Search Results
Results 51 - 100 of 1813
1 2 3 4 5 6 7 8 9 10 >
Nakagami Gojiro - - 2013
Abstract Purpose: To investigate the effect of alternating air cells of a newly developed dynamic cushion on interface pressure and tissue oxygenation levels. Method: This cross-over experimental study included 19 healthy volunteers. The dynamic cushion used has an automatic self-regulating alternating pressure air-cell system with 35 small and four large ...
Mizokami Fumihiro F Department of Pharmacy, National Center for Geriatrics and Gerontology, - - 2013
Necrotizing soft tissue infections (STIs) are serious complications that may arise from pressure ulcers. However, there are few studies on this important issue. In addition, diagnostic criteria for necrotizing STIs developing from pressure ulcers and infected pressure ulcers are not well established. We defined necrotizing STIs developing from pressure ulcers ...
Bouvet Lionel - - 2013
The authors sought to determine the level of inspiratory pressure minimizing the risk of gastric insufflation while providing adequate pulmonary ventilation. The primary endpoint was the increase in incidence of gastric insufflation detected by ultrasonography of the antrum while inspiratory pressure for facemask pressure-controlled ventilation increased from 10 to 25 ...
Cooper Karen L - - 2013
The development of stage III or IV pressure ulcers is currently considered a never event. Critical care patients are at high risk for development of pressure ulcers because of the increased use of devices, hemodynamic instability, and the use of vasoactive medications. This article addresses risk factors, risk scales such ...
Kim Eunkyung E Department of Nursing, Yonsei University Health System, Seoul, - - 2013
The purposes of this study were to examine the predictive validity of the Cubbin and Jackson pressure ulcer risk assessment scale for the development of pressure ulcers in intensive care unit (ICU) patients retrospectively and to evaluate the reusability of Electronic Medical Records (EMR) data. A retrospective design was used ...
Cullen Gill E - - 2013
Objective: To determine undergraduate nurses' knowledge of and attitudes towards pressure ulcer prevention. Method: A quantitative, cross-sectional survey design was used for this study. Ethical approval was received. A convenience sample of fourth-year undergraduate nurses was selected to participate (n=60). Data were collected using a pre-designed questionnaire. Results: Overall, the ...
Stephen-Haynes Jackie - - 2013
This article considers the anatomy and physiology of the skin, the natural protection the skin provides in relation to barrier protection and the importance of barrier protection in pressure ulcer prevention. The current national pressure ulcer agenda including high impact actions and the SSKIN care bundle, along with their implementation ...
Alja Afreh Mahmoud - - 2013
Background: Patients are at risk of developing pressure ulcers while they are hospitalised. These risks need to be managed effectively to avoid harm and to minimise costs. Objective: This study was aimed at determining the prevalence and incidence of pressure ulcers at selected acute clinical settings in central Jordan. Design: ...
Bilgin Mehtap - - 2013
The aim of this study was to examine the levels of agreement among 3 techniques used in wound measurement comparing more spherical versus irregularly shaped wounds. The design of this study is evaluative research. Sixty-five consecutive patients with 80 pressure ulcers of various sizes referred from a university hospital in ...
Sprigle Stephen - - 2013
Abstract Pressure ulcers (PUs) remain a costly and, often avoidable, complication of full time wheelchair use. Clinicians routinely evaluate PU risk to assist in selecting devices and interventions that may prevent PUs from occurring. Clinical assessment of risk can be evaluated in many different manners, both formally and informally and, ...
Maida Vincent - - 2013
Pressure ulcers are the most prevalent wounds affecting patients with advanced illness. Although complete wound healing is the most desired outcome, it remains unlikely in the setting of patients with limited life expectancy. Realistic goal setting may be enabled using objective clinical parameters. To identify clinical parameters associated with complete ...
Lupiáñez-Pérez Inmaculada - - 2013
Pressure ulcers are considered an important issue, mainly affecting immobilized older patients. These pressure ulcers increase the care burden for the professional health service staff as well as pharmaceutical expenditure. There are a number of studies on the effectiveness of different products used for the prevention of pressure ulcers; however, ...
Liao Fuyuan - - 2013
The objective of this study was to investigate the effects of local heating on complexity of skin blood flow oscillations (BFO) under prolonged surface pressure in rats. Eleven Sprague-Dawley rats were studied: 7 rats underwent surface pressure with local heating (Δt = 10 °C) and 4 rats underwent pressure without ...
Sving Eva - - 2013
Implementation of evidence-based care for pressure ulcer prevention is lacking. As the hospital organization is complex, more knowledge is needed to understand how nursing care in this area can be improved. The present study investigated the associations between variables on different levels in the healthcare setting (patient, unit, hospital) and ...
Wang Hua - - 2013
The aim of this study was to examine the impact of pressure ulcers on inpatient rehabilitation facility (IRF) outcomes. This is a retrospective analysis of the IRF data in the United States from the Uniform Data System for Medical Rehabilitation between 2009 and 2011. The study sample included 2902 pairs ...
Schindler Christine A - - 2013
To determine whether a pressure ulcer prevention bundle was associated with a significant reduction in pressure ulcer development in infants in the pediatric intensive care unit. Quasi-experimental design involving 399 infants 0 to 3 months of age at a large tertiary care medical center. The implementation of the care bundle ...
Dhandapani Manju - - 2013
To assess the factors associated with development of pressure ulcer in patients with severe traumatic brain injury (TBI) and study its prognostic significance with respect to neurological outcome at three months. Patients with severe TBI are prone to develop pressure ulcer due to various factors, which have never been studied ...
Deane Adam M AM Adam M Deane, Marianne J Chapman, Discipline of Acute Care Medicine, University of Adelaide, Adelaide 5000, South Australia, - - 2013
To evaluate individual components of the antro-pyloro-duodenal (APD) motor response to graded small intestinal glucose infusions in healthy humans. APD manometry was performed in 15 healthy subjects (12 male; 40 ± 5 years, body mass index 26.5 ± 1.6 kg/m(2)) during four 20-min intraduodenal infusions of glucose at 0, 0.5, ...
- - 2013
NHS England is considering whether to ask all trusts to publish monthly figures on incidence of pressure ulcers and falls.
Jones Donna - - 2013
Pressure ulcers are associated with reduced quality of life, affecting individuals physically, socially and emotionally. The financial cost to the NHS of preventing and treating such ulcers is substantial. Although largely preventable, pressure ulcers are still common. The Department of Health is committed to eliminating all avoidable pressure ulcers in ...
Bergquist-Beringer Sandra - - 2013
Most pressure ulcers can be prevented with evidence-based practice. Many studies describe the implementation of a pressure ulcer prevention program but few report the effect on outcomes across acute care facilities. Data on hospital-acquired pressure ulcers and prevention from the National Database of Nursing Quality Indicators 2010 Pressure Ulcer Surveys ...
Jaul Efraim E Department of Skilled Geriatric Nursing, Herzog Hospital, affiliated with Hebrew University-Hadassah Medical School, Jerusalem, Israel. - - 2013
The issue of professional responsibility for the treatment and care of the patient with pressure ulcers (PU) is crucial as it impacts on mortality, financial costs and the patient's quality of life. Pressure ulcers in the elderly present a complicated health problem with multifactorial etiologies. Since the pressure ulcer is ...
Leijon Siv S Siv Leijon, MSc, RN, Wound Nurse, Department of Dermatology, Kärnsjukhuset, Skövde Hospital, Sweden. Ingrid Bergh, PhD, RN, Professor, Nursing Science, School of Life Sciences, University of Skövde, Sweden. Karin Terstappen, MD, PhD, Chief Physician, Department of Dermatology, Kärnsjukhuset, Skövde Hospital, - - 2013
The primary aim of this quality improvement project was to determine pressure prevalence, risk of mortality, and use of preventive measures in a group of hospitalized patients. Two hundred fifty-eight patients recruited from Skaraborg Hospital in Sweden were assessed. A 1-day point prevalence study was carried out using a protocol ...
Brennan Mary R - - 2013
Prevention of pressure ulcers is an ongoing concern. This article reports on the evaluation and usage of a new positioning device that adapts to the contours of the body and led to a decrease in the incidence of nosocomial pressure ulcers in a cardiothoracic intensive care unit.
Ledoux William R - - 2013
We prospectively examined the relationship between site-specific peak plantar pressure (PPP) and ulcer risk. Researchers have previously reported associations between diabetic foot ulcer and elevated plantar foot pressure, but the effect of location-specific pressures has not been studied. Diabetic subjects (n=591) were enrolled from a single VA hospital. Five measurements ...
Bååth Carina - - 2013
The overall aim of this study was to describe preventive interventions among persons with pressure ulcer (PU) in three nationwide PU prevalence surveys in Sweden. A cross-sectional research design was used; more than 70 000 persons from different hospitals and nursing homes participated in the three prevalence surveys conducted in March ...
O'Brien Denise D - - 2013
The risk for pressure ulcers is rarely identified in the perioperative period, and the influence of this period on risk factors has not been as rigorously studied as the postoperative period. We hypothesized that intraoperative risk factors exist, which increase the likelihood of a postoperative new-onset pressure ulcer. A retrospective ...
Moore Zena Eh - - 2013
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 ...
Farsaei Shadi - - 2013
To evaluate the effects of topical atorvastatin on the healing process of pressure ulcers in critically ill patients. Randomized, double-blind, placebo-controlled clinical trial. Medical-surgical intensive care unit of a university-affiliated teaching hospital in Tehran, Iran. One hundred four patients with stage I or II pressure ulcers, graded according to the ...
Sakae Kensaku - - 2013
Background: L-carnosine (CAR) is an endogenous dipeptide. We aimed to determine the effects of CAR and its zinc complex polaprezinc (PLZ) on pressure ulcer healing in institutionalized long-term care patients. Methods: This study was a nonrandomized controlled trial with a maximum 4-week follow-up. Forty-two patients with stage II-IV pressure ulcers ...
Löndahl Magnus - - 2013
Hyperbaric oxygen therapy (HBO) is a short-term, high-dose oxygen inhalation and diffusion therapy, delivered systemically through airways and blood under high pressure using hyperbaric chambers. HBO stimulates angiogenesis, reduces edema, augments granulation tissue formation by enhancing fibroblasts, and improves leukocyte function by elevating the partial pressure of oxygen in tissue. ...
Smith M E Beth ME Oregon Evidence-based Practice Center, Oregon Health & Science University, Portland, OR 97239-3098, USA. - - 2013
Pressure ulcers affect as many as 3 million Americans and are major sources of morbidity, mortality, and health care costs. To summarize evidence comparing the effectiveness and safety of treatment strategies for adults with pressure ulcers. MEDLINE, EMBASE, CINAHL, Evidence-Based Medicine Reviews, Cochrane Central Register of Controlled Trials, Cochrane Database ...
Tzeng Huey-Ming - - 2013
Abstract The U.S. National Pressure Ulcer Advisory Panel claimed that most pressure ulcers are avoidable. Identifying nursing-process indicators that are objective and associated with pressure ulcer rates is desperately needed. As a result, the purpose of this exploratory study was to examine the relationship between staff response time to call ...
Chung Philip - - 2013
Decubitus ulcers occur in an estimated 2.5 million Americans each year at an annual cost of $11 billion to the U.S. health system. Current screening and prevention techniques for assessing risk for decubitus ulcer formation and repositioning patients every 1-2 hours are labor-intensive and can be subjective. We propose use ...
Arias Sandra - - 2013
Pressure ulcers are skin injuries caused by long term exposition to high pressures on support points that interrupt blood circulation reducing the transport of oxygen and nutrients to the cells. They mainly affect people with poor mobility that stay in seating position for long periods of time. In spite of ...
Mok James M - - 2013
In the summer of 2009, the vacuum spine board (VSB) was designated by the US Air Force as the preferred method of external spinal immobilization during aeromedical transport of patients with suspected unstable thoracolumbar spine fractures. One purported advantage of the VSB is that, by distributing weight over a larger ...
Murray John S - - 2013
The management, cost, physical and emotional suffering associated with pressure ulcers have a significant impact on the health status of patients-especially infants and children. The purpose of this integrative review was to identify factors associated with medical device-related (MDR) hospital acquired pressure ulcers (HAPUs) in the pediatric population. Pediatric MDR ...
Dealey Carol - - 2013
Although this article is a stand-alone article, it sets the scene for later articles in this issue. Pressure ulcers are considered to be a largely preventable problem, and yet despite extensive training and the expenditure of a large amount of resources, they persist. This article reviews the current understanding of ...
Man Shiu-Piu - - 2013
BACKGROUND: Pressure ulcer occurrence in older patients admitted to hospital has not been studied thoroughly; yet, pressure ulcers frequently develop among the frail older patients who are hospitalized. Identifying risk factors for pressure ulcer occurrence is of utmost importance in preventing its development in this group of patients. Hypoperfusion, as ...
Takahashi Yoshiko - - 2013
AIM OF THE STUDY: We examined the location-specific properties of pressure ulcers, focusing on depth and undermining formation, which are often unfavorable factors for ulcer healing. METHODS: We conducted a retrospective observational study of 2 independent databases on pressure ulcers. Databases from a 200-bed hospital (database A) and a 300-bed ...
Nagase Takashi - - 2013
Undermining is one of the most challenging complications of deep pressure ulcers. Recommendations in most guidelines are based only on expert opinions. Here, we examined the relationship between surgical incision of the undermined space and pressure ulcer healing through a Japanese multicenter prospective cohort study. A total of 162 patients ...
Vollmer Christian - - 2013
Hypercapnia increases systemic oxygen delivery (DO2) and gastric mucosal oxygenation. However, it activates the renin angiotensin aldosterone system (RAAS) which conversely reduces mesenteric perfusion. The aim of our study was to evaluate the effect of RAAS-inhibition during normo- and hypercapnia on oral and gastric mucosal oxygenation (µHbO2) and assess the ...
Sikiric Predrag - - 2013
We reviewed stable gastric pentadecapeptide BPC 157-NO-system-relation, its close participation in Moncada's (maintained vascular integrity, platelets control) homeostatic healing response of NO-system to injury. Namely, BPC 157 particular healing effect also affects all events after vascular integrity loss (dependent on circumstances, it reduces either thrombosis (abdominal aorta anastomosis) or bleeding/thrombocytopenia ...
Stevenson Rebecca - - 2013
BACKGROUND: Changes in healthcare and ageing populations have led to an increasing emphasis on the provision of healthcare in the community. Quality initiatives in healthcare have led to a focus upon pressure ulcer rates. However, published data on pressure ulcer prevalence in a community setting is currently very limited. OBJECTIVE: ...
Yang Jing-Jin - - 2013
The purpose of this study is to investigate the mRNA and protein expression levels of vascular endothelial growth factor (VEGF) and basic fibroblast growth factor (bFGF) in pressure ulcers, and to elucidate the molecular mechanism by which VEGF and bFGF are involved in pressure ulcer formation. A rat model of ...
Chai C Y - - 2013
Prolonged mechanical loading can lead to breakdown of skin and underlying tissues which can, in turn, develop into a pressure ulcer. The benefits of pressure relief and/or redistribution to minimise risk have been well documented and these strategies can be provided by employing support mattresses in which internal air pressures ...
Ausili E - - 2013
Prospective study on local treatment of pressure sores using calcium alginate and foam dressings in spina bifida patients. Investigate if this sequential approach is valid and safe for selected patients with neurological impairments. Using European Pressure Ulcer Grading System, after clinical evaluation of local sore, selected patients of Spina Bifida ...
Milbrath Christine D - - 2013
A systematic review of the pressure management performance of support surfaces (beds, mattresses, overlays, and the utilization of linens), using a standardized testing methodology, provided qualitative and quantitative information needed to support cost-effective purchasing decisions and resulted in the reduction of hospital-acquired pressure ulcers. In the 30 months since implementation ...
Santamaria Nick - - 2013
The prevention of hospital acquired pressure ulcers in critically ill patients remains a significant clinical challenge. The aim of this trial was to investigate the effectiveness of multi-layered soft silicone foam dressings in preventing intensive care unit (ICU) pressure ulcers when applied in the emergency department to 440 trauma and ...
Hitzig Sander L - - 2013
Although pressure ulcers may negatively influence quality of life (QoL) post-spinal cord injury (SCI), our understanding of how to assess their impact is confounded by conceptual and measurement issues. To ensure that descriptions of pressure ulcer impact are appropriately characterized, measures should be selected according to the domains that they ...
1 2 3 4 5 6 7 8 9 10 >