Latest & greatest articles for pressure ulcer

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Top results for pressure ulcer

161. Effectiveness and safety of negative pressure wound therapy for diabetic foot ulcers: a meta-analysis. (Full text)

Effectiveness and safety of negative pressure wound therapy for diabetic foot ulcers: a meta-analysis. The authors conducted a meta-analysis to evaluate the effectiveness and safety of negative-pressure wound therapy for diabetic foot ulcers.PubMed, EMBASE, and the Cochrane Library were searched to identify relevant studies published up to February of 2013. All randomized controlled trials comparing negative-pressure wound therapy and non-negative-pressure wound therapy (i.e., standard wound (...) care) for diabetic foot ulcers were included. Results were pooled using meta-analysis to assess the efficacy and safety of negative pressure in managing diabetic foot ulcers.The databases were derived from eight qualified studies that included a total of 669 patients. Overall, compared with the non-negative-pressure wound therapy-treated diabetic foot ulcers, negative pressure resulted in a significantly higher proportion of healed ulcers (relative risk, 1.52; 95 percent CI, 1.23 to 1.89; p<0.001

2014 Plastic and reconstructive surgery PubMed abstract

162. Pressure ulcers: prevention and management

Pressure ulcers: prevention and management Pressure ulcers: pre Pressure ulcers: prev vention and ention and management management Clinical guideline Published: 23 April 2014 nice.org.uk/guidance/cg179 © 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 The recommendations in this guideline represent the view of NICE, arrived at after careful consideration of the evidence (...) be inconsistent with complying with those duties. Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible. Pressure ulcers: prevention and management (CG179) © NICE 2019. All rights reserved. Subject to Notice of rights (https://www.nice.org.uk/terms-and- conditions#notice-of-rights). Page 2 of 29Contents Contents Introduction 4 Key priorities

2014 National Institute for Health and Clinical Excellence - Clinical Guidelines

163. Turning for the Prevention and Management of Pressure Ulcers

Turning for the Prevention and Management of Pressure Ulcers Turning for the Prevention and Management of Pressure Ulcers: OHTAC Recommendation. October 2014; pp. 1–12 Turning for the Prevention and Management of Pressure Ulcers: OHTAC Recommendation Ontario Health Technology Advisory Committee October 2014 Turning for the Prevention and Management of Pressure Ulcers: OHTAC Recommendation. October 2014; pp. 1–12 2 Suggested Citation This report should be cited as follows: Ontario Health (...) Technology Advisory Committee (OHTAC). Turning for the Prevention and Management of Pressure Ulcers: OHTAC recommendation [Internet]. Toronto: Queen's Printer for Ontario; 2014 October. 12 p. Available from: http://www.hqontario.ca/evidence/publications-and-ohtac-recommendations/ontario-health- technology-assessment-series/turn-multisite-trial. Permission Requests All inquiries regarding permission to reproduce any content in Health Quality Ontario reports should be directed to EvidenceInfo@hqontario.ca

2014 Health Quality Ontario

164. Systematic review: The effectiveness of pressure ulcer risk assessment instruments and associated intervention protocols remains uncertain

Systematic review: The effectiveness of pressure ulcer risk assessment instruments and associated intervention protocols remains uncertain The effectiveness of pressure ulcer risk assessment instruments and associated intervention protocols remains uncertain | BMJ Evidence-Based Medicine 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 The effectiveness of pressure ulcer risk assessment instruments and associated intervention protocols remains uncertain Article

2014 Evidence-Based Medicine

165. Negative pressure wound therapy for managing diabetic foot ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines

Negative pressure wound therapy for managing diabetic foot ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines Negative pressure wound therapy for managing diabetic foot ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines Negative pressure wound therapy for managing diabetic foot ulcers: a review of the clinical effectiveness, cost-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. Negative pressure wound therapy for managing diabetic foot ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response. 2014 Authors' conclusions The evidence presented in this report supports greater clinical efficacy of negative pressure wound therapy

2014 Health Technology Assessment (HTA) Database.

166. Natural sheepskins for the treatment of pressure ulcers: clinical effectiveness, cost-effectiveness, and guidelines

Natural sheepskins for the treatment of pressure ulcers: clinical effectiveness, cost-effectiveness, and guidelines Natural sheepskins for the treatment of pressure ulcers: clinical effectiveness, cost-effectiveness, and guidelines Natural sheepskins for the treatment of pressure ulcers: clinical effectiveness, cost-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. Natural sheepskins for the treatment of pressure ulcers: clinical effectiveness, cost-effectiveness, and guidelines. Ottawa: Canadian Agency for Drugs and Technologies in Health (CADTH). Rapid Response. 2014 Authors' conclusions One health technology assessment report and two systematic reviews regarding the clinical effectiveness of natural sheepskins for the treatment of pressure ulcers in adults with impaired mobility were identified

2014 Health Technology Assessment (HTA) Database.

167. Nutritional interventions for preventing and treating pressure ulcers. (Abstract)

Nutritional interventions for preventing and treating pressure ulcers. Pressure ulcers affect approximately 10% of people in hospitals and older people are at highest risk. A correlation between inadequate nutritional intake and the development of pressure ulcers has been suggested by several studies, but the results have been inconsistent.To evaluate the effects of enteral and parenteral nutrition on the prevention and treatment of pressure ulcers.In March 2014, for this first update, we (...) applied.Randomised controlled trials (RCTs) evaluating the effects of enteral or parenteral nutrition on the prevention and treatment of pressure ulcers, which measured the incidence of new ulcers, ulcer healing or changes in pressure ulcer severity. There were no restrictions on types of patient, setting, date, publication status or language.Two review authors independently screened for inclusion, and disagreement was resolved by discussion. Two review authors independently extracted data and assessed quality

2014 Cochrane database of systematic reviews (Online)

168. Systematic review of the use of prophylactic dressings in the prevention of pressure ulcers. (Full text)

Systematic review of the use of prophylactic dressings in the prevention of pressure ulcers. This systematic review considers the evidence supporting the use of prophylactic dressings for the prevention of pressure ulcer. Electronic database searches were conducted on 25 July 2013. The searches found 3026 titles and after removal of duplicate records 2819 titles were scanned against the inclusion and exclusion criteria. Of these, 2777 were excluded based on their title and abstract primarily (...) because they discussed pressure ulcer healing, the prevention and treatment of other chronic and acute wounds or where the intervention was not a prophylactic dressing (e.g. underpads, heel protectors and cushions). Finally, the full text of 42 papers were retrieved. When these 42 papers were reviewed, 21 were excluded and 21 were included in the review. The single high-quality randomised controlled trial (RCT) and the growing number of cohort, weak RCT and case series all suggest

2014 International wound journal PubMed abstract

169. Predictive capacity of risk assessment scales and clinical judgment for pressure ulcers: a meta-analysis. (Full text)

Predictive capacity of risk assessment scales and clinical judgment for pressure ulcers: a meta-analysis. A systematic review with meta-analysis was completed to determine the capacity of risk assessment scales and nurses' clinical judgment to predict pressure ulcer (PU) development. Electronic databases were searched for prospective studies on the validity and predictive capacity of PUs risk assessment scales published between 1962 and 2010 in English, Spanish, Portuguese, Korean, German (...) that included a validation study. We also retrieved 4 studies that tested clinical judgment as a risk prediction factor. Meta-analysis produced the following pooled predictive capacity indicators: Braden (RR = 4.26); Norton (RR = 3.69); Waterlow (RR = 2.66); Cubbin-Jackson (RR = 8.63); EMINA (RR = 6.17); Pressure Sore Predictor Scale (RR = 21.4); and clinical judgment (RR = 1.89). Pooled analysis of 11 studies found adequate risk prediction capacity in various clinical settings; the Braden, Norton, EMINA

2013 Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society / WOCN PubMed abstract

170. The mechanisms and evidence of efficacy of electrical stimulation for healing of pressure ulcer: A systematic review. (Abstract)

The mechanisms and evidence of efficacy of electrical stimulation for healing of pressure ulcer: A systematic review. The objective of this article is to provide a systematic review of the efficacy of electrical stimulation in healing pressure ulcer and to review its mechanism of action. The Cochrane Library, PubMed, CINAHL, Medline, EMBASE, and NHS EED were searched for relevant interventional studies including randomized controlled trials (RCTs) and observational studies. A best-evidence (...) studies that assessed the economic impacts of electrical stimulation revealed substantial health care cost savings. The mechanisms through which electrical stimulation exerts a positive effect on pressure ulcer healing are reasonably well established. Clinical trials have revealed a moderate level of evidence to support its use as an ancillary treatment modality for healing pressure ulcer. Recommendations regarding the optimal electrical stimulation parameters and dosage of use are provided. Further

2013 Wound Repair and Regeneration

171. Patient-reported outcome measures for chronic wounds with particular reference to pressure ulcer research: a systematic review. (Abstract)

Patient-reported outcome measures for chronic wounds with particular reference to pressure ulcer research: a systematic review. Pressure ulcers are a major health problem, affect patient psychological, physical and social functioning, and cause significant treatment burden. For comprehensive assessment of the benefits of an intervention, patient-reported evidence of the impact of an intervention on important patient outcomes should be made. We systematically reviewed the quality of life (...) literature on chronic wounds to determine the suitability of generic and chronic wound-specific outcome measures for use in evaluating patient outcomes in pressure ulcer research.A systematic review of the literature.Searches of eight electronic databases from inception until May 2012 were undertaken.Quality of life domains, item content and content relevance were determined for identified outcome measures. The content validity of identified measures was assessed against an empirically derived pressure

2013 International journal of nursing studies

172. Creating a pressure ulcer prevention algorithm: systematic review and face validation. (Abstract)

Creating a pressure ulcer prevention algorithm: systematic review and face validation. Pressure ulcer (PU) prevention is a care imperative supported by substantive evidence, but translating that knowledge into clinical decision-making at the point of care remains challenging. The purpose of this study was to create a succinct, evidence-based algorithm for inclusion in an existing industry-sponsored, evidence-based wound care program that will: 1) help clinicians assess and document overall

2013 Ostomy/wound management

173. Pressure ulcer treatment strategies: comparative effectiveness

Pressure ulcer treatment strategies: comparative effectiveness Pressure ulcer treatment strategies: comparative effectiveness Pressure ulcer treatment strategies: comparative effectiveness Saha S, Smith MEB, Totten A, Fu R, Wasson N, Rahman B, Motu'apuaka M, Hickam DH 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 Saha S, Smith MEB (...) , Totten A, Fu R, Wasson N, Rahman B, Motu'apuaka M, Hickam DH. Pressure ulcer treatment strategies: comparative effectiveness. Rockville: Agency for Healthcare Research and Quality (AHRQ). Comparative Effectiveness Review No. 90. 2013 Authors' conclusions Pressure ulcers affect up to 3 million Americans and are a major source of morbidity, mortality, and health care cost. This review summarizes evidence comparing the effectiveness and safety of pressure ulcer treatment strategies. Final publication

2013 Health Technology Assessment (HTA) Database.

174. Pressure ulcer risk assessment and prevention: comparative effectiveness

Pressure ulcer risk assessment and prevention: comparative effectiveness Pressure ulcer risk assessment and prevention: comparative effectiveness Pressure ulcer risk assessment and prevention: comparative effectiveness Chou R, Dana T, Bougatsos C, Blazina I, Starmer A, Reitel K, Buckley D 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 (...) Chou R, Dana T, Bougatsos C, Blazina I, Starmer A, Reitel K, Buckley D. Pressure ulcer risk assessment and prevention: comparative effectiveness. Rockville: Agency for Healthcare Research and Quality (AHRQ). Comparative Effectiveness Review No. 87. 2013 Authors' conclusions Although risk-assessment instruments can identify patients at higher risk for pressure ulcers, more research is needed to understand how the use of risk-assessment instruments impacts pressure ulcer incidence compared

2013 Health Technology Assessment (HTA) Database.

175. Hospital report cards for hospital-acquired pressure ulcers: how good are the grades? (Full text)

Hospital report cards for hospital-acquired pressure ulcers: how good are the grades? Value-based purchasing programs use administrative data to compare hospitals by rates of hospital-acquired pressure ulcers (HAPUs) for public reporting and financial penalties. However, validation of these data is lacking.To assess the validity of the administrative data used to generate HAPU rates by comparing the rates generated from these data with those generated from surveillance data.Retrospective

2013 Annals of Internal Medicine PubMed abstract

176. Mini Nutritional Assessment as a Useful Method of Predicting the Development of Pressure Ulcers in Elderly Inpatients (Full text)

Mini Nutritional Assessment as a Useful Method of Predicting the Development of Pressure Ulcers in Elderly Inpatients To determine the usefulness of the Mini Nutritional Assessment (MNA) and plasma amino acid analysis in predicting the formation of pressure ulcers (PUs) in inpatients.Prospective, observational cohort study with a mean observation period of 62.2 ± 86.4 days.Intermediate and acute care wards of a hospital in rural Japan.Inpatients with an average age of 85.0 ± 7.6 (N = 422).Mini

2013 EvidenceUpdates PubMed abstract

177. Dressings and topical agents for preventing pressure ulcers. (Full text)

Dressings and topical agents for preventing pressure ulcers. 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. The cost implications of pressure ulcer treatment are considerable, compounding the challenges in providing cost effective, efficient health (...) services. Efforts to prevent the development of pressure ulcers have focused on nutritional support, pressure redistributing devices, turning regimes and the application of various topical agents and dressings designed to maintain healthy skin, relieve pressure and prevent shearing forces. Although products aimed at preventing pressure ulcers are widely used, it remains unclear which, if any, of these approaches are effective in preventing the development of pressure ulcers.To evaluate the effects

2013 Cochrane PubMed abstract

178. Pressure ulcer treatment strategies: a systematic comparative effectiveness review (Full text)

Pressure ulcer treatment strategies: a systematic comparative effectiveness review Pressure ulcer treatment strategies: a systematic comparative effectiveness review Pressure ulcer treatment strategies: a systematic comparative effectiveness review Smith ME, Totten A, Hickam DH, Fu R, Wasson N, Rahman B, Motu'apuaka M, Saha S CRD summary The authors concluded that moderate-strength evidence showed that healing of pressure ulcers in adults was improved with use of air-fluidised beds, protein (...) supplementation, radiant heat dressings and electrical stimulation. There was insufficient or no evidence of a favourable effect for any of the interventions on complete wound healing. The authors' conclusion is likely to be reliable. Authors' objectives To compare the effectiveness and safety of treatment strategies for adults with pressure ulcers. Searching MEDLINE, EMBASE, CINAHL, EBM Reviews, Cochrane Central Register of Controlled Trials (CENTRAL), Cochrane Database of Systematic Reviews, DARE and HTA

2013 DARE. PubMed abstract

179. Pressure ulcer risk assessment and prevention: comparative effectiveness

Pressure ulcer risk assessment and prevention: comparative effectiveness Pressure ulcer risk assessment and prevention: comparative effectiveness Pressure ulcer risk assessment and prevention: comparative effectiveness Chou R, Dana T, Bougatsos C, Blazina I, Starmer A, Reitel K, Buckley D CRD summary This generally well-conducted review concluded that commonly used instruments can predict which patients are more likely to develop a pressure ulcer. There were no clear differences in test (...) accuracy between methods. Advanced static support surfaces were more effective than standard mattresses for reducing risk of pressure ulcers. The review conclusions seem appropriate. Authors' objectives To evaluate the predictive ability of pressure ulcer risk assessment tools and the benefits and harms of interventions to prevent and treat pressure ulcers. Searching MEDLINE, CINAHL and Cochrane Database of Systematic Reviews were searched to July 2012 for studies in English; full search strategies

2013 DARE.

180. A systematic review of risk factors for the development and recurrence of pressure ulcers in people with spinal cord injuries. (Full text)

A systematic review of risk factors for the development and recurrence of pressure ulcers in people with spinal cord injuries. A systematic review was undertaken, based upon methods recommended for effectiveness questions but adapted to identify observational risk factor (RF) studies.The literature identifies many RFs for pressure ulcer (PU) recurrence and development; however, RFs independently predictive of PU development in adults with spinal cord injury (SCI) have not been determined

2013 Spinal cord PubMed abstract