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Dale Megan M Clinical Scientist, Cedar, Cardiff and Vale University Health - - 2014
The Salisbury Pressure Ulcer Outreach Service successfully treats patients with chronic pressure ulcers that have not healed during routine community treatment. These patients have grade 4 pressure ulcers, involving extensive destruction, or damage to muscle and bone. A combination of scientific, seating and tissue viability expertise with a holistic approach ...
Wang Hua H From the Kaiser Foundation Rehabilitation Center, Vallejo, California (HW, MC, JA); Uniform Data System for Medical Rehabilitation, Amherst, New York (PN, MD, JM); and University of California, Davis - - 2014
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 ...
Cabanillas Beatriz B Department of Dermatology and Allergy, University of Bonn Medical Center, Sigmund-Freud-Str., 25, 53127 Bonn, Germany; Servicio de Alergia, Hospital Universitario 12 de Octubre, Instituto de Investigación Hospital 12 de Octubre (i+12), Avenida de Córdoba s/n, 28041 Madrid, Spain. Electronic address: - - 2014
The aim of this study was to investigate changes in walnut allergenicity after processing treatments by in vitro techniques and physiologically relevant assays. The allergenicity of walnuts subjected to high hydrostatic pressure and thermal/pressure treatments was evaluated by IgE-immunoblot and antibodies against walnut major allergen Jug r 4. The ability ...
McGinnis Elizabeth E Leeds Teaching Hospitals NHS Trust, c/o 2nd Floor Stable Block, Old Trust HQ, Leeds General Infirmary, Great George St, Leeds, UK, LS1 - - 2014
Pressure ulcers are areas of localised damage to the skin and underlying tissue caused by pressure or shear. Pressure redistribution devices are used as part of the treatment to reduce the pressure on the ulcer. The anatomy of the heel and the susceptibility of the foot to vascular disease mean ...
Moore Zena Eh ZE School of Nursing, Royal College of Surgeons in Ireland, 123 St. Stephen's Green, Dublin, Ireland, - - 2014
Use of pressure ulcer risk assessment tools or scales is a component of the assessment process used to identify individuals at risk of developing a pressure ulcer. Indeed, use of a risk assessment tool is recommended by many international pressure ulcer prevention guidelines, however it is not known whether using ...
Park Shin Hye SH School of Nursing, University of Kansas Medical Center, Kansas City, - - 2014
We examined the concurrent and lagged effects of registered nurse (RN) turnover on unit-acquired pressure ulcer rates and whether RN staffing mediated the effects. Quarterly unit-level data were obtained from the National Database of Nursing Quality Indicators for 2008 to 2010. A total of 10,935 unit-quarter observations (2,294 units, 465 ...
Clark Michael M Wound Healing Practice Development Unit, Birmingham City University, Birmingham, - - 2014
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, ...
Pokorny Marie E ME Marie E. Pokorny, PhD, MSN, is Professor and Director of PhD Program; and Mary Ann Rose, EdD, MSN, is Professor of Nursing, both at East Carolina University College of Nursing, Greenville, North Carolina. Frank Watkins, RN, CCRC, is Research Nurse Specialist, Vidant Health Center, Greenville, North Carolina. Melvin Swanson, PhD, is Professor; Mary K. Kirkpatrick, EdD, MSN, is Professor and International Coordinator; and Qiang Wu, PhD, is Assistant Professor, all at East Carolina University College of Nursing, Greenville, North - - 2014
The purpose of this study was to evaluate whether any of the Braden subscales were more strongly related to pressure ulcer occurrence than the Braden total score in obese and nonobese hospitalized patients. The authors investigated whether defining high risk for the total Braden score of 16 or less was ...
Gadd Molly M MM Molly M. Gadd, DNP, RN, CWOCN, ACNP-BC, Carespring Healthcare Management, Fort Thomas, - - 2014
Hospital-acquired pressure ulcer incidence rates continue to rise in the United States in the acute care setting despite efforts to extinguish them, and pressure ulcers are a nursing-sensitive quality indicator. The Braden Scale for Predicting Pressure Sore Risk instrument has been shown to be a valid and reliable instrument for ...
Pinkney Lisa L Leeds Institute of Health Sciences, University of Leeds, Leeds, - - 2014
This study focuses on the ways in which the organisational context can influence the development of severe pressure ulcers. Severe pressure ulcers are important indicators of failures in the organisation and delivery of treatment and care. We have a good understanding of patients' risk factors, but a poor understanding of ...
Kasuya Akira A Department of Dermatology, Hamamatsu University School of Medicine, - - 2014
Ischemia-reperfusion (IR) injury is a cause of pressure ulcer. However, a mechanism underlying the IR injury-induced lymphatic vessel damage remains unclear. We investigated the alterations of structure and function of lymphatic ducts in a mouse cutaneous IR model. And we suggested a new method for evaluating the severity of pressure ...
Qaddumi Jamal J Faculty of Medicine and Health sciences, An-Najah National University, P,O, Box 7, Nablus, Palestine. - - 2014
Pressure ulcer remains a significant problem in the healthcare system. In addition to the suffering it causes patients, it bears a growing financial burden. Although pressure ulcer prevention and care have improved in recent years, pressure ulcer still exists and occurs in both hospital and community settings. In Jordan, there ...
Sugino Hirotaka H Department of Plastic and Reconstructive Surgery, Institute of Health Biosciences, the University of Tokushima Graduate - - 2014
This retrospective study examined the validity of the commonly used serum albumin level as an indicator of nutrition status of patients with pressure ulcer(s), particularly because the serum albumin level is affected by various factors and may not be specific to malnutrition. Specifically, we investigated whether nutrition supply or inflammation ...
Litchford Mary D MD CASE Software and Books , Greensboro, North - - 2014
Significance: Numerous studies have reported associations between declining nutrition status and risk for pressure ulcers. Oral eating problems, weight loss, low body weight, undernutrition, and malnutrition are associated with an increased risk for pressure ulcers. Moreover, inadequate nutrient intake and low body weight are associated with slow and nonhealing wounds. ...
Kim Hyeoneui H Division of Biomedical Informatics, University of California San Diego, La Jolla, CA, - - 2014
Accurate assessment and documentation of skin conditions facilitate communication among care providers and are critical to effective prevention and mitigation of pressure ulcer. We report developing a prototype mobile system called SAPPIRE (Skin Assessment for Pressure Ulcer Prevention, an Integrated Recording Environment) for an android device to assist nurses with ...
Jiang Qixia Q Wound Care Center, Outpatient Department of Jinling Hospital, Nanjing University School of Medicine Nanjing 210002, - - 2014
Pressure ulcers are very common in hospital patients. Though many studies have been reported in many countries, the large-scale benchmarking prevalence of pressure ulcers in China is not available. The aim of this study is to quantify the prevalence of pressure ulcers and the incidence of hospital-acquired pressure ulcers and ...
Fu Shaw Ling L Department of Nursing, Taipei Veterans General Hospital, Taipei 11220, Taiwan ; Faculty of Nursing, School of Nursing, Yang-Ming University, Taipei 11220, - - 2014
Purpose. To explore the context of incidence of and associated risk factors for pressure ulcers amongst the population of surgical patients. Methods. The initial study cohort was conducted with a total of 297 patients admitted to a teaching hospital for a surgical operation from November 14th to 27th 2006 in ...
Li Sujiao S The Key Laboratory of Biomedical Information Engineering of Ministry of Education, and Institute of Biomedical Engineering, School of Life Science and Technology, Xi'an Jiaotong University, Shaanxi, 710065, P.R. - - 2014
Prevention of pressure sores remains a significant problem confronting spinal cord injury patients and the elderly with limited mobility. One vital aspect of this subject concerns the development of cushions to decrease pressure ulcers for seated patients, particularly those bound by wheelchairs. Here, we present a novel cushion system that ...
Yu Chung-Huang CH Department of Physical Therapy & Assistive Technology, National Yang-Ming University, No.155, Sec.2, Linong Street, Taipei 11221, Taiwan. - - 2014
Pressure ulcers can be a fatal complication. Many immobile wheelchair users face this threat. Current passive and active cushions do reduce the incidence of pressure ulcers and they have different merits. We proposed an active approach to combine their advantages which is based on the concept that the interface pressure ...
McGinnis Elizabeth E Tissue Viability, Leeds Teaching Hospitals NHS Trust, Leeds General Infirmary Great George Street, Leeds LS1 3EX, - - 2013
pressure ulcers, 25-30% of which are on the heels are a major burden to patients and healthcare systems. A better understanding of factors associated with healing is required to inform treatment and research priorities. to identify patient and pressure ulcer characteristics associated with the healing of heel pressure ulcers.Study design ...
Girard Raphaele R Réanimation Médicale, Hôpital de la Croix-Rousse, 103 Grande Rue de la Croix-Rousse, 69004, Lyon, - - 2013
Placing patients with severe acute respiratory distress syndrome (ARDS) in the prone position has been shown to improve survival as compared to the supine position. However, a higher frequency of pressure ulcers has been reported in patients in the prone position. The objective of this study was to verify the ...
Kawasaki Lisa L Centre for Neuroscience, University of Alberta, Edmonton, Alberta, Canada; Alberta Innovates-Health Solutions Interdisciplinary Team in Smart Neural Prostheses, Edmonton, Alberta, - - 2013
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 ...
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 ...
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 S Applied Physiology, Atlanta, Georgia Institute of Technology , GA , USA - - 2013
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, typically, ...
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 ...
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 ...
Ledoux William R WR RR&D Center of Excellence for Limb Loss Prevention and Prosthetic Engineering, VA Puget Sound Health Care System, Seattle, WA, USA; Department of Mechanical Engineering, University of Washington, Seattle, WA, USA; Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, WA, USA. Electronic address: - - 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 ...
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.
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 ...
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