Interventions for pressure ulcers: a summary of evidence for prevention and treatment

Atkinson, Ross; Cullum, Nicky

doi:10.1038/s41393-017-0054-y

Cited by 35 publications

(25 citation statements)

References 98 publications

(115 reference statements)

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“…37,38 Although most hospitals subscribe to nursing practices and prophylactic interventions aimed at reducing PUs, a recent Cochrane systematic review concluded that the effects of most of these practices in SCI patients are highly uncertain. 39 As such, prospective randomized-controlled trials investigating the role of modifiable patient behaviors and preventative measures to decrease the risk of PU development in patients with SCI are needed.…”

Section: Discussionmentioning

confidence: 99%

Pressure Ulcer in Trauma Patients: A Higher Spinal Cord Injury Level Leads to Higher Risk

Grigorian

Sugimoto

Joe

et al. 2017

Journal of the American College of Clinical Wound Specialists

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BACKGROUND: In a systematic review, the level of spinal cord injury (SCI) was not associated with risk for pressure ulcer (PU). We hypothesized that in the acute trauma population, upper-SCI (cervical/ thoracic) has greater risk for PU when compared to lower-SCI (lumbar/sacral). We additionally sought to identify risk factors for development of PUs in trauma. METHODS: A retrospective analysis of the NTDB (2007-2015) was performed. Covariates were included in a multivariable logistic regression analysis to determine risk for PU. RESULTS: Of 62,929 patients (0.9%) with SCI, most had an upper-SCI (83%). The overall rate of PUs in patients with SCI was 5.1%. More patients with upper-SCI developed PUs compared to lower-SCI (5.8% vs. 2.2%, p , 0.001). SCI was the strongest predictor for PU (OR 5 13.77, CI 5 13.25-14.31, p , 0.001). Upper-SCI demonstrated greater risk compared to lower-SCI (OR 5 2.81, CI 5 2.45-3.22, p , 0.001). CONCLUSIONS: Contrary to previous reports, a higher SCI level is associated with a threefold greater risk for PU compared to lower SCI.

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Section: Discussionmentioning

confidence: 99%

Pressure Ulcer in Trauma Patients: A Higher Spinal Cord Injury Level Leads to Higher Risk

Grigorian

Sugimoto

Joe

et al. 2017

Journal of the American College of Clinical Wound Specialists

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“…In the past two decades, wound care has received a lot of attention from researchers. Many studies have aimed to investigate which interventions might be effective in promoting wound healing or preventing wounds (Atkinson & Cullum, ; Dumville, Owens, Crosbie, Peinemann, & Liu, ; Lavallée, Gray, Dumville, Russell, & Cullum, ; Norman et al., ; Westby, Norman, Dumville, Stubbs, & Cullum, ). However, less has been written about the basic nature of wounds and their prevalence (Cullum et al., ).…”

Section: Introductionmentioning

confidence: 99%

A cross‐sectional survey of patients with open surgical wounds in Slovenia

Pađen

Griffiths

Cullum

2018

Health Soc Care Community

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Most surgical wounds heal by primary intention, that is, the wound is closed with sutures, clips, or glue. However, some surgical wounds are either left open to heal from the bottom up (“healing by secondary intention”) or break open partially or fully after primary closure. There is little basic knowledge about the occurrence and natural history of surgical wounds healing by secondary intention (SWHSI); therefore, the aim of this survey was to estimate the number of people with SWHSI in Slovenia, the nature of these wounds, and to investigate how they are managed. A multiservice, cross‐sectional survey was carried out over a 2‐week period in the city of Ljubljana, Slovenia (population 288,919). Healthcare professionals across health and social care settings completed one anonymised form for each patient with a SWHSI. Forms were completed for 110 patients. The point prevalence of SWHSI was 0.38 per 1,000 of the population (95% CI: 0.33–0.44). Patients’ mean age was 50.5 years. The majority of SWHSI were planned to heal by secondary intention before surgery (76/110, 69%). Of SWHSI, 83% (92/110) were treated with wound dressings, and 6% were treated with negative pressure wound therapy. Data were missing for 11 cases. This survey is the first to provide essential information about the extent, nature, and treatment of SWHSI in Slovenia. Furthermore, it is one of the latest of a very small number of studies to have contributed to knowledge about SWHSI globally. The results from the survey can be used for planning future research, health resources management, and policy development.

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“…In the electrical stimulation group, a 63% and 43% reduction in the surface of the ulcers was seen in comparison to the ultrasound group (p <0.04) 10 Shahrokhi A et al, 2014…”

Section: Shahrokhi a Ghorbanimentioning

confidence: 94%

The efficacy of conservative treatment methods in pressure ulcers

et al. 2019

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Background: Pressure ulcer is defined as the localised destruction of skin and the underlying tissues, caused by a combination of prolonged pressure, friction and shear forces, resulting in tissue ischemia and necrosis. In addition to prevention, treatment of ulcers has an important role. This study analyses, the effectiveness of conservative treatment methods.Aim: The aim of the present study was to investigate the efficacy of conservative treatment methods in patients with ulcers and to evaluate these methods.Material and Methods: The present study is a systematic review. The search was conducted in Greek and international bibliography on electronic databases: Pubmed, Cinahl, Sciverse Scopus Proquest, as well as in translations of major international scientific organisations such as EPUAP and NPUAP. The date of writing the articles ranges from 2010 to 2017. Articles were selected based on the title, summary, and content.Results: The results of the present study revealed the efficacy of various conservative methods of dealing with pressure ulcers based on the publication of studies in medical data bases. The treatment is multifactorial and requires special knowledge from healthcare professionals, attention and assessment of a sprawl. The ineffective treatment of ulcers can lead to death, especially if not treated on time and in the right way.Conclusions: The findings show that the treatment depends on the severity of the pressure ulcer in relation to the general condition of the patient (condition, age, diet, weight, immobility, personal hygiene). Nonetheless, it can be addressed by proper prognosis, timely assessment, and appropriate countermeasures. These require sufficient knowledge of doctors and nurses over the existing conservative therapies and what / when they should be applied.

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Interventions for pressure ulcers: a summary of evidence for prevention and treatment

Cited by 35 publications

References 98 publications

Pressure Ulcer in Trauma Patients: A Higher Spinal Cord Injury Level Leads to Higher Risk

Pressure Ulcer in Trauma Patients: A Higher Spinal Cord Injury Level Leads to Higher Risk

A cross‐sectional survey of patients with open surgical wounds in Slovenia

The efficacy of conservative treatment methods in pressure ulcers

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