Latest & greatest articles for pressure ulcer

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Top results for pressure ulcer

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

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. 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, and this is the third update of this review.To assess whether using structured and systematic pressure ulcer risk assessment tools, in any healthcare setting, reduces the incidence of pressure ulcers.In February 2018 we searched the Cochrane Wounds Specialised Register; the Cochrane Central Register of Controlled Trials (CENTRAL); Ovid MEDLINE (including In-Process & Other Non-Indexed Citations); Ovid Embase; and EBSCO CINAHL Plus. We

2019 Cochrane

2. Mepilex Border Heel and Sacrum dressings for preventing pressure ulcers

Mepilex Border Heel and Sacrum dressings for preventing pressure ulcers Mepile Mepilex Border Heel and Sacrum x Border Heel and Sacrum dressings for pre dressings for prev venting pressure ulcers enting pressure ulcers Medical technologies guidance Published: 10 January 2019 nice.org.uk/guidance/mtg40 © 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 This guidance represents (...) recommendations wherever possible. Mepilex Border Heel and Sacrum dressings for preventing pressure ulcers (MTG40) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 15Contents Contents 1 Recommendations 4 2 The technology 6 3 Evidence 7 Clinical evidence 7 Cost evidence 8 4 Committee discussion 10 Clinical effectiveness 10 NHS considerations 11 Cost modelling 12 Cost savings 13 Further research 13 5 Committee members

2019 National Institute for Health and Clinical Excellence - Medical technologies

3. Organisation of health services for preventing and treating pressure ulcers. (PubMed)

Organisation of health services for preventing and treating pressure ulcers. Pressure ulcers, which are a 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, expensive to manage and have a negative impact on quality of life. While individual patient safety and quality care stem largely from direct healthcare practitioner-patient (...) interactions, each practitioner-patient wound-care contact may be constrained or enhanced by healthcare organisation of services. Research is needed to demonstrate clearly the effect of different provider-orientated approaches to pressure ulcer prevention and treatment.To assess the effects of different provider-orientated interventions targeted at the organisation of health services, on the prevention and treatment of pressure ulcers.In April 2018 we searched the Cochrane Wounds Specialised Register

2018 Cochrane

4. Dressings and topical agents for preventing pressure ulcers. (PubMed)

Dressings and topical agents for preventing pressure ulcers. Pressure ulcers, localised injuries to the skin or underlying tissue, or both, occur when people cannot reposition themselves to relieve pressure on bony prominences. These wounds are difficult to heal, painful, expensive to manage and have a negative impact on quality of life. Prevention strategies include nutritional support and pressure redistribution. Dressing and topical agents aimed at prevention are also widely used, however (...) , it remains unclear which, if any, are most effective. This is the first update of this review, which was originally published in 2013.To evaluate the effects of dressings and topical agents on pressure ulcer prevention, in people of any age, without existing pressure ulcers, but considered to be at risk of developing one, in any healthcare setting.In March 2017 we searched the Cochrane Wounds Group Specialised Register, CENTRAL, MEDLINE, MEDLINE (In-Process & Other Non-Indexed Citations), Embase

2018 Cochrane

5. A new tool may help identify more patients at risk of developing pressure ulcers

A new tool may help identify more patients at risk of developing pressure ulcers A new tool may help identify more patients at risk of developing pressure ulcers Discover Portal Discover Portal A new tool may help identify more patients at risk of developing pressure ulcers Published on 22 December 2015 doi: This was an NIHR-funded study to develop and evaluate a new pressure ulcer assessment tool, called PURPOSE-T. The tool, developed as part of a five year NIHR research programme, is used (...) by following a and assesses eight risk factors: mobility; skin; previous pressure ulcer; sensory perception; perfusion (blood flow); nutrition; moisture; and diabetes. Field testing by nurses showed very good agreement between tests and between assessors. This tool, drawing on new research, has many advantages over the various current assessment tools, which show numerous inconsistencies. PURPOSE-T is already being used by early adopter Trusts and could help to reduce the incidence of pressure ulcers

2018 NIHR Dissemination Centre

6. Evaluating the development and validation of empirically-derived prognostic models for pressure ulcer risk assessment: A systematic review

Evaluating the development and validation of empirically-derived prognostic models for pressure ulcer risk assessment: A systematic review Researchers advocate developing empirically-derived prognostic models to predict pressure ulcer risk. However, there remains a scarcity of evidence about the performance and clinical value of these models.To identify and describe empirically-derived models for predicting pressure ulcer risk; to assess the predictive performance of these models (...) ; and to evaluate their clinical impact in reducing pressure ulcer incidence.We performed a comprehensive database search up to February 2017 and searched other resources to identify longitudinal studies that developed and/or validated prognostic models for predicting pressure ulcer risk and studies evaluating the clinical effects of such models. There were no language or publication date restrictions. Two reviewers independently conducted study selection. Using a pre-prepared data extraction form, one reviewer

2018 EvidenceUpdates

7. Support surfaces for treating pressure ulcers. (PubMed)

Support surfaces for treating pressure ulcers. Pressure ulcers are treated by reducing pressure on the areas of damaged skin. Special support surfaces (including beds, mattresses and cushions) designed to redistribute pressure, are widely used as treatments. The relative effects of different support surfaces are unclear. This is an update of an existing review.To assess the effects of pressure-relieving support surfaces in the treatment of pressure ulcers.In September 2017 we searched (...) of publication or study setting.We included published or unpublished randomised controlled trials (RCTs), that assessed the effects of support surfaces for treating pressure ulcers, in any participant group or setting.Data extraction, assessment of 'Risk of bias' and GRADE assessments were performed independently by two review authors. Trials with similar participants, comparisons and outcomes were considered for meta-analysis. Where meta-analysis was inappropriate, we reported the results of the trials

2018 Cochrane

8. Pressure ulcer

Pressure ulcer Top results for pressure ulcer - Trip Database or use your Google+ account Find evidence fast ALL of these words: Title only Anywhere in the document ANY of these words: Title only Anywhere in the document This EXACT phrase: Title only Anywhere in the document EXCLUDING words: Title only Anywhere in the document Timeframe: to: Combine searches by placing the search numbers in the top search box and pressing the search button. An example search might look like (#1 or #2) and (#3 (...) or #4) Loading history... Population: Intervention: Comparison: Outcome: Population: Intervention: Latest & greatest articles for pressure ulcer The Trip Database is a leading resource to help health professionals find trustworthy answers to their clinical questions. Users can access the latest research evidence and guidance to answer their clinical questions. We have a large collection of systematic reviews, clinical guidelines, regulatory guidance, clinical trials and many other forms of evidence

2018 Trip Latest and Greatest

9. Education of healthcare professionals for preventing pressure ulcers. (PubMed)

Education of healthcare professionals for preventing pressure ulcers. Pressure ulcers, also known as bed sores or pressure sores, are localised areas of tissue damage arising due to excess pressure and shearing forces. Education of healthcare staff has been recognised as an integral component of pressure ulcer prevention. These educational programmes are directed towards influencing behaviour change on the part of the healthcare professional, to encourage preventative practices with the aim (...) of reducing the incidence of pressure ulcer development.To assess the effects of educational interventions for healthcare professionals on pressure ulcer prevention.In June 2017 we searched the Cochrane Wounds Specialised Register; the Cochrane Central Register of Controlled Trials (CENTRAL); Ovid MEDLINE (including In-Process & Other Non-Indexed Citations); Ovid Embase and EBSCO CINAHL Plus. We also searched clinical trials registries for ongoing and unpublished studies, and scanned reference lists

2018 Cochrane

10. A new tool may help identify more patients at risk of developing pressure ulcers

A new tool may help identify more patients at risk of developing pressure ulcers A new tool may help identify more patients at risk of developing pressure ulcers Discover Portal Discover Portal A new tool may help identify more patients at risk of developing pressure ulcers Published on 22 December 2015 doi: This was an NIHR-funded study to develop and evaluate a new pressure ulcer assessment tool, called PURPOSE-T. The tool, developed as part of a five year NIHR research programme, is used (...) by following a and assesses eight risk factors: mobility; skin; previous pressure ulcer; sensory perception; perfusion (blood flow); nutrition; moisture; and diabetes. Field testing by nurses showed very good agreement between tests and between assessors. This tool, drawing on new research, has many advantages over the various current assessment tools, which show numerous inconsistencies. PURPOSE-T is already being used by early adopter Trusts and could help to reduce the incidence of pressure ulcers

2018 NIHR Dissemination Centre

11. Efficacy of mummy on healing of pressure ulcers: A randomized controlled clinical trial on hospitalized patients in intensive care unit (PubMed)

Efficacy of mummy on healing of pressure ulcers: A randomized controlled clinical trial on hospitalized patients in intensive care unit Mummy is a mineral substance which according to Persian medicine texts, may be useful in treatment of chronic ulcers.The present study was performed with the aim of determining the effect of mummy on healing of pressure in male patients who had been hospitalized due to cerebrospinal injury in the Intensive Care Unit.This randomized, placebo-controlled clinical (...) trial was performed on 75 patients who had pressure ulcer at Shahid Bahonar Hospital in Kerman, Iran, from September 2016 to March 2017. The control group received normal saline and routine wound dressing, while the intervention group received mummy water solution 20% in addition to normal saline and routine wound dressing on a daily basis. Data was recorded based on the PUSH method. In both groups, ulcers were evaluated on days 0, 7, 14, 21 and 28 for the variables of ulcer surface area, the amount

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2018 Electronic physician

12. [The Epidemiology of Pressure Ulcer in Germany: Systematic Review].

[The Epidemiology of Pressure Ulcer in Germany: Systematic Review]. Pressure ulcers are considered as indicators of the quality of care. The aim of this study was to provide a systematic review of the incidence and prevalence of pressure ulcers in Germany between 2010 and 2015.The databases PubMed, CINAHL, DIMDI, Web of Science, LIVIVO, Google, Google Scholar, as well as the publishers Springer and the Thieme were searched until the end of February 2016. The extracted data were monitored by two (...) 0.07% to 4.37%. No incidence figures and no routine data collections were identified for ambulatory settings. Prevalence varied between 2 and 4% (including category 1).Review results indicate that pressure ulcers are frequent within all health care settings in Germany. Disregarding methodological limitations, pressure ulcer prevalence is between 2% and 5% in long-term care patients. Due to the heterogeneity of the available data, generalizable statements are not possible for the hospital settings

2018 Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))

13. Pressure ulcer

Pressure ulcer Pressure ulcer - Symptoms, diagnosis and treatment | BMJ Best Practice You'll need a subscription to access all of BMJ Best Practice Search  Pressure ulcer Last reviewed: February 2019 Last updated: March 2018 Summary Pressure ulcers are commonly encountered in patients admitted to hospital and those in long-term care facilities. Older people, and all patients with limited mobility or impaired sensation, are at particular risk. Pressure damage most commonly occurs over bony (...) are appropriate strategies to prevent pressure ulcers. Management of pressure ulcers is determined by the location and condition or severity of the wound. Wounds should be managed in accordance with wound care practices or policies. Definition Pressure ulcers have been defined by the National Pressure Ulcer Advisory Panel and the European Pressure Ulcer Advisory Panel as localised injury to the skin and/or underlying tissue usually over a bony prominence, as a result of pressure or of pressure in combination

2018 BMJ Best Practice

14. Natural Sheepskins for Prevention or Treatment of Pressure Ulcers: Clinical Effectiveness. Cost-Effectiveness, and Guidelines

Natural Sheepskins for Prevention or Treatment of Pressure Ulcers: Clinical Effectiveness. Cost-Effectiveness, and Guidelines Natural Sheepskins for Prevention or Treatment of Pressure Ulcers: Clinical Effectiveness. Cost-Effectiveness, and Guidelines | CADTH.ca Find the information you need Natural Sheepskins for Prevention or Treatment of Pressure Ulcers: Clinical Effectiveness. Cost-Effectiveness, and Guidelines Natural Sheepskins for Prevention or Treatment of Pressure Ulcers: Clinical (...) Effectiveness. Cost-Effectiveness, and Guidelines Published on: December 8, 2017 Project Number: RB1170-000 Product Line: Research Type: Devices and Systems Report Type: Summary of Abstracts Result type: Report Question What is the clinical effectiveness of natural sheepskins for the prevention or treatment of pressure ulcers in adults with impaired mobility? What is the cost-effectiveness of natural sheepskins for the prevention or treatment of pressure ulcers in adults with impaired mobility? What

2017 Canadian Agency for Drugs and Technologies in Health - Rapid Review

15. Foam dressings for treating pressure ulcers. (PubMed)

Foam dressings for treating pressure ulcers. Pressure ulcers, also known as pressure injuries and bed sores, are localised areas of injury to the skin or underlying tissues, or both. Dressings made from a variety of materials, including foam, are used to treat pressure ulcers. An evidence-based overview of dressings for pressure ulcers is needed to enable informed decision-making on dressing use. This review is part of a suite of Cochrane Reviews investigating the use of dressings (...) in the treatment of pressure ulcers. Each review will focus on a particular dressing type.To assess the clinical and cost effectiveness of foam wound dressings for healing pressure ulcers in people with an existing pressure ulcer in any care setting.In February 2017 we searched: the Cochrane Wounds Specialised Register; the Cochrane Central Register of Controlled Trials (CENTRAL); Ovid MEDLINE (including In-Process & Other Non-Indexed Citations); Ovid Embase; EBSCO CINAHL Plus and the NHS Economic Evaluation

Full Text available with Trip Pro

2017 Cochrane

16. Mepilex Border dressings for preventing pressure ulcers

Mepilex Border dressings for preventing pressure ulcers Mepilex Border dressings for preventing pressure ulcers | Advice | NICE Mepilex Border dressings for preventing pressure ulcers Medtech innovation briefing [MIB124] Published date: October 2017 Advice This advice has been updated and replaced by . Explore © NICE [year]. All rights reserved. Subject to .

2017 National Institute for Health and Clinical Excellence - Advice

17. The Efficacy of Pressure Ulcer Treatment With Cathodal and Cathodal-Anodal High-Voltage Monophasic Pulsed Current: A Prospective, Randomized, Controlled Clinical Trial

The Efficacy of Pressure Ulcer Treatment With Cathodal and Cathodal-Anodal High-Voltage Monophasic Pulsed Current: A Prospective, Randomized, Controlled Clinical Trial Studies show that anode and cathode electrical stimulation (ES) promotes the healing of wounds, but specific protocols for both electrodes are not available.To compare the effectiveness of cathodal versus cathodal+anodal ES in the treatment of Category II-IV pressure ulcers (PrUs).Prospective, randomized, controlled, clinical

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2017 EvidenceUpdates

18. The cost-effectiveness of a patient centred pressure ulcer prevention care bundle: Findings from the INTACT cluster randomised trial

The cost-effectiveness of a patient centred pressure ulcer prevention care bundle: Findings from the INTACT cluster randomised trial Pressure ulcers are serious, avoidable, costly and common adverse outcomes of healthcare.To evaluate the cost-effectiveness of a patient-centred pressure ulcer prevention care bundle compared to standard care.Cost-effectiveness and cost-benefit analyses of pressure ulcer prevention performed from the health system perspective using data collected alongside (...) a cluster-randomised trial.Eight tertiary hospitals in Australia.Adult patients receiving either a patient-centred pressure ulcer prevention care bundle (n=799) or standard care (n=799).Direct costs related to the intervention and preventative strategies were collected from trial data and supplemented by micro-costing data on patient turning and skin care from a 4-week substudy (n=317). The time horizon for the economic evaluation matched the trial duration, with the endpoint being diagnosis of a new

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2017 EvidenceUpdates

19. Dressings and topical agents for treating pressure ulcers. (PubMed)

Dressings and topical agents for treating pressure ulcers. Pressure ulcers, also known as bedsores, decubitus ulcers and pressure injuries, are localised areas of injury to the skin or the underlying tissue, or both. Dressings are widely used to treat pressure ulcers and promote healing, and there are many options to choose from including alginate, hydrocolloid and protease-modulating dressings. Topical agents have also been used as alternatives to dressings in order to promote healing.A clear (...) and current overview of all the evidence is required to facilitate decision-making regarding the use of dressings or topical agents for the treatment of pressure ulcers. Such a review would ideally help people with pressure ulcers and health professionals assess the best treatment options. This review is a network meta-analysis (NMA) which assesses the probability of complete ulcer healing associated with alternative dressings and topical agents.To assess the effects of dressings and topical agents

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2017 Cochrane

20. Anabolic steroids for treating pressure ulcers. (PubMed)

Anabolic steroids for treating pressure ulcers. Pressure ulcers, also known as bed sores, pressure sores or decubitus ulcers develop as a result of a localised injury to the skin or underlying tissue, or both. The ulcers usually arise over a bony prominence, and are recognised as a common medical problem affecting people confined to a bed or wheelchair for long periods of time. Anabolic steroids are used as off-label drugs (drugs which are used without regulatory approval) and have been used (...) as adjuvants to usual treatment with dressings, debridement, nutritional supplements, systemic antibiotics and antiseptics, which are considered to be supportive in healing of pressure ulcers. Anabolic steroids are considered because of their ability to stimulate protein synthesis and build muscle mass. Comprehensive evidence is required to facilitate decision making, regarding the benefits and harms of using anabolic steroids.To assess the effects of anabolic steroids for treating pressure ulcers.In March

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2017 Cochrane