Document Detail


The decubitus ulcer: facts and controversies.
MedLine Citation:
PMID:  20797513     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Defining the decubitus ulcer proves as difficult as agreeing on a name for the condition. Causes include pressure over bony prominences, shearing force, destruction of skin, and compromised blood flow. Evidence is emerging of the importance of ischemia as a primary causative agent, rather than pressure, which needs further investigation. Scales, staging, and treatment and prevention guidelines should be used with caution due to their arbitrary implementation and lack of evidence-based support. Unfortunately, much of the research and expert opinion developed by the government and touted as regulation lacks appropriate strength-of-evidence. Although decubitus ulcers should be prevented and treated to the best of our abilities, recognizing the possibility that the skin, like any other organ in the body, may fail is crucial.
Authors:
Caren Campbell; Lawrence Charles Parish
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Clinics in dermatology     Volume:  28     ISSN:  1879-1131     ISO Abbreviation:  Clin. Dermatol.     Publication Date:    2010 Sep-Oct
Date Detail:
Created Date:  2010-08-27     Completed Date:  2010-12-17     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8406412     Medline TA:  Clin Dermatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  527-32     Citation Subset:  IM    
Copyright Information:
Copyright 2010 Elsevier Inc. All rights reserved.
Affiliation:
Department of Dermatology, Jefferson Medical College of Thomas Jefferson University, Philadelphia, PA 19103, USA. caren.campbell@jefferson.edu
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MeSH Terms
Descriptor/Qualifier:
Aged
Aged, 80 and over
Evidence-Based Medicine
Female
Humans
Ischemia / complications*
Male
Practice Guidelines as Topic
Pressure Ulcer / classification,  etiology*,  prevention & control,  therapy
Severity of Illness Index
Skin / blood supply,  physiopathology
Stress, Psychological / complications

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