ulcer care with prevention: a cost-effectiveness analysis Improving the quality of pressure ulcer care with prevention: a cost-effectiveness analysis Improving the quality of pressure ulcer care with prevention: a cost-effectiveness analysis Padula WV, Mishra MK, Makic MB, Sullivan PW 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 objective was to evaluate the cost-effectiveness of procedures to prevent hospital-acquired pressure ulcers, compared with standard care. The authors reported that the prevention of hospital-acquired pressure ulcers was cost-effective. The methods were adequate and the results were well reported. The authors could have given more detail on how the effectiveness

2011 NHS Economic Evaluation Database.

89. Association of race and sites of care with pressure ulcers in high-risk nursing home residents. Full Text available with Trip Pro

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

2011 JAMA

90. 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

91. 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

92. 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

93. 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.

94. 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

95. 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.

96. 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

97. 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

98. Disease-specific, versus standard, nutritional support for the treatment of pressure ulcers in institutionalized older adults: a randomized controlled trial Full Text available with Trip Pro

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 Controlled trial quality: uncertain

99. Assessing predictive validity of the modified Braden scale for prediction of pressure ulcer risk of orthopaedic patients in an acute care setting Full Text available with Trip Pro

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

2009 EvidenceUpdates

100. Repositioning for treating pressure ulcers. (Abstract)

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