| A randomized clinical trial on preventing pressure ulcers with wheelchair seat cushions. | |
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MedLine Citation:
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PMID: 21070197 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: To determine the efficacy of skin protection wheelchair seat cushions in preventing pressure ulcers in the elderly nursing home population. DESIGN: Clinical trial with participants assigned at random to a skin protection or segmented foam cushion. Two hundred thirty-two participants were recruited between June 2004 and May 2008 and followed for 6 months or until pressure ulcer incidence. SETTING: Twelve nursing homes. PARTICIPANTS: Nursing home residents aged 65 and older who were using wheelchairs for 6 or more hours per day and had a Braden score of 18 or less and a combined Braden activity and mobility score of 5 or less. Participants were recruited from a referred sample. INTERVENTION: All participants were provided with a fitted wheelchair and randomized into skin protection (SPC, n=113) or segmented foam (SFC, n=119) cushion groups. The SPC group received an air, viscous fluid and foam, or gel and foam cushion. The SFC group received a 7.6-cm crosscut foam cushion. MEASUREMENTS: Pressure ulcer incidence over 6 months for wounds near the ischial tuberosities (IT ulcers) were measured. Secondary analysis was performed on combined IT ulcers and ulcers over the sacrum and coccyx (sacral ulcers). RESULTS: One hundred eighty participants reached a study end point, and 42 were lost to follow-up. Ten did not receive the intervention. There were eight (6.7%) IT ulcers in the SFC group and one (0.9%) in the SPC group (P=.04). There were 21 (17.6%) combined IT and sacral ulcers in the SFC group and 12 (10.6%) in the SPC group (P=.14). CONCLUSION: Skin protection cushions used with fitted wheelchairs lower pressure ulcer incidence for elderly nursing home residents and should be used to help prevent pressure ulcers. |
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Authors:
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David Brienza; Sheryl Kelsey; Patricia Karg; Ana Allegretti; Marian Olson; Mark Schmeler; Jeanne Zanca; Mary Jo Geyer; Marybeth Kusturiss; Margo Holm |
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Publication Detail:
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Type: Journal Article; Multicenter Study; Randomized Controlled Trial; Research Support, N.I.H., Extramural Date: 2010-11-10 |
Journal Detail:
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Title: Journal of the American Geriatrics Society Volume: 58 ISSN: 1532-5415 ISO Abbreviation: J Am Geriatr Soc Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-12-14 Completed Date: 2011-02-03 Revised Date: 2011-12-21 |
Medline Journal Info:
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Nlm Unique ID: 7503062 Medline TA: J Am Geriatr Soc Country: United States |
Other Details:
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Languages: eng Pagination: 2308-14 Citation Subset: IM |
Copyright Information:
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© 2010, Copyright the Authors. Journal compilation © 2010, The American Geriatrics Society. |
Affiliation:
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Department of Rehabilitation Science and Technology, University of Pittsburgh, Pittsburgh, Pennsylvania 15206, USA. dbrienza@pitt.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Female Frail Elderly* Homes for the Aged / statistics & numerical data Human Engineering Humans Incidence Male Nursing Homes / statistics & numerical data Orthotic Devices* Patient Satisfaction Pennsylvania / epidemiology Pressure Ulcer / epidemiology, prevention & control* Skin Care / methods* Wheelchairs* |
| Grant Support | |
ID/Acronym/Agency:
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R01 HD041490-01A2/HD/NICHD NIH HHS; R01HD04109/HD/NICHD NIH HHS |
| Comments/Corrections | |
Comment In:
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Evid Based Nurs. 2011 Jul;14(3):79-80
[PMID:
21646383
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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