Latest & greatest articles for pressure ulcer

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Top results for pressure ulcer

21. Efficacy of mummy on healing of pressure ulcers: A randomized controlled clinical trial on hospitalized patients in intensive care unit Full Text available with Trip Pro

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

2018 Electronic physician Controlled trial quality: uncertain

22. Leg ulcer - venous: How should I interpret ankle brachial pressure index (ABPI) results?

Leg ulcer - venous: How should I interpret ankle brachial pressure index (ABPI) results? Interpretation of ABPI | Diagnosis | Leg ulcer - venous | CKS | NICE Search CKS… Menu Interpretation of ABPI Leg ulcer - venous: How should I interpret ankle brachial pressure index (ABPI) results? Last revised in February 2020 How should I interpret ankle brachial pressure index (ABPI) results? The ankle brachial pressure index (ABPI) provides an index of vessel competency by measuring the ratio (...) Statement: Addressing complexities in the management of venous leg ulcers [ ]. Ankle brachial pressure index (ABPI) The ABPI is the ratio of the ankle systolic blood pressure to the brachial systolic blood pressure and can be measured using a sphygmomanometer and a hand held Doppler device [ ]. It is the most reliable way to detect arterial insufficiency. The absence of foot pulses may indicate arterial insufficiency; however, palpation alone is not sufficient to rule this out [ ]. SIGN advises

2018 NICE Clinical Knowledge Summaries

23. 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

24. French guidelines from PERSE, SoFCPRE and SOFMER for the medical and surgical management of pressure ulcers in persons with spinal cord injury Full Text available with Trip Pro

French guidelines from PERSE, SoFCPRE and SOFMER for the medical and surgical management of pressure ulcers in persons with spinal cord injury French guidelines from PERSE, SoFCPRE and SOFMER for the medical and surgical management of pressure ulcers in persons with spinal cord injury - PubMed This site needs JavaScript to work properly. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable (...) Name of RSS Feed: Number of items displayed: Create RSS Cancel RSS Link Copy Actions Cite Display options Display options Format Share Permalink Copy Page navigation Ann Phys Rehabil Med Actions . 2018 Sep;61(5):352-354. doi: 10.1016/j.rehab.2018.05.1318. Epub 2018 Jun 9. French guidelines from PERSE, SoFCPRE and SOFMER for the medical and surgical management of pressure ulcers in persons with spinal cord injury , , , , , , , Affiliations Expand Affiliations 1 Prévention- éducation- recherche et

2018 French Clinical Guidelines

25. 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

26. Prevalence of Pressure Ulcers in Different Parts of the Body after Surgery: Systematic Review and Meta-Analysis Full Text available with Trip Pro

Prevalence of Pressure Ulcers in Different Parts of the Body after Surgery: Systematic Review and Meta-Analysis Prevalence of Pressure Ulcers in Different Parts of the Body after Surgery: Systematic Review and Meta-Analysis - Iranian Journal of Nursing Research - مجله پژوهش پرستاری ایران [ ] [ ] Volume 12, Issue 4 (September-October 2017) , , * Mazandaran University of Medical Sciences, Sari, Iran , Mmoosazadeh1351@yahoo Abstract: (3514 Views) Introduction: Located in a constant position during (...) surgery, surgical patients are at risk of developing pressure sores, and attention to areas of the body that are more susceptible to pressure ulcers is important. This study aimed at determining the prevalence of pressure ulcers in different areas of the body after surgery. Methods: This study was a systematic review and meta-analysis, conducted during year 2015, using the following key words, Pressure ulcer, Prevalence, surgical patient, and meta-analysis, in the following databases, PubMed, Google

2017 Iranian Journal of Nursing Research

27. 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

28. The Efficacy of Pressure Ulcer Treatment With Cathodal and Cathodal-Anodal High-Voltage Monophasic Pulsed Current: A Prospective, Randomized, Controlled Clinical Trial Full Text available with Trip Pro

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

2017 EvidenceUpdates

29. The cost-effectiveness of a patient centred pressure ulcer prevention care bundle: Findings from the INTACT cluster randomised trial Full Text available with Trip Pro

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

2017 EvidenceUpdates

30. Anabolic steroids for treating pressure ulcers. Full Text available with Trip Pro

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

2017 Cochrane

31. Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles

Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles | CADTH.ca CADTH Document Viewer Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles Table of Contents Search this document Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure (...) in order to relieve unsafe pressures. The SurroSense Rx system is used in addition to current standard-of-care treatment for the prevention of plantar ulcers in diabetic patients. There is currently no available evidence that using the SurroSense Rx system prevents plantar ulcers. However, there are ongoing clinical trials that may identify patient populations that will benefit from its use. Issue Over time, high blood sugar in people living with diabetes causes damage to the peripheral nerves

2017 CADTH - Issues in Emerging Health Technologies

32. Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles

Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles | CADTH.ca CADTH Document Viewer Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure-Sensing Shoe Insoles Table of Contents Search this document Prevention of Plantar Ulcers in People With Diabetic Peripheral Neuropathy Using Pressure (...) in order to relieve unsafe pressures. The SurroSense Rx system is used in addition to current standard-of-care treatment for the prevention of plantar ulcers in diabetic patients. There is currently no available evidence that using the SurroSense Rx system prevents plantar ulcers. However, there are ongoing clinical trials that may identify patient populations that will benefit from its use. Issue Over time, high blood sugar in people living with diabetes causes damage to the peripheral nerves

2017 CADTH - Issues in Emerging Health Technologies

33. Pressure mapping to prevent pressure ulcers in a hospital setting: A pragmatic randomised controlled trial (Abstract)

Pressure mapping to prevent pressure ulcers in a hospital setting: A pragmatic randomised controlled trial Pressure ulcers cause suffering to patients and costs to society. Reducing pressure at the interface between the patient's body and the support surface is a valid clinical intervention for reducing the risk of pressure ulcers. However, studies have shown that knowledge of how to reduce pressure and shear and to prevent pressure ulcers is lacking.To evaluate the effect of a pressure mapping (...) system on pressure ulcer prevalence and incidence in a hospital setting.Pragmatic randomised controlled trial.A geriatric/internal medical ward with 26 beds in a Swedish university hospital.190 patients were recruited (intervention: n=91; control: n=99) over a period of 9 months. Patients were eligible if they were over 50 years old, admitted to the ward between Sunday 4pm and Friday 4pm, and expected to stay in the ward ≥3 days.The continuous bedside pressure mapping system displays the patient's

2017 EvidenceUpdates

34. Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines

Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines Absorbable Delivery Products for Treatment of Patients with Periprosthetic Infections: Clinical and Cost-Effectiveness | CADTH.ca Find the information you need Absorbable Delivery Products for Treatment of Patients with Periprosthetic Infections: Clinical and Cost-Effectiveness Absorbable Delivery Products for Treatment of Patients with Periprosthetic Infections: Clinical and Cost

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

35. Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines

Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines | CADTH.ca Find the information you need Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines Polyurethane Foam Dressings for the Prevention of Pressure Ulcers: Clinical and Cost-Effectiveness and Guidelines (...) Published on: April 3, 2017 Project Number: RC0866-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of polyurethane foam dressings for the prevention of pressure ulcers? What is the cost-effectiveness of polyurethane foam dressings for the prevention of pressure ulcers? What are the evidence-based guidelines regarding the use of polyurethane foam dressings for the prevention of pressure

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

36. Reconstructive surgery for treating pressure ulcers. Full Text available with Trip Pro

Reconstructive surgery for treating pressure ulcers. The management of pressure ulcers involves several interventions ranging from pressure-relieving measures such as repositioning, to treatments that can include reconstructive surgery. Such surgery may be considered for recalcitrant wounds when full thickness skin loss arises and deeper structures such as muscle fascia and even bone are exposed. The surgery commonly involves wound debridement followed by the addition of new tissue (...) into the wound. Whilst reconstructive surgery is an accepted means of ulcer management, the benefits and harms of surgery compared with non-surgical treatments, or alternative surgical approaches are not clear.To assess the effects of reconstructive surgery for healing pressure ulcers (stage II or above), comparing surgery with no surgery or comparing alternative forms of surgery in any care setting.We searched the following electronic databases to identify reports of relevant randomised clinical trials

2016 Cochrane

37. Bed rest for pressure ulcer healing in wheelchair users. Full Text available with Trip Pro

Bed rest for pressure ulcer healing in wheelchair users. Pressure ulcers, which are 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, and impact negatively on the individual's quality of life. International guidelines suggest bed rest as a component of the treatment strategy to manage pressure ulcers among wheelchair users. The potential (...) benefits and risks need to be considered when assessing the effectiveness of bed rest as an intervention for treating pressure ulcers in this population. Therefore, it was important to search and appraise existing research evidence in order to determine the impact of bed rest on the healing of pressure ulcers in wheelchair users.To assess the impact of bed rest on pressure ulcer healing, in wheelchair users, of any age, who are living or being cared for in any setting.In October 2016 we searched

2016 Cochrane

38. Emerging Technologies for the Prevention of Pressure Ulcers in Acute Care Settings: A Review of Clinical and Cost-Effectiveness and Guidelines

Emerging Technologies for the Prevention of Pressure Ulcers in Acute Care Settings: A Review of Clinical and Cost-Effectiveness and Guidelines Emerging Technologies for the Prevention of Pressure Ulcers in Acute Care Settings: A Review of Clinical and Cost-Effectiveness and Guidelines | CADTH.ca Find the information you need Emerging Technologies for the Prevention of Pressure Ulcers in Acute Care Settings: A Review of Clinical and Cost-Effectiveness and Guidelines Emerging Technologies (...) for the Prevention of Pressure Ulcers in Acute Care Settings: A Review of Clinical and Cost-Effectiveness and Guidelines Published on: September 12, 2016 Project Number: RC0809-000 Product Line: Research Type: Devices and Systems Report Type: Summary with Critical Appraisal Result type: Report Question What is the clinical effectiveness of emerging technologies when used alone, or in combination with established interventions, for the prevention of pressure ulcers in acute care settings? What is the clinical

2016 Canadian Agency for Drugs and Technologies in Health - Rapid Review

39. Validation of the interRAI Pressure Ulcer Risk Scale in Acute Care Hospitals Full Text available with Trip Pro

Validation of the interRAI Pressure Ulcer Risk Scale in Acute Care Hospitals To validate the Pressure Ulcer Risk Scale (PURS) to screen for pressure ulcer (PU) outcomes in the acute hospital setting.Secondary data analysis was undertaken using a combined dataset from three prospective cohort studies.General medical, surgical, and orthopedic wards in 11 hospitals in two states of Australia.Individuals aged 70 and older admitted to the hospital for longer than 48 hours from July 2005 to May 2010 (...) characteristic curve).Complete data were available for 1,371 (96.7%) participants, 85 of whom (6.2%) had a PU at admission. Of the 1,286 without PUs at admission, 42 (3.3%) developed a new PU during their hospital stay. The association between PURS and outcomes had a c-statistic of 0.81 (standard error (SE) 0.02) for prevalent ulcers at admission and 0.70 (SE 0.04) for incidence of new PUs.When derived from the interRAI AC tool, the PURS demonstrated good to strong ability to screen for PU outcome in acute

2016 EvidenceUpdates

40. Exploring the challenge of health research priority setting in partnership: reflections on the methodology used by the James Lind Alliance Pressure Ulcer Priority Setting Partnership Full Text available with Trip Pro

Exploring the challenge of health research priority setting in partnership: reflections on the methodology used by the James Lind Alliance Pressure Ulcer Priority Setting Partnership The James Lind Alliance (JLA) brings patients, carers and clinicians together in Priority Setting Partnerships (PSPs) to identify and prioritise shared uncertainties about the effects of treatment. The JLA emerged from the evidence-informed healthcare movement to address a concern that the research being carried (...) out on treatment effectiveness is not that of most importance to patients and health professionals. In the JLA PSPs, 'hard' evidence-informed ideals meet 'soft' participatory practices. This article explores the challenges of putting co-production methods into practice by reflecting on the methods used by the JLA Pressure Ulcer PSP (JLAPUP). The JLA principles are transparency, inclusivity and avoiding waste in research. This means paying the same close critical attention to how PSPs are designed

2016 Research involvement and engagement