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Support surfaces for the treatment and prevention of pressure ulcers: a systematic literature review

Support surfaces for the treatment and prevention of

  1. Objective: Changes in technology have resulted in a lack of clarity regarding the comparative effectiveness between active and reactive support surfaces in the prevention and treatment of pressure ulcers (PUs). The purpose of this literature review was to evaluate the comparative effectiveness of active and reactive mattresses for prevention and treatment of PUs
  2. References 1 Graves N, Zheng H. The prevalence and incidence of chronic wounds: a literature review. Wound Practice and Research, 2014. 22(1):4-19 Google Scholar; 2 National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel and Pan Pacific Pressure Injury Alliance. Prevention and treatment of pressure ulcers: clinical practice guideline
  3. Support surfaces for the treatment and prevention of pressure ulcers: a systematic literature review. Katherine E Rae Occupational Therapist, PhD Candidate, ACT Health Directorate, Canberra, Australia, University of Canberra, Canberra, Australia
  4. Objective: Changes in technology have resulted in a lack of clarity regarding the comparative effectiveness between active and reactive support surfaces in the prevention and treatment of pressure ulcers (PUs).The purpose of this literature review was to evaluate the comparative effectiveness of active and reactive mattresses for prevention and treatment of PUs
  5. Objectives: This systematic review seeks to establish:(1) the extent to which pressure-relieving support surfaces reduce the incidence of pressure ulcers compared with standard support surfaces, and,(2) their comparative effectiveness in ulcer prevention
  6. Support surfaces for the treatment and prevention of pressure ulcers: a systematic literature review. Rae KE(1), Isbel S(2), Upton D(3). Author information: (1)Occupational Therapist, PhD Candidate, ACT Health Directorate, Canberra, Australia, University of Canberra, Canberra, Australia
  7. Methods We conducted a systematic review, using a literature search up to November 2016, to identify randomised trials comparing support surfaces for pressure ulcer prevention. Two reviewers independently performed study selection, risk of bias assessment and data extraction

A Cochrane systematic review of support surfaces was available at trial inception and updated in 2015. The latter identifies 5 Randomised Controlled Trials Prevention and treatment of pressure ulcers : Clinical practice guideline. 2014. Google Scholar]. In relation to specialist mattresses, systematic review evidenc evidence concerning use of support surfaces for pressure ulcer prevention and treatment, as well as in the generation of a draft algorithm. Key publications, which included individual studies cited in the Cochrane and AHRQ reviews; studies published after the literature review

The effective approach on pressure ulcer (PU) prevention regarding patient safety in the hospital context was evaluated. Studies were identified from searches in EBSCO host, PubMed, and WebofScience databases from 2009 up to December 2018. Studies were selected if they were published in English, Fre Context Pressure ulcers are common in a variety of patient settings and are associated with adverse health outcomes and high treatment costs.. Objective To systematically review the evidence examining interventions to prevent pressure ulcers.. Data Sources and Study Selection MEDLINE, EMBASE, and CINAHL (from inception through June 2006) and Cochrane databases (through issue 1, 2006) were. Pressure ulcers are treated by reducing pressure on the areas of damaged skin. Special support surfaces (including beds, mattresses and cushions) designed to redistribute pressure, are widely used as treatments. The relative effects of different support surfaces are unclear. This is an update of an existing review

Support surfaces for pressure ulcer preventio

  1. Introduction: The use of support surfaces in the prevention and treatment of pressure ulcers prevention is an important part of care for a patient at risk and/or suffering from sore(s). Objectives: Define which support surfaces to use in prevention and treatment of at-risk and/or pressure sore patients. Methodology: A systematic review of the literature querying the several Pascal Biomed.
  2. PRESSURE INJURIES are associated with increased morbidity, mortality, length of stay, and healthcare costs. Support surfaces are an integral component of a pressure injury prevention and treatment program because they enhance perfusion in at-risk or injured soft tissue. 1 The evidence shows that pressure redistribution support surfaces can help reduce the incidence of pressure injuries by up.
  3. ing interventions to prevent pressure ulcers. Data sources and study selection: MEDLINE, EMBASE, and CINAHL (from inception through June 2006) and Cochrane databases (through issue 1, 2006) were.
  4. Pressure ulcers represent a major burden to patients, carers and the healthcare system, affecting approximately 1 in 17 hospital and 1 in 20 community patients. They impact greatly on an individual's functional status and health-related quality of life. The mainstay of pressure ulcer prevention practice is the provision of pressure redistribution support surfaces and patient repositioning

Specialized support surfaces such as mattresses and cushions redistribute a patient's weight over skin and subcutaneous tissues as it presses against a bed or chair surface. 26 A reduction of pressure between the body and the support surface is considered helpful in healing pressure ulcers. The distinction between types of support surfaces is. A systematic review of trials examining the effects of a variety of support surfaces for treating existing pressure injuries was undertaken. A major strength of this review is that it is rigorous, having followed the methods outlined by the Cochrane Collaboration ( Higgins et al., 2011, Higgins and Green, 2009 )

Support surfaces are an integral component of pressure ulcer prevention and treatment, but there is insufficient evidence to guide clinical decision making in this area.In an effort to provide clinical guidance for selecting support surfaces based on individual patient needs, the Wound, Ostomy and Continence Nurses Society (WOCN®) set out to develop an evidence- and consensus-based algorithm Effectiveness on hospital-acquired pressure ulcers prevention: a systematic review. Susana Gaspar The effective approach on pressure ulcer (PU) prevention regarding patient safety in the hospital context was evaluated. Single interventions (prophylactic dressings, support surfaces, repositioning, preventive skin care, system reminders. The use of support surfaces in the prevention and treatment of pressure ulcers prevention is an important part of care for a patient at risk and/or suffering from sore(s). Objectives Define which support surfaces to use in prevention and treatment of at-risk and/or pressure sore patients

Rae KE, Isbel S, Upton D. Support surfaces for the treatment and prevention of pressure ulcers: a systematic literature review. J Wound Care. 2018; 27(8):467-474. Shi C, Dumville JC, Cullum N. Support surfaces for pressure ulcer prevention: A network meta-analysis. PLoS One. 2018; 13(2):e0192707 Reddy M, Gill S S, Rochon P A. CRD summary. This review assessed the effectiveness of interventions to prevent pressure ulcers. The authors concluded that using support surfaces, repositioning patients, optimising nutritional status and moisturising sacral skin are appropriate strategies, but that well-designed trials are needed Colin et al (2012) stated that the use of support surfaces in the prevention and treatment of pressure ulcers prevention is an important part of care for a patient at risk and/or suffering from sore(s). These researchers examined which support surfaces to use in prevention and treatment of at-risk and/or pressure sore patients Introduction Pressure ulcers (PUs) are associated with substantial health burden. Patients in intensive care units (ICUs) are at high risk for developing PU. In the absence of large randomised controlled trials (RCTs) that compare commonly known interventions for preventing PU in ICUs, uncertainty remains around the best practice strategy for PU management in adult ICUs Pancorbo-Hidalgo PL, Garcia-Fernandez FP, Lopez-Medina IM, Alvarez-Nieto C. Risk assessment scales for pressure ulcer prevention: a systematic review. J Adv Nurs . 2006;54(1):94-110

The incidence and costs for pressure ulcer (PU) treatment remain high even though preventive methods are applied. Approaches that use software to support the prevention of PU are presented in the literature to make it more effective. Methods. A systematic literature review was performed to analyze approaches that use software to support the. Support surfaces conform to the contours of the body to spread the load of the patient over a maximum area when a person lies on the mattress. 6, 9, 10 Pressure redistribution is based on the principles of envelopment and immersion to increase contact surface. 4 Envelopment is the ability of a support surface to conform (fit or mould. Prevention of pressure ulcers with a static air support surface: A systematic review. Brecht Serraes research is needed regarding the use of repositioning on different pressure-redistribution support surfaces. was less expensive compared with high-technology supported surfaces in the prevention and treatment of PUs. 13. support surfaces to match individual patient needs, the Wound, Ostomy and Continence Nurses Society (WOCN®) set out to develop an evidence- and consensus-based algorithm. Previously, supportive evidence for the use of support surfaces for the prevention and treatment of pressure ulcers was identified through comprehensive literature review, an. A comprehensive literature review was conducted to identify currently published systematic reviews, meta-analyses, and clinical practice guidelines related to both pressure ulcers and therapeutic support surfaces

Reference for Support surfaces for the treatment and

use of support surfaces for pressure ulcer prevention and treatment. In addition, key publications were identifi ed to aid in algorithm development and provide relevant back-ground; they included integrative and comprehensive re-view articles not discussed in the 4 systematic reviews and OBJECTIVES: Define which support surfaces to use in prevention and treatment of at-risk and/or pressure sore patients. METHODOLOGY: A systematic review of the literature querying the several Pascal Biomed, PubMed and Cochrane Library databases from 2000 through 2010 The prevention of pressure ulcers represents a marker of quality of care. Pressure ulcers are a major nurse-sensitive outcome. Hence, nursing care has a major effect on pressure ulcer development and prevention. Prevention of pressure ulcers often involves the use of low technology, but vigilant care is required to address the most consistently reported risk factors for development of pressure. Theaker C, Kuper M, Soni N. Pressure ulcer prevention in intensive care - a randomised control trial of two pressure-relieving devices. Anaesthesia. 2005;60(4):395-9. Reddy M, Gill SS, Rochon PA. Preventing pressure ulcers: a systematic review. Jama. 2006;296(8):974-84 cipating in this educational activity, the participant should be better able to: 1. Analyze the findings of the PrU prevention program studies found in the literature review. 2. Apply research findings to clinical practice. OBJECTIVE: The objective of this study was to examine the evidence supporting the combined use of interventions to prevent pressure ulcers (PrUs) in acute care and long.

Support surfaces for pressure ulcer prevention: A network

Support surfaces for the treatment and prevention of pressure ulcers: A systematic literature review. prevention and treatment of pressure ulcers (PUs). support surface used for prevention. In their systematic review focused on randomized controlled trials with PU development as an outcome, Cullum et al. used the term constant low-pressure support surfaces to describe the myriad foam, air, water, and elastomeric mattresses, overlays, and cushions [12]

Pressure Relieving Support Surfaces for Pressure Ulcer

The aim of this paper is to provide insight into the cost of pressure ulcer prevention and treatment in an adult population. Methods A systematic literature review was performed to conform the Cochrane Collaboration guidelines for systematic reviews. The search strategy contained index terms and key words related to pressure ulcers and cost conference of consensus on the prevention and the treatment of pressure ulcers of the adult and the old subject (HAS, 2001). The adopted method is a systematic review of the literature with querying databases Pascal Biomed, Cochrane Library and PubMed from 2000 to 2010. This review wa

Effectiveness on hospital-acquired pressure ulcers

Ten RCTs of AP supports for pressure ulcer prevention were identified in the latest published version of the review,8 and another trial has since been identified.20 Alternating Pressure Compared with Standard Hospital Mattress One RCT reported that the use of AP surfaces compared with standard hospital mattresses reduces the incidence of. McInnes E, Jammali-Blasi A, Bell-Syer SE, et al. Support surfaces for pressure ulcer prevention. Cochrane Database Syst Rev 2015; :CD001735. Kottner J, Cuddigan J, Carville K, et al. Prevention and treatment of pressure ulcers/injuries: The protocol for the second update of the international Clinical Practice Guideline 2019 To present a systematic review of the literature assessing the efficacy of monitoring devices for Conventional PI prevention interventions aim to reduce either the magnitude or the duration of pressure. Support surfaces Sonenblum S. Assessing evidence supporting redistribution of pressure for pressure ulcer prevention: a review. J Rehab. BACKGROUND Pressure ulcers affect as many as 3 million Americans and are major sources of morbidity, mortality, and health care costs. PURPOSE To summarize evidence comparing the effectiveness and safety of treatment strategies for adults with pressure ulcers. DATA SOURCES MEDLINE, EMBASE, CINAHL, Evidence-Based Medicine Reviews, Cochrane Central Register of Controlled Trials, Cochrane.

Preventing Pressure Ulcers: A Systematic Review

View Pressure Ulcer.docx from HS MISC at Egerton University. CAT Support surfaces for pressure ulcer prevention: A network meta-analysis. Clinical bottom line Powered active air-surfaces coul 1 INTRODUCTION. Despite all advances in health care, pressure ulcers (PUs) remain an old worldwide public health problem related to patient safety. 1-3 Hospital-acquired PUs are one of the most harmful events in the clinical context. 1, 2 PUs, recently known as pressure injuries, 4-6 are defined as skin injuries and/or underlying tissue damage localised over a bony prominence, resulting from.

View PressureUlcerTreatmentandPrevention.docx from NUR 354WI at Jacksonville University. Running head: PRESSURE ULCER TREATMENT AND PREVENTION Pressure Ulcer. Special support surfaces are key in pressure ulcer prevention. The aim of this study was to measure the effects of 3 different types of mattresses (reactive gel, active alternating air, basic foam) on skin properties of the sacral and heel skin after 2 hours loading. Fifteen healthy females (median age 66 years) were included BACKGROUND Pressure ulcers are associated with substantial health burdens but may be preventable. PURPOSE To review the clinical utility of pressure ulcer risk assessment instruments and the comparative effectiveness of preventive interventions in persons at higher risk. DATA SOURCES MEDLINE (1946 through November 2012), CINAHL, the Cochrane Library, grant databases, clinical trial registries. a National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, & Pan Pacific Pressure Injury Alliance, 2014. Findings The findings are reported according to the NPUAP, EPUAP, and PPPIA guideline (2014) and framed in two sections; prevention of PUs and interventions for prevention and treatment

Pressure ulcer prevention: Systematic literature review, pressure ulcers: Systematic literature review: 59 randomized controlled trials grouped into three categories: Giving current evidence, use of support surfaces, repositioning, optimizing nutritional status, and hydration of sacral skin are appropriate. Romanelli 2003 107: Pressure ulcer. 4. Cullum N, Deeks J, Sheldon TA, Song F, Fletcher AW. Beds, mattresses and cushions for pressure sore prevention and treatment. Cochrane Database Syst Rev 2000; (2): CD001735. 5. Thomas DR. Issues and dilemmas in the prevention and treatment of pressure ulcers: a review. J Gerontol A Biol Sci Med Sci 2001; 56(6): M328-40. 6

Schols JM, Heyman H, Meijer EP. Nutritional support in the treatment and prevention of pressure ulcers: an overview of studies with an arginine enriched oral nutritional supplement. J Tissue Viability. 2009 Aug. 18(3):72-9. . Berlowitz DR, Wilking SV. Risk factors for pressure sores. A comparison of cross-sectional and cohort-derived data Support surfaces for pressure ulcer prevention. Cochrane Database Syst Rev. 2015 Sep 3;(9):CD001735. PubMed: PM26333288 3. Oregon Evidence-based Practice Center, Chou R, Dana T, Bougatsos C, Blazina I, Starmer A, Reitel K, Buckley D. Pressure ulcer risk assessment and prevention: comparative effectiveness [Internet]

Support surfaces for treating pressure ulcers Cochran

Stratton RJ, Ek AC, Engfer M, Moore Z, Rigby P, Wolfe R, et al. Enteral nutritional support in prevention and treatment of pressure ulcers: a systematic review and meta-analysis. Ageing Res Rev. Objective The aim of this research was to compare the effectiveness of two mattresses used in intensive care unit (ICU) high-risk patients in terms of pressure ulcers (PUs) prevention and healing. Materials and Methods The studied sample consisted of 70 consecutive patients aged 18 to 65 years hospitalized in two ICUs of a general hospital in Athens, Greece

What is the best support surface in prevention and

Pressure ulcers are increasingly viewed as public health and patient safety issues, and regulatory pressure exists to prevent ulcer development. Because of the significant morbidity and mortality associated with pressure ulcers and because they are considered, for the most part, preventable, effective pressure ulcer prevention has been included. Alvin Wong, Geraldine Goh, Merrilyn D. Banks and Judith D. Bauer, Economic Evaluation of Nutrition Support in the Prevention and Treatment of Pressure Ulcers in Acute and Chronic Care Settings: A Systematic Review, Journal of Parenteral and Enteral Nutrition, 43, 3, (376-400), (2018)

The basis of pressure ulcer treatment has long been established and includes promoting wound healing and protecting the wound from contamination [].Recent advancements in the treatment of PUs have focused on nutrition, wound dressings, pressure-relieving devices, and wound irrigation [22, 21, 23-25].Nutrition is a vital component to the pressure ulcer healing process Literature review about the prevention and management of pressure ulcers in the ICU; not an intervention study. Mallah et al. (2014) Study included patients from medical-surgical, oncology, pediatrics, and ICUs, data aggregated, not detailed

Choosing a support surface for pressure injury prevention

Whilst addressing the evidence for pressure ulcer prevention we decided to also update our review of the effects of support surfaces for the treatment of pressure ulcers and include these data in the overview. In doing this we hoped to create a one-stop-shop on the evidence for support surfaces ISDH Pressure Ulcer Library The following are a few books and articles identified by the Indiana State Department of Health (ISDH) that address pressure ulcers. This list is by no means an exhaustive list resulting from a thorough literature search but merely a list compiled during our normal course of business A Cochrane review regarding the effectiveness of support surfaces for pressure ulcer prevention has already been published (Cullum et al., 2006). This review, updated to May 2004, concluded that the relative benefits of APAMs and constant-low-pressure mattresses, and of different types of APAMs for pressure ulcer prevention are unclear Prevention of pressure ulcers with a static air support surface: A systematic review. Serraes B, van Leen M, Schols J, Van Hecke A, Verhaeghe S, Beeckman D. Int Wound J, 15(3):333-343, 05 Mar 2018 Cited by: 0 articles | PMID: 29504266. Review Treatment recommended for ALL patients in selected patient group. All patients at risk of pressure ulcers or who have pressure ulcers should be referred to a dietitian to ensure adequate total calorie and total protein intake. Stratton RJ, Ek AC, Engfer M, et al. Enteral nutritional support in prevention and treatment of pressure ulcers: a systematic review and meta-analysis

Chapter 4 European guidelines for the management of chronic nonspecific low back pai Resources available to the individual (e.g. pressure redistribution support surfaces) Ability to adhere to a prevention and management plan[66] Knowledge and belief about prevention and treatment of pressure ulcers [66] Resident refusal of some aspects of care and treatment [5

Preventing pressure ulcers: a systematic revie

Preventing pressure ulcers: a systematic review. JAMA 2006 Aug 23(8);296:974-84. PMID: 16926357. 4. Lyder CH. Pressure ulcer prevention and management. JAMA 2003 Jan 8;289(2):223-226. PMID: 12517234. 5. National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel. Pressure ulcer prevention and treatment: clinical practice. INTRODUCTION The use of support surfaces in the prevention and treatment of pressure ulcers prevention is an important part of care for a patient at risk and/or suffering from sore(s). OBJECTIVES Define which support surfaces to use in prevention and treatment of at-risk and/or pressure sore patients. METHODOLOGY A systematic review of the literature querying the several Pascal Biomed, PubMed. METHODS: We conducted a systematic review, using a literature search up to November 2016, to identify randomised trials comparing support surfaces for pressure ulcer prevention. Two reviewers independently performed study selection, risk of bias assessment and data extraction Preventing pressure ulcers—Are pressure redistributing support surfaces effective? A Cochrane systematic review and meta analysis. International Journal Of Nursin Pressure Ulcer Healing Literature Review . Developed for the Agency for Healthcare Research and Quality under Grant No. HHSA29020050020C. Principal Investigator: Susan D. Horn, Ph.D. NUTRITION . Ascorbic acid . ter Riet G, Kessels AG, Knipschild PG. Randomized clinical trial of ascorbic acid in the treatment of pressure ulcers

A comprehensive literature review was conducted on pressure ulcer prevention and treatment. A rigorous scientific methodology was used to appraise available research and make evidence-based recommendations for the prevention and treatment of pressure ulcers. Draft guidelines were made available to 986 invite Moderate-quality evidence from a systematic review of 26 studies supports a multicompo- These support surfaces include foam, water, gel, and air treatment of pressure ulcers. A

Pressure RElieving Support SUrfaces: a Randomised

Pressure ulcers, or pressure-related injuries, result from localized injury to the skin and underlying tissues due to unrelieved pressure, usually over a bony prominence, resulting in ischemia, cell death, and tissue necrosis. Pressure injuries are increasing in incidence due to an aging population with increasing rates of obesity, diabetes, and cardiovascular disease pressure ulcers. This study aims to systematically review studies implementing pressure ulcer prevention strategies recommended in the Pressure Ulcer Prevention Practice Guidelines for the prevention of pressure ulcers among hospitalised elderly patients globally. Methods and analysis A systematic review of all studie A systematic review to compare effectiveness in pressure injury prevention with pressure-relieving support surfaces reports that patients at high risk of developing pressure ulcers should use higher-specification foam mattresses rather than standard hospital foam mattresses Background and Objectives for the Systematic Review. Uninterrupted pressure exerted on the skin, soft tissue, muscle, and bone can lead to the development of localized ischemia, tissue inflammation, tissue anoxia, and necrosis. Pressure ulcers can result from these effects; about 3 million adults in the United States suffer from pressure ulcers

Support surfaces and pressure ulcers: Review of literature in order to elaborate French guidelines D. Colin*, J.-M. Rochet CRF, poˆle re´gional du handicap, centre de l'Arche, 72650 Saint-Saturnin, France *Corresponding author. E-mail address: dcolin@ch-arche.fr. Keywords: Pressure ulcers; Prevention; Treatment; Support surfaces; Base A 2013 systematic review and a 2015 guideline by the American College of Physicians cite moderate-quality evidence supporting protein supplementation to treat pressure ulcers.4, 22 However, a 2014. Support surfaces for pressure ulcer prevention: A network meta-analysis. (2018). Full Text. Pressure ulcers are a prevalent and global issue and support surfaces are widely used for preventing ulceration. However, the diversity of available support surfaces and the lack of direct comparisons in RCTs make decision-making difficult The incidence of pressure ulcers not only differs by health care setting but also by stage of ulceration. The stage I pressure ulcer (persistent erythema) occurs most frequently, accounting for 47% of all pressure ulcers. The stage II pressure ulcers (partial thickness loss involving only the epidermal and dermal layers) are second, at 33% injury, pressure sore, pressure ulcer, and bed sore. The MeSH (Medical Subject Headings) terms and entry terms related to the keywords were used in this comprehensive literature review. The language of publicationwaslimitedto English.This search was supplemented by a review of the reference list of potentially eligible studies. Selection Criteri

Ten studies provided economic evaluations (5 cost-effectiveness, 3 cost-benefit, 2 both) of approaches to the prevention of PIs. 15-24 Favorable outcomes from a bundle of PI prevention strategies were found in 2 studies that based cost estimates on statistical modeling using data from the literature. 15,16 A combination of risk assessment. Nurses' knowledge on pressure injury prevention: a systematic review and meta-analysis based on the Pressure Ulcer Knowledge Assessment Tool Sahar Dalvand,1 Abbas Ebadi,2 Reza Ghanei Gheshlagh3,4 1Department of Epidemiology and Biostatistics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran; 2Behavioral Sciences Research Center, Life Style Institute, Nursing Faculty. Support Surfaces: Characteristics and Considerations: Use this in-depth reference to learn more about the different support surfaces available for pressure ulcer prevention or treatment. V. Treatment Tools Treatment Product Categories: Use this list outlining the major types of products to ensure your nursing center carrie Evidence-based information on prevention of pressure ulcers from hundreds of trustworthy sources for health and social care PREVENTION OF PRESSURE ULCERS 2 Abstract The prevalence of pressure ulcers among the elderly patients aged 65 years and above within the organization subjected the organization to significant economic and human costs. These costs were manifested in lower life quality, significant pain, psychological and emotional trauma, serious infections, and diminished autonomy on the part of patient

Treatment of Pressure Ulcers: A Systematic Review

Support surfaces for treating pressure injury: A Cochrane

Identifying the Right Surface for the Right Patient at the