Characteristics of people receiving wound care at home versus in a clinic

Ogrin, Rajna; Parker, Christina; Finlayson, Kathleen; Anderson, Jacinta; Edwards, Helen

doi:10.1016/j.colegn.2020.11.006

Cited by 3 publications

(3 citation statements)

References 26 publications

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“…Risk factors for delayed healing included larger ulcers, longer duration, higher exudate levels, larger calf circumference 256,257 , severe pain-depression-fatigue-sleep disturbance symptom cluster group 258 , dehydration 259 , living alone, ulcer reduction in 2 weeks, higher ulcer severity score, and not treating with high level compression 260 . A comparative study found adults receiving home nursing for VLUs were older and had more risk factors for non-healing than those attending wound clinics 261 . Granulocyte macrophage-colony stimulating factor and matrix metalloprotease-13 were identified as biomarkers predicting healing 262 and uric levels correlated with wound chronicity 263 .…”

Section: Australian Studiesmentioning

confidence: 99%

“…Health service management was investigated in a number of studies, finding: suboptimal knowledge and implementation of EBP in VLU management 292,293 ; similar healing rates between home nursing and wound clinic care 261 ; and a lack of awareness of EBGs and a range of enablers and barriers to EBP in VLU care 255,294 . Health professionals' perspectives on EBGs in primary care were also noted 295 .…”

Section: Australian Studiesmentioning

confidence: 99%

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Assessment, management and prevention of chronic wounds in the Australian context: a scoping review

Bui,

Tehan,

BarakatJohnson

et al. 2023

WPR

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Aims To identify the current research on assessment, management and prevention of chronic wounds in Australia and within the global context.Methods Electronic databases, trial registries and professional organisation websites were searched from 1 January 2010 to 31 May 2022. All original human research studies on chronic wounds conducted in Australia and reviews (systematic reviews (SRs), evidence-based guidelines (EBGs), evidence summaries, consensus documents) conducted worldwide were included. Results were tabulated and synthesised in a narrative review. ResultsOverall, 365 Australian studies and 569 worldwide reviews were included. The designs of Australian studies were mostly cohort (31%) or cross-sectional (20%), with a few randomised trials (10%). Australian studies were mostly concentrated on wound management (43%) or assessment (40%), and only 17% on prevention; this profile was similar for worldwide reviews. The chronic wound types focused on in Australian studies were 43% pressure injuries (PIs), 27% diabetes-related foot ulcers (DFUs), 16% venous leg ulcers (VLUs), 8% mixed chronic wounds, 6% mixed leg/foot ulcers, <1% fungating wounds.Conclusions This review found Australian chronic wound research focused on PIs and DFUs, with few randomised trials (10%), which is likely related to the lack of national competitive funding and difficulties in infrastructure support for adequately powered trials.

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Section: Australian Studiesmentioning

confidence: 99%

Section: Australian Studiesmentioning

confidence: 99%

Assessment, management and prevention of chronic wounds in the Australian context: a scoping review

Bui,

Tehan,

BarakatJohnson

et al. 2023

WPR

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“…The community nursing model is currently the most common wound care system; even in the setting of complex chronic wounds, evidence in the literature shows no difference in patient satisfaction, health-related quality of life or healing time in specialist clinic care versus homebased care. 13,14 The decision to treat patients as semi-ambulatory discharge patients or as inpatients after lower limb split skin grafting remains controversial. Beyond instances of social or medical indications for admission, there is robust evidence to support discharge home following formal operative skin grafting as long as proper counselling regarding timing of mobility and maximising leg elevation is undertaken.…”

Section: Acute Management Of Skin Tears With Mesh Grafting: a Prospec...mentioning

confidence: 99%

Acute management of skin tears with mesh grafting: a prospective study and cost-benefit analysis

Chow,

Davies,

Ricciardello

et al. 2023

Australas J Plast Surg

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**Background**: Skin tears cause a significant burden to the patient and healthcare system. Acute management has traditionally comprised of operative debridement and formal skin grafting, which is costly, invasive and often followed by admission for five to seven days. In a 2014 pilot study by Vandervord and colleagues, a protocol for re-laying the skin tear as a meshed skin graft (mesh protocol) was proposed, which has not been validated to date. Our study aims to compare a prospective cohort to the original pilot study to determine validity in clinical practice and provide an updated cost-benefit analysis.**Method**: All patients who presented with acutely sustained skin tears at Northern Beaches Hospital, NSW, Australia, were prospectively entered into the mesh protocol as described by Vandervord and colleagues. An updated cost-benefit analysis was performed using a national hospital cost data collection report produced by the Independent Hospital Pricing Authority (IHPA).**Results**: We enrolled 53 patients onto the protocol who had sustained a total of 64 discrete skin tears, with 11 patients sustaining more than one skin tear. The average age of patients was 86, and the most common location of the skin tear was pretibial, followed by forearm/hand. Only one patient required a return to theatre for debridement and formal skin grafting, and three patients required long-term dressings for partial mesh graft loss. The cost to the healthcare system is consistent with the pilot study, with a significant difference between discharge from the emergency department post-procedure and formal grafting and admission for five to seven days.**Conclusion**: Use of the mesh protocol creates wound coverage and prevents the need for formal skin grafting, and reduces costs associated with formal operations and hospital admissions.

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Evidence assessing the development, evaluation and implementation of digital health technologies in wound care: A rapid scoping review

Shi

Dumville²,

Juwale³

et al. 2022

Journal of Tissue Viability

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Characteristics of people receiving wound care at home versus in a clinic

Cited by 3 publications

References 26 publications

Assessment, management and prevention of chronic wounds in the Australian context: a scoping review

Assessment, management and prevention of chronic wounds in the Australian context: a scoping review

Acute management of skin tears with mesh grafting: a prospective study and cost-benefit analysis

Evidence assessing the development, evaluation and implementation of digital health technologies in wound care: A rapid scoping review

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