Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy and Continence Nurses Society
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J Wound Ostomy Continence Nurs · May 2012
Randomized Controlled Trial Comparative StudyDo patient and nurse outcome differences exist between 2 negative pressure wound therapy systems?
We prospectively compared the effectiveness of foam- and gauze-based negative pressure wound therapy (NPWT) systems on wound healing, pain, cost, and hospital length of stay. We also compare ease of use and time in performing dressing changes reported by nurses. ⋯ In a pilot study comparing the effectiveness of foam- and gauze-based NPWT systems, no statistically significant differences were found in patient wound healing, pain, length of stay, or cost of wound care. Nursing time and perceptions about the ease of preparing and completing dressing changes did not differ between systems. Additional research is needed to more definitively determine any differences in wound healing or nurse satisfaction using gauze- versus foam-based NPWT systems.
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J Wound Ostomy Continence Nurs · May 2012
Comparative StudyPressure ulcer incidence and progression in critically ill subjects: influence of low air loss mattress versus a powered air pressure redistribution mattress.
The primary objective of this study was to compare facility-acquired pressure ulcer incidence and progression of pressure ulcers present on admission in critically ill patients, using 2 different support surfaces. ⋯ Critically ill subjects placed on low air loss beds with microclimate management in surgical ICUs had a lower pressure ulcer incidence than those placed on integrated powered air pressure redistribution beds. The clinical performance of the IP-AR surfaces may have been influenced by their age.
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J Wound Ostomy Continence Nurs · May 2012
Comparative StudyNever say never: a descriptive study of hospital-acquired pressure ulcers in a hospital setting.
The purposes of this study were to describe the characteristics of patients who experienced hospital-acquired pressure ulcers (HAPUs); explore risk factors with these patients, including comorbid conditions; and describe risk-reduction measures in patients who developed HAPUs. ⋯ Current risk assessment methods do not assess organ failures and the effect of multiple comorbid associated with HAPU occurrence. Current risk prevention methods may not be sufficient to prevent HAPUs in all patients.
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J Wound Ostomy Continence Nurs · Mar 2012
Controlled Clinical TrialProphylactic dressing application to reduce pressure ulcer formation in cardiac surgery patients.
The study was designed to determine if application of a self-adherent silicone border foam dressing would reduce pressure ulcer incidence when compared to standard preventive interventions among patients managed in a cardiac surgery intensive care unit (CSICU). ⋯ Pressure ulcer incidence was lower than anticipated over the study period for both groups. No statistically significant difference in pressure ulcer incidence between the intervention and control groups was found. A randomized controlled trial based on a power analysis is needed to more precisely determine the efficacy of a silicone border foam dressing for prevention of pressure ulcers in the intensive care unit.