Latest & greatest articles for pressure ulcer

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Top results for pressure ulcer

181. Patient risk factors for pressure ulcer development: systematic review. (Full text)

Patient risk factors for pressure ulcer development: systematic review. To identify risk factors independently predictive of pressure ulcer development in adult patient populations?A systematic review of primary research was undertaken, based upon methods recommended for effectiveness questions but adapted to identify observational risk factor studies.Fourteen electronic databases were searched, each from inception until March 2010, with hand searching of specialist journals and conference (...) or moderate quality, whilst 37 studies (68.5%) had inadequate numbers of pressure ulcers and other methodological limitations. Risk factors emerging most frequently as independent predictors of pressure ulcer development included three primary domains of mobility/activity, perfusion (including diabetes) and skin/pressure ulcer status. Skin moisture, age, haematological measures, nutrition and general health status are also important, but did not emerge as frequently as the three main domains. Body

2013 International journal of nursing studies PubMed abstract

182. The effect of oxandrolone on the healing of chronic pressure ulcers in persons with spinal cord injury: a randomized trial. (Abstract)

The effect of oxandrolone on the healing of chronic pressure ulcers in persons with spinal cord injury: a randomized trial. Anabolic steroids have been reported to improve wound healing.To determine whether oxandrolone increases the percentage of target pressure ulcers (TPUs) that heal compared with placebo and whether healed ulcers remain closed 8 weeks after treatment.Parallel-group, placebo-controlled, randomized trial conducted from 1 August 2005 to 30 November 2008. Patients, clinical care

2013 Annals of Internal Medicine Controlled trial quality: predicted high

183. Validation and clinical impact of paediatric pressure ulcer risk assessment scales: A systematic review. (Abstract)

Validation and clinical impact of paediatric pressure ulcer risk assessment scales: A systematic review. Pressure ulcer risk assessment using an age-appropriate, valid and reliable tool is recommended for clinical paediatric practice.(1) What PU risk scales for children currently exist? (2) What is the diagnostic accuracy of their scores? (3) Are the scores reliable and what is the degree of agreement? (4) What is the clinical impact of risk scale scores in paediatric practice?Systematic (...) quality of the validity and reliability studies was assessed based on the QUADAS and QAREL checklists.The search yielded 1141 hints. Finally, 15 publications describing or applying 12 paediatric pressure ulcer risk scales were included. Three of these scales (Neonatal Skin Risk Assessment Scale for Predicting Skin Breakdown, Braden Q Scale, Burn Pressure Skin Risk Assessment Scale) were investigated in prospective validation studies. Empirical evidence about interrater reliability and agreement

2013 International journal of nursing studies

184. Patient Lifts and Transfer Equipment for Preventing Pressure Ulcers: A Review of Clinical and Cost-Effectiveness and Guidelines

Patient Lifts and Transfer Equipment for Preventing Pressure Ulcers: A Review of Clinical and Cost-Effectiveness and Guidelines Disclaimer: The Rapid Response Service is an information service for those involved in planning and providing health care in Canada. Rapid responses are based on a limited literature search and are not comprehensive, systematic reviews. The intent is to provide a list of sources of the best evidence on the topic that CADTH could identify using all reasonable efforts (...) . TITLE: Patient Lifts and Transfer Equipment for Preventing Pressure Ulcers: A Review of Clinical and Cost-Effectiveness and Guidelines DATE: 19 March 2013 CONTEXT AND POLICY ISSUES A pressure ulcer is an area of localized persistent injury to the skin that may include blisters, open wounds, or even necrosis, and which may extend to the underlying muscles and bones. 1-3 Tissue damage typically occurs as a result of sustained loading on a particular body area, sometimes accompanied with shear

2013 Canadian Agency for Drugs and Technologies in Health - Rapid Review

185. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review

Preventing in-facility pressure ulcers as a patient safety strategy: 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.

2013 DARE.

186. Traditional Chinese medicine for pressure ulcer: a meta-analysis. (Abstract)

Traditional Chinese medicine for pressure ulcer: a meta-analysis. To assess the effect of Traditional Chinese Medicine (TCM) [Chinese herbal medicine ointment (CHMO), acupuncture and moxibustion] on pressure ulcer. In this study, we searched MEDLINE, EMBASE, CENTER, CBM, CNKI, WAN FANG and VIP for articles published from database inception up to 4 April 2011. We included randomised controlled trials (RCTs), which compared the effects of TCM with other interventions. We assessed (...) the methodological quality of these trials using Cochrane risk of bias criteria. Ten of 565 potentially relevant trails that enrolled a total of 893 patients met our inclusion criteria. All the included RCTs only used CHMO intervention, because acupuncture and moxibustion trials failed to meet the inclusive criteria. A meta-analysis showed beneficial effects of CHMO for pressure ulcer compared with other treatments on the total effective rate [risk ratio (RR): 1·28; 95% confidence interval (CI): 1·20-1·36; P = 0

2013 International wound journal

187. Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. (Full text)

Preventing in-facility pressure ulcers as a patient safety strategy: a systematic review. Complications from hospital-acquired pressure ulcers cause 60,000 deaths and significant morbidity annually in the United States. The objective of this systematic review is to review evidence regarding multicomponent strategies for preventing pressure ulcers and to examine the importance of contextual aspects of programs that aim to reduce facility-acquired pressure ulcers. CINAHL, the Cochrane Library (...) , EMBASE, MEDLINE, and PreMEDLINE were searched for articles published from 2000 to 2012. Studies (any design) that implemented multicomponent initiatives to prevent pressure ulcers in adults in U.S. acute and long-term care settings and that reported pressure ulcer rates at least 6 months after implementation were selected. Two reviewers extracted study data and rated quality of evidence. Findings from 26 implementation studies (moderate strength of evidence) suggested that the integration of several

2013 Annals of internal medicine PubMed abstract

188. Interrater agreement, reliability and validity of the Glamorgan Paediatric Pressure Ulcer Risk Assessment Scale (Abstract)

Interrater agreement, reliability and validity of the Glamorgan Paediatric Pressure Ulcer Risk Assessment Scale To determine (1) What is the degree of interrater agreement and reliability of Glamorgan scale item and sum scores? and (2) Are Glamorgan scale sum scores valid?Pressure ulcer risk assessment scales are recommended for use in clinical practice. For paediatric patients, 12 instruments are currently described. Empirical evidence about the performance of Glamorgan scale scores (...) in clinical practice is limited.An observational validation study was conducted on a paediatric cardiac unit of a large university hospital in Germany in April and May 2010.Children were assessed simultaneously and independently by varying convenience samples of three nurses per assessment situation. Pressure ulcer risk was measured by the Glamorgan scale and a 100 mm Visual Analogue Scale (VAS). Proportions of agreement (po ), multirater kappa and intraclass correlation coefficients were

2013 EvidenceUpdates

189. Comprehensive programs for preventing pressure ulcers: a review of the literature (Full text)

Comprehensive programs for preventing pressure ulcers: a review of the literature Comprehensive programs for preventing pressure ulcers: a review of the literature Comprehensive programs for preventing pressure ulcers: a review of the literature Niederhauser A, VanDeusen Lukas C, Parker V, Ayello EA, Zulkowski K, Berlowitz D CRD summary The review concluded that comprehensive, multidisciplinary programmes could be successful in reducing pressure ulcers prevalence or incidence rates in acute (...) -care and long-term care settings. The review had some methodological shortcomings and the quality of the evidence base was uncertain, so caution is warranted when interpreting the authors’ conclusions. Authors' objectives To examine the evidence supporting the combined use of interventions to prevent pressure ulcers in acute-care and long-term care facilities. Searching MEDLINE and CINAHL were searched from January 1995 up to December 2010 for articles in English. Search terms were reported

2013 DARE. PubMed abstract

190. Dressing materials for the treatment of pressure ulcers in patients in long-term care facilities: a review of the comparative clinical effectiveness and guidelines

Dressing materials for the treatment of pressure ulcers in patients in long-term care facilities: a review of the comparative clinical effectiveness and guidelines Dressing materials for the treatment of pressure ulcers in patients in long-term care facilities: a review of the comparative clinical effectiveness and guidelines Dressing materials for the treatment of pressure ulcers in patients in long-term care facilities: a review of the comparative clinical effectiveness and guidelines CADTH (...) 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 CADTH. Dressing materials for the treatment of pressure ulcers in patients in long-term care facilities: a review of the comparative clinical effectiveness and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response - Summary with Critical Appraisal. 2013

2013 Health Technology Assessment (HTA) Database.

191. A national guideline for the treatment of pressure ulcers

A national guideline for the treatment of pressure ulcers A national guideline for the treatment of pressure ulcers A national guideline for the treatment of pressure ulcers Beeckman D, Matheï C, Van Lancker A, Vanwalleghem G, Van Houdt S, 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, Vanwalleghem G, Van Houdt S, Gryson L, Heyman H, Thyse C, Toppets A, Stordeur S, Van Den Heede K. A national guideline for the treatment of pressure ulcers. Brussels: Belgian Health Care Knowledge Centre (KCE). KCE Reports 203. 2013 Final publication URL Indexing Status Subject indexing assigned by CRD MeSH Humans; Practice Guidelines as Topic; Pressure Ulcer Language Published English Country of organisation Belgium English summary An English

2013 Health Technology Assessment (HTA) Database.

192. Cohort study: US Medicare data show incidence of hospital-acquired pressure ulcers is 4.5%, and they are associated with longer hospital stay and higher risk of death

Cohort study: US Medicare data show incidence of hospital-acquired pressure ulcers is 4.5%, and they are associated with longer hospital stay and higher risk of death US Medicare data show incidence of hospital-acquired pressure ulcers is 4.5%, and they are associated with longer hospital stay and higher risk of death | 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 US Medicare data show incidence of hospital-acquired pressure ulcers is 4.5

2013 Evidence-Based Nursing

193. Wound cleansing for pressure ulcers. (Full text)

Wound cleansing for pressure ulcers. Pressure ulcers (also called pressure sores, bed sores and decubitus ulcers) are areas of tissue damage that occur in the elderly, malnourished or acutely ill, who cannot reposition themselves. Pressure ulcers impose a significant financial burden on health care systems and negatively affect quality of life. Wound cleansing is considered an important component of pressure ulcer care.This systematic review seeks to answer the following question: what (...) is the effect of wound cleansing solutions and wound cleansing techniques on the rate of healing of pressure ulcers?For this third update, we searched the Cochrane Wounds Group Specialised Register (searched 3 January 2013); The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library 2012, Issue 12); Ovid MEDLINE (2010 to November Week 3 2012); Ovid MEDLINE (In-Process & Other Non-Indexed Citations December 31, 2012); Ovid EMBASE (2010 to 2012 Week 52); and EBSCO CINAHL (2010 to 21

2013 Cochrane database of systematic reviews (Online) PubMed abstract

194. Pressure-relieving interventions for treating diabetic foot ulcers. (Abstract)

Pressure-relieving interventions for treating diabetic foot ulcers. Diabetes-related foot ulceration is a major contributor to morbidity in diabetes. Diabetic foot ulcers are partly a consequence of abnormal foot pressures and pressure relief is a widely used treatment for healing diabetes-related plantar foot ulcers, but the most effective method for healing is unclear.To determine the effects of pressure-relieving interventions on the healing of foot ulcers in people with diabetes.For (...) the effects of pressure-relieving interventions on the healing of foot ulcers in people with diabetes.Data from eligible trials were extracted, and summarised using a data extraction sheet, by two review authors independently.Fourteen trials (709 participants) met the inclusion criteria for the review. One study compared two different types of non-removable casts with no discernable difference between the groups. Seven studies (366 participants) compared non-removable casts with removable pressure

2013 Cochrane database of systematic reviews (Online)

195. Pressure-redistribution surfaces for prevention of surgery-related pressure ulcers: a meta-analysis . (Abstract)

Pressure-redistribution surfaces for prevention of surgery-related pressure ulcers: a meta-analysis . Pressure-redistribution surfaces are generally recommended to prevent pressure ulcers (PUs) in high-risk patients, but their use in surgery-related PU prevention remains controversial. A meta-analysis was conducted to assess the relative preventive impact of pressure-redistribution surfaces versus standard hospital mattresses (usually a hospital-issue, foam-based mattress) on the incidence (...) of surgery-related PUs. Systematic literature searches were performed using the terms pressure ulcer, operation, surgery, mattress, foam, polymer, pad, overlay, surface, and interface. Country, race, language, and publication year of articles was not restricted; randomized or quasi-randomized controlled trials were eligible for analysis. Odds ratio (OR) with 95% confidence intervals (CIs) for surgery-related PU incidence in patients using support surfaces versus standard mattress were calculated

2013 Ostomy/wound management

196. [Frequency of pressure ulcers in german hospitals]. (Abstract)

[Frequency of pressure ulcers in german hospitals]. The prevalence and incidence of pressure ulcers are increasingly used to assess the quality of care delivered by health systems and facilities and the effectiveness of the pressure ulcer prevention initiatives in place. Available results about pressure ulcer prevalence and incidence in German hospitals are contradictory. The comparison of 3 multicentre nationwide studies is proposed to provide a more accurate estimation of the pressure ulcer (...) frequency. Pressure ulcer prevalence was compared by data provided by the Charité with data of the software-based data collection packet "Kinexus". Additionally, data on pressure ulcer incidence of Kinexus were compared with the results of the incidence data of the "Generalindikator Dekubitusprophylaxe" of the German Society of Quality Assurance (BQS, now AQUA Institute). Data from 2007 and 2008 and patients 75 years and older were considered. For the calculation of the outcome "pressure ulcer

2012 Gesundheitswesen (Bundesverband der Ärzte des Öffentlichen Gesundheitsdienstes (Germany))

197. Pressure ulcer prevention: an evidence-based analysis. (Full text)

Pressure ulcer prevention: an evidence-based analysis. In April 2008, the Medical Advisory Secretariat began an evidence-based review of the literature concerning pressure ulcers.Please visit the Medical Advisory Secretariat Web site, http://www.health.gov.on.ca/english/providers/program/mas/tech/tech_mn.html to review these titles that are currently available within the Pressure Ulcers series.PRESSURE ULCER PREVENTION: an evidence based analysisThe cost-effectiveness of prevention strategies (...) for pressure ulcers in long-term care homes in Ontario: projections of the Ontario Pressure Ulcer Model (field evaluation)MANAGEMENT OF CHRONIC PRESSURE ULCERS: an evidence-based analysis (anticipated pubicstion date - mid-2009) PURPOSE: A pressure ulcer, also known as a pressure sore, decubitus ulcer, or bedsore, is defined as a localized injury to the skin/and or underlying tissue occurring most often over a bony prominence and caused by pressure, shear, or friction, alone or in combination. (1) Those

2012 Ontario health technology assessment series PubMed abstract

198. Management of chronic pressure ulcers: an evidence-based analysis. (Full text)

Management of chronic pressure ulcers: an evidence-based analysis. In April 2008, the Medical Advisory Secretariat began an evidence-based review of the literature concerning pressure ulcers.Please visit the Medical Advisory Secretariat Web site, http://www.health.gov.on.ca/english/providers/program/mas/tech/tech_mn.html to review these titles that are currently available within the Pressure Ulcers series.PRESSURE ULCER PREVENTION: an evidence based analysisThe cost-effectiveness of prevention (...) strategies for pressure ulcers in long-term care homes in Ontario: projections of the Ontario Pressure Ulcer Model (field evaluation)MANAGEMENT OF CHRONIC PRESSURE ULCERS: an evidence-based analysisThe Medical Advisory Secretariat (MAS) conducted a systematic review on interventions used to treat pressure ulcers in order to answer the following questions: Do currently available interventions for the treatment of pressure ulcers increase the healing rate of pressure ulcers compared with standard care

2012 Ontario health technology assessment series PubMed abstract

199. [Pressure ulcer prevention with pressure-reducing seat cushions]. (Abstract)

[Pressure ulcer prevention with pressure-reducing seat cushions]. Analysis of the effectiveness of pressure-reducing seat cushions.Literature review.Investigation of the literature yielded 8 relevant studies. These studies encompassed three clinical trials with a total of 296 patients, and five laboratory experiments with a total of 107 subjects, including patients. The publications were written at level A (RCT and meta-analysis) and level B (other study forms) according to the principles (...) of evidence-based medicine. Both the pressure parameters of the pressure-reducing seat cushion and the development of pressure ulcers were used as measures for outcome. A 7.6 cm foam cushion was used as reference; it was not considered as one of the pressure-reducing systems.Two studies compared different types of air seat cushions with a foam/gel seat cushion. The best distribution of pressure was found for the air compartment seat cushion. This type of seat cushion provided the smallest contact surface

2012 Nederlands tijdschrift voor geneeskunde

200. Negative pressure wound therapy for patients with diabetic foot ulcers and pressure ulcers: a review of the clinical effectiveness

Negative pressure wound therapy for patients with diabetic foot ulcers and pressure ulcers: a review of the clinical effectiveness Negative pressure wound therapy for patients with diabetic foot ulcers and pressure ulcers: a review of the clinical effectiveness Negative pressure wound therapy for patients with diabetic foot ulcers and pressure ulcers: a review of the clinical effectiveness CADTH 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 CADTH. Negative pressure wound therapy for patients with diabetic foot ulcers and pressure ulcers: a review of the clinical effectiveness. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). 2012 Authors' conclusions Due to lack of evidence, the comparative clinical effectiveness of negative pressure wound therapy at different pressures or comparative clinical effectiveness

2012 Health Technology Assessment (HTA) Database.