Latest & greatest articles for pressure ulcer

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Top results for pressure ulcer

101. 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

102. 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

103. 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

104. Review: little evidence exists for type of dressing or support surface or for nutritional supplements for pressure ulcers

Review: little evidence exists for type of dressing or support surface or for nutritional supplements for pressure ulcers Review: little evidence exists for type of dressing or support surface or for nutritional supplements for pressure ulcersCommentary | 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 (...) Text Treatment Review: little evidence exists for type of dressing or support surface or for nutritional supplements for pressure ulcers Commentary Statistics from Altmetric.com Question Are different treatments effective for pressure ulcers? Review scope Included studies were randomised controlled trials (RCTs) published in English that reported outcomes that included wound size or complete healing. Review methods Medline, EMBASE/Excerpta Medica, and CINAHL (all to Aug 2008) were searched for RCTs

2009 Evidence-Based Nursing

105. Insufficient evidence on repositioning patients for treatment of pressure ulcers

Insufficient evidence on repositioning patients for treatment of pressure ulcers PEARLS Practical Evidence About Real Life Situations PEARLS are succinct summaries of Cochrane Systematic Reviews for primary care practitioners. They Insufficient evidence on repositioning patients for treatment of pressure ulcers Clinical question How effective is repositioning patients for treatment of pressure ulcers? Bottom line Despite the widespread use of repositioning as a component of the management plan (...) for individuals with existing pressure ulcers, there is no randomised controlled trial (RCT) evidence that assesses the effects of repositioning patients on the healing rates of pressure ulcers. Caveat 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

2009 Publication 410

106. Clinical use of interface pressure to predict pressure ulcer development: a systematic review

Clinical use of interface pressure to predict pressure ulcer development: 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.

2009 DARE.

107. [Validation of an assessment scale of the risk of pressure ulcers in hospitalised children]

[Validation of an assessment scale of the risk of pressure ulcers in hospitalised children] Validacion de una escala de valoracion del riesgo de ulceras por presion en ninos hospitalizados [Validation of an assessment scale of the risk of pressure ulcers in hospitalised children] Validacion de una escala de valoracion del riesgo de ulceras por presion en ninos hospitalizados [Validation of an assessment scale of the risk of pressure ulcers in hospitalised children] Quesada C, Iruretagoyena ML (...) de valoracion del riesgo de ulceras por presion en ninos hospitalizados. [Validation of an assessment scale of the risk of pressure ulcers in hospitalised children] Vitoria-Gasteiz: Basque Office for Health Technology Assessment (OSTEBA). D-09-08. 2009 Authors' objectives

The aim of this study is to translate and validate a valuation scale of the risk of developing PU in hospitalised children: the Braden Q scale. The specific aims are as follows:
Determine the validity of the contents

2009 Health Technology Assessment (HTA) Database.

108. Specialty mattresses for the prevention and management of pressure ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines

Specialty mattresses for the prevention and management of pressure ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines Specialty mattresses for the prevention and management of pressure ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines Specialty mattresses for the prevention and management of pressure ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines Tran K, Nkansah E 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 Tran K, Nkansah E. Specialty mattresses for the prevention and management of pressure ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). 2009 Authors' conclusions The literature identified indicates that both “low-tech” CLP

2009 Health Technology Assessment (HTA) Database.

109. Economic evaluation of pressure ulcer care: a cost minimization analysis of preventive strategies

Economic evaluation of pressure ulcer care: a cost minimization analysis of preventive strategies Economic evaluation of pressure ulcer care: a cost minimization analysis of preventive strategies Economic evaluation of pressure ulcer care: a cost minimization analysis of preventive strategies Schuurman JP, Schoonhoven L, Defloor T, van Engelshoven I, van Ramshorst B, Buskens 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. CRD summary This study examined the clinical and economic impact of a mainly technical-aid approach versus a mainly human-intervention approach for the prevention of pressure ulcers in hospitalised patients. The authors concluded that the technical approach was as effective as human intervention, but was much cheaper

2009 NHS Economic Evaluation Database.

110. Inpatients felt that pressure ulcers had emotional, mental, physical, and social effects on quality of life because nurses did not adequately treat or manage their pain or discomfort

Inpatients felt that pressure ulcers had emotional, mental, physical, and social effects on quality of life because nurses did not adequately treat or manage their pain or discomfort Inpatients felt that pressure ulcers had emotional, mental, physical, and social effects on quality of life because nurses did not adequately treat or manage their pain or discomfort | Evidence-Based Nursing We use cookies to improve our service and to tailor our content and advertising to you. You can manage your (...) ulcers had emotional, mental, physical, and social effects on quality of life because nurses did not adequately treat or manage their pain or discomfort Article Text Qualitative Inpatients felt that pressure ulcers had emotional, mental, physical, and social effects on quality of life because nurses did not adequately treat or manage their pain or discomfort Statistics from Altmetric.com Request Permissions If you wish to reuse any or all of this article please use the link below which will take you

2008 Evidence-Based Nursing

111. Preventing recurrent pressure ulcers in veterans with spinal cord injury: impact of a structured education and follow-up intervention (Abstract)

Preventing recurrent pressure ulcers in veterans with spinal cord injury: impact of a structured education and follow-up intervention To test the hypothesis that enhanced education and structured follow-up after pressure ulcer surgery will result in fewer recurrences.Randomized controlled trial.Veterans Affairs medical center.Forty-nine veteran men with spinal cord injury or dysfunction were approached on admission for pressure ulcer surgery. Five never had surgery, 2 refused to participate (...) , and one withdrew. Forty-one were randomized into 3 groups. Three participants' ulcers did not heal, so follow-up could not begin.Group 1 received individualized pressure ulcer education and monthly structured telephone follow-up (n=20); group 2 received monthly mail or telephone follow-up without educational content (n=11); and group 3 received quarterly mail or telephone follow-up without educational content (n=10). Follow-up continued until recurrence, death, or 24 months.Time to pressure ulcer

2008 EvidenceUpdates Controlled trial quality: uncertain

112. Risk assessment tools for the prevention of pressure ulcers. Full Text available with Trip Pro

Risk assessment tools for the prevention of pressure ulcers. Pressure ulcer risk assessment 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. A review was conducted to clarify the role of pressure ulcer risk assessment in clinical (...) practice.The objective of this review was to determine whether using structured, systematic pressure ulcer risk assessment tools, in any health care setting, reduces the incidence of pressure ulcers.The following databases were searched: MEDLINE (January 1966 to April Week 3, 2008); EMBASE (1974 to Week 17, 2008); CINAHL (1982 to April Week 4, 2008); The Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library, issue 2, 2008); The Wounds Group Specialised Register (searched 29/4/2008

2008 Cochrane

113. Alternating pressure air mattresses as prevention for pressure ulcers: A literature review (Abstract)

Alternating pressure air mattresses as prevention for pressure ulcers: A literature review The purpose of this paper is to examine and synthesise the literature on alternating pressure air mattresses (APAMs) as a preventive measure for pressure ulcers.Literature review.PubMed, Cinahl, Central, Embase, and Medline databases were searched to identify original and relevant articles. Additional publications were retrieved from the references cited in the publications identified during (...) the electronic database search.Thirty-five studies were included. Effectiveness and comfort of APAMs were the main focuses of the studies evaluating APAMs. Pressure ulcer incidence, contact interface pressure, and blood perfusion were the most frequently used outcome measures to evaluate the effectiveness of APAMs. Fifteen randomised controlled trials (RCTs) analysed the pressure ulcer incidence. One RCT compared a standard hospital mattress with an APAM and found that the APAM was a more effective

2008 EvidenceUpdates

114. Pressure ulcers in the long-term care setting.

Pressure ulcers in the long-term care setting. 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

2008 American Medical Directors Association

115. Comparison of Negative Pressure Wound Therapy Utilizing Vacuum-Assisted Closure to Advanced Moist Wound Therapy in the Treatment of Diabetic Foot Ulcers A Multicenter Randomized Controlled Trial Full Text available with Trip Pro

Comparison of Negative Pressure Wound Therapy Utilizing Vacuum-Assisted Closure to Advanced Moist Wound Therapy in the Treatment of Diabetic Foot Ulcers A Multicenter Randomized Controlled Trial The purpose of this study was to evaluate safety and clinical efficacy of negative pressure wound therapy (NPWT) compared with advanced moist wound therapy (AMWT) to treat foot ulcers in diabetic patients.This multicenter randomized controlled trial enrolled 342 patients with a mean age of 58 years; 79 (...) % were male. Complete ulcer closure was defined as skin closure (100% reepithelization) without drainage or dressing requirements. Patients were randomly assigned to either NPWT (vacuum-assisted closure) or AMWT (predominately hydrogels and alginates) and received standard off-loading therapy as needed. The trial evaluated treatment until day 112 or ulcer closure by any means. Patients whose wounds achieved ulcer closure were followed at 3 and 9 months. Each study visit included closure assessment

2008 EvidenceUpdates Controlled trial quality: uncertain

116. Review: support surfaces, nutritional supplements, and topical agents help prevent pressure ulcers

Review: support surfaces, nutritional supplements, and topical agents help prevent pressure ulcers Review: support surfaces, nutritional supplements, and topical agents help prevent pressure ulcers | 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: support surfaces, nutritional supplements, and topical agents help prevent pressure ulcers Article Text Treatment Review: support surfaces, nutritional supplements, and topical agents help

2008 Evidence-Based Nursing

117. Negative pressure wound therapy promoted healing of diabetic foot ulcers more than advanced moist wound therapy Full Text available with Trip Pro

Negative pressure wound therapy promoted healing of diabetic foot ulcers more than advanced moist wound therapy Negative pressure wound therapy promoted healing of diabetic foot ulcers more than advanced moist wound therapyCommentary | 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 Negative pressure wound therapy promoted healing of diabetic foot ulcers more than advanced moist wound therapyCommentary Article Text Treatment Negative pressure

2008 Evidence-Based Nursing

118. Review: evidence of the effectiveness of hydrocolloids for healing pressure ulcers is limited

Review: evidence of the effectiveness of hydrocolloids for healing pressure ulcers is limited Review: evidence of the effectiveness of hydrocolloids for healing pressure ulcers is limitedCommentary | 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: evidence of the effectiveness of hydrocolloids for healing pressure ulcers is limitedCommentary Article Text Treatment Review: evidence of the effectiveness of hydrocolloids for healing

2008 Evidence-Based Nursing

119. A systematic review of the effectiveness of negative pressure wound therapy in the management of diabetes foot ulcers

A systematic review of the effectiveness of negative pressure wound therapy in the management of diabetes foot 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.

2008 DARE.

120. The effectiveness of topical negative pressure in the treatment of pressure ulcers: a literature review

The effectiveness of topical negative pressure in the treatment of pressure ulcers: a literature review The effectiveness of topical negative pressure in the treatment of pressure ulcers: a literature review The effectiveness of topical negative pressure in the treatment of pressure ulcers: a literature review van den Boogaard M, de Laat E, Spauwen P, Schoonhoven L CRD summary This narrative review of the effectiveness of topical negative pressure in the treatment of pressure ulcers concluded (...) that topical negative pressure was not proven to be more effective than other interventions. The reliability of these conclusions is limited by the small size of included studies and the lack of information on participants, outcomes, study selection and data extraction. Authors' objectives To assess the effectiveness of vacuum-assisted closure (VAC) therapy and in particular topical negative pressure in the treatment of pressure ulcers. Searching MEDLINE, EMBASE and CINAHL were searched from 1992 to 2007

2008 DARE.