A comprehensive program to prevent pressure ulcers in long-term care: exploring costs and outcomes A comprehensive program to prevent pressure ulcers in long-term care: exploring costs and outcomes A comprehensive program to prevent pressure ulcers in long-term care: exploring costs and outcomes Lyder C H, Shannon R, Empleo-Frazier O, McGeHee D, White C Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains (...) a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The authors assessed comprehensive protocols of care (SOLUTIONS, ConvaTec, a Bristol-Myers Squibb Company) for the prevention of pressure ulcers in long-term care. The protocols focused on risk factors identified in accordance with the Braden Scale. The comprehensive programme for pressure ulcer preventioncomprised

Is noncontact normothermic wound therapy cost effective for the treatment of stages 3 and 4 pressure ulcers Is noncontact normothermic wound therapy cost effective for the treatment of stages 3 and 4 pressure ulcers Is noncontact normothermic wound therapy cost effective for the treatment of stages 3 and 4 pressure ulcers Macario A, Dexter F Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief (...) summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The use of noncontact normothermic wound therapy (NNWT; Warm-Up Therapy, Augustine Medical Inc.) for the treatment of stages 3 and 4 pressure ulcers. NNWT was administered three times a day for one hour. In addition, all of the patients received standard care. Standard care consisted of cleansing the wound, using a pressure-reducing

Pressure ulcer prevention and treatment following spinal cord injury. Guidelines and Measures | Agency for Healthcare Research & Quality HHS.gov Search ahrq.gov Search ahrq.gov Menu Topics A - Z Healthcare Delivery Latest available findings on quality of and access to health care Searchable database of AHRQ Grants, Working Papers & HHS Recovery Act Projects AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund You are here Guidelines and Measures Funding for the National

Air-fluidized beds used for treatment of pressure ulcers in the home environment Air-fluidized beds used for treatment of pressure ulcers in the home environment Air-fluidized beds used for treatment of pressure ulcers in the home environment ECRI Authors' objectives To determine the effectiveness of air-fluidised beds and group 2 support surfaces, as defined by the Centers for Medicare and Medicaid Services, for the treatment of stage III or IV pressure ulcers in the home and other settings (...) eligible for inclusion. Specific interventions included in the review Controlled studies of air-fluidised beds or group 2 support surfaces in the home setting were eligible for inclusion in the review. Owing to the paucity of research in the home setting, the authors relaxed their inclusion criteria and included studies that were not in the home setting. Participants included in the review Studies that included patients with stage III or IV pressure ulcers, which presented results separately from those

Translating pressure ulcer guidelines into practice: it's harder than it sounds Translating pressure ulcer guidelines into practice: it's harder than it sounds Translating pressure ulcer guidelines into practice: it's harder than it sounds Xakellis G C, Frantz R A, Lewis A, Harvey P Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed (...) by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The study examined a protocol aimed at reducing the incidence and time to healing of pressure ulcers in patients in a long-term care facility. The protocol consisted of identifying patients at risk of a pressure ulcer, the regular repositioning of patients with limited mobility, and providing support surfaces such as mattress overlays, chair cushions and padding for a bony prominence. Type

Cost and cost effectiveness of venous and pressure ulcer protocols of care Cost and cost effectiveness of venous and pressure ulcer protocols of care Cost and cost effectiveness of venous and pressure ulcer protocols of care Kerstein M D, Gemmen E, van Rijswijk L, Lyder C H, Phillips T, Xakellis G, Golden K, Harrington C Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods (...) , the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The health technologies in the study were represented by protocols of wound care for pressure ulcer and venous ulcer. The three care protocols for pressure ulcer were saline moistened gauze, hydrocolloid Comfeel dressing, and hydrocolloid DuoDERM dressing. The three care protocols for venous ulcer were paraffin-, saline-, or zinc oxide-impregnated gauze

Effectiveness of special dressings in the treatment of pressure and leg ulcers. IPE-01/28 (Public report) Effectiveness of special dressings in the treatment of pressure and leg ulcers. IPE-01/28 (Public report) Effectiveness of special dressings in the treatment of pressure and leg ulcers. IPE-01/28 (Public report) Bouza Alvarez C, Sanz de Leon O M, Amate Blanco J M Record Status This is a bibliographic record of a published health technology assessment from a member of INAHTA. No evaluation (...) of the quality of this assessment has been made for the HTA database. Citation Bouza Alvarez C, Sanz de Leon O M, Amate Blanco J M. Effectiveness of special dressings in the treatment of pressure and leg ulcers. IPE-01/28 (Public report) Madrid: Agencia de Evaluacion de Tecnologias Sanitarias (AETS). Informe de Evaluacion de Tecnologias Sanitarias No.28. 2001 Authors' objectives To evaluate the effectiveness and cost-effectiveness of modern dressings in the treatment of pressure ulcers and leg ulcers

Constant force technology versus low-air-loss therapy in the treatment of pressure ulcers "Constant force technology" versus low-air-loss therapy in the treatment of pressure ulcers "Constant force technology" versus low-air-loss therapy in the treatment of pressure ulcers Branom R, Rappl L M Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions (...) followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology The PressureGuard CFT (Constant Force Technology) mattress by Span-America Medical Systems Inc., subsequently referred to as the "study mattress", and a low-air-loss (LAL) mattress were compared. Type of intervention Treatment. Economic study type Cost-effectiveness analysis. Study population The study examined patients with stage III or IV pressure ulcers on the trunk or pelvis

Pressure relieving interventions for preventing and treating diabetic foot ulcers. Foot ulceration is thought to affect 15% of all people with diabetes at some time during their life.To assess the effectiveness of pressure relieving interventions in the prevention and treatment of diabetic foot ulcers.Searches of 19 databases, hand searching of journals, bibliographies and identification of unpublished work by written communication with recognised experts in the diabetic foot.Randomised (...) controlled trials evaluating pressure relieving interventions either in the prevention or the treatment of diabetic foot ulcers. There was no restriction on articles/trials based on language or publication status.Data extraction and assessment of study quality was undertaken by two reviewers independently. Each trial was analysed separately, no pooling of results was possible due to the difference in patients, comparisons and outcomes.Prevention 4 RCTs of pressure relieving interventions were identified

Prevention of pressure ulcers Prevention of pressure ulcers Prevention of pressure ulcers Bernath V Record Status This is a bibliographic record of a published health technology assessment. No evaluation of the quality of this assessment has been made for the HTA database. Citation Bernath V. Prevention of pressure ulcers. Centre for Clinical Effectiveness (CCE). Evidence Centre Evidence Report. 2000 Authors' objectives This aim of this report was to assess the most effective methods (...) of pressure ulcer prevention in patients in long term intensive care. Authors' conclusions A recently published evidence based guidelines document on pressure ulcer risk assessment and prevention was located. The guidelines are still the 'first version of the final draft', available for comment until 15 September 2000. The expected date of the revised final draft is December 2000. The guideline is evidence-linked, rather than evidence-based. As there was insufficient evidence to guide all clinical

Cost, efficacy, efficiency and tolerability of collagenase ointment versus hydrocolloid occlusive dressing in the treatment of pressure ulcers: a comparative, randomised, multicentre study Cost, efficacy, efficiency and tolerability of collagenase ointment versus hydrocolloid occlusive dressing in the treatment of pressure ulcers: a comparative, randomised, multicentre study Cost, efficacy, efficiency and tolerability of collagenase ointment versus hydrocolloid occlusive dressing (...) in the treatment of pressure ulcers: a comparative, randomised, multicentre study Burgos A, Gimenez J, Moreno E, Lamberto E, Utrera M, Urraca E M, Velez F J, Lopez E, Martinez M A, Gomez M J, Garcia L Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health

[A comparison of the effectiveness and cost of moist environment dressings treatment as compared to traditional dressings treatment: randomized clinical trial on patients suffering venous leg ulcers or pressure ulcers treated by primary health care nurses Comparacion de la efectividad y coste de la cura en ambiente humedo frente a la cura tradicional: ensayo clinico en pacientes de atencion primaria con ulceras vasculares y por presion [A comparison of the effectiveness and cost of moist (...) environment dressings treatment as compared to traditional dressings treatment: randomized clinical trial on patients suffering venous leg ulcers or pressure ulcers treated by primary health care nurses] Comparacion de la efectividad y coste de la cura en ambiente humedo frente a la cura tradicional: ensayo clinico en pacientes de atencion primaria con ulceras vasculares y por presion [A comparison of the effectiveness and cost of moist environment dressings treatment as compared to traditional dressings

The economics of preventing and treating pressure ulcers: a pilot study The economics of preventing and treating pressure ulcers: a pilot study The economics of preventing and treating pressure ulcers: a pilot study Thomson J S, Brooks R G Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment (...) on the reliability of the study and the conclusions drawn. Health technology A potential prevention programme in patients with pressure ulcers. The prevention programme would consist of additional specialist preventative equipment and access to a specialist tissue viability nurse. Type of intervention Secondary prevention; treatment. Economic study type Cost-effectiveness analysis. Study population Patients presenting with pressure ulcers (geriatric inpatients). Setting Hospital. The economic analysis

Pressure ulcer prevention: a randomized controlled trial of 2 risk-directed strategies for patient surface assignment Pressure ulcer prevention: a randomized controlled trial of 2 risk-directed strategies for patient surface assignment Pressure ulcer prevention: a randomized controlled trial of 2 risk-directed strategies for patient surface assignment Inman K J, Dymock K, Fysh N, Robbins B, Rutledge F S, Sibbald W J Record Status This is a critical abstract of an economic evaluation that meets (...) the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Two programmes of patient surface assignment for the prevention of pressure ulcers (PUs) in the intensive care unit (ICU) were compared. One of the programmes emphasised the use of purchased products (experimental group), while the other relied on both purchased

Cost-effectiveness of an intensive pressure ulcer prevention protocol in long-term care Cost-effectiveness of an intensive pressure ulcer prevention protocol in long-term care Cost-effectiveness of an intensive pressure ulcer prevention protocol in long-term care Xakellis G C, Frantz R A, Lewis A, Harvey P Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results (...) and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Implementation of an intensive pressure ulcer prevention protocol, in a long-term-care facility, using low-technology interventions such as foam overlays, heel protectors, and repositioning schedules in the prevention of pressure ulcers. The intensity of the interventions increased incrementally as the subject's risk level increased. The Braden Scale for Predicting Pressure

The cost-effectiveness of interventions for preventing pressure ulcers The cost-effectiveness of interventions for preventing pressure ulcers The cost-effectiveness of interventions for preventing pressure ulcers Xakellis G C, Frantz R A Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results and conclusions followed by a detailed critical assessment (...) on the reliability of the study and the conclusions drawn. Health technology Frequent patient repositioning and use of pressure-reducing devices in prevention of pressure ulcers. Type of intervention Primary prevention. Economic study type Cost-effectiveness analysis. Study population Elderly hospitalised patients. Setting Nursing home. The economic study was conducted in Moline, Illinois, USA. Dates to which data relate The effectiveness data were collected in 1991 for the intervention group and in 1960

A literature assessment of the use of miscellaneous topical agents, growth factors, and skin equivalents for the treatment of pressure ulcers A literature assessment of the use of miscellaneous topical agents, growth factors, and skin equivalents for the treatment of pressure ulcers A literature assessment of the use of miscellaneous topical agents, growth factors, and skin equivalents for the treatment of pressure ulcers Margolis D J, Lewis V L Authors' objectives To review the efficacy (...) , Lewis V L. A literature assessment of the use of miscellaneous topical agents, growth factors, and skin equivalents for the treatment of pressure ulcers. Dermatologic Surgery 1995; 21(2): 145-148 PubMedID Indexing Status Subject indexing assigned by NLM MeSH Administration, Topical; Anti-Ulcer Agents /administration & Dermatologic Agents /administration & Growth Substances /administration & Humans; Pressure Ulcer /drug therapy; Randomized Controlled Trials as Topic; Skin, Artificial; dosage; dosage

A randomized trial of low-air-loss beds for treatment of pressure ulcers. To assess the effectiveness of low-air-loss beds for the treatment of pressure ulcers in nursing homes.Prospective, randomized, clinical trial.Three teaching nursing homes in Los Angeles, Calif.Eighty-four nursing home residents with trunk or trochanter pressure ulcers (Shea stage > or = 2).Subjects were randomly assigned to use either a low-air-loss bed (n = 43) or a 10-cm corrugated foam mattress (n = 41) throughout (...) substantial improvement compared with foam mattresses despite other factors in pressure ulcer healing.

Clinical utility and cost-effectiveness of an air suspension bed in the prevention of pressure ulcers. To determine, in critically ill patients at risk, both the clinical utility and cost-effectiveness of using an air suspension bed in the prevention of pressure ulcers.Randomized, parallel group, controlled clinical trial with accompanying cost-effectiveness analysis.30-bed multidisciplinary intensive care unit.100 consecutive patients at risk for the development of pressure ulcers randomly (...) assigned to receive treatment on either an air suspension bed or a standard intensive care unit bed. Patients considered at risk were those at least 17 years of age with an Acute Physiology and Chronic Health Evaluation II (APACHE II) score greater than 15 who had an expected intensive care unit stay of at least 3 days.The development of pressure ulcers by site and severity and the costs associated with each of the two programs.The air suspension bed was associated with fewer patients developing single

Platelet-derived growth factor BB for the treatment of chronic pressure ulcers. A randomised, phase I/II, double-blind, placebo-controlled study was designed to assess the effect of topically applied recombinant human BB homodimeric platelet-derived growth factor (rPDGF-BB) on healing of chronic pressure ulcers. Twenty patients were randomly allocated daily treatment for 28 days with 1, 10, or 100 micrograms/ml rPDGF-BB (0.01, 0.1, or 1.0 micrograms per cm2 ulcer area) or placebo. Patients (...) treated with 100 micrograms/ml rPDGF-BB showed a greater healing response than the placebo group, but the lower doses had little effect. After 28 days, ulcers treated with 100 micrograms/ml rPDGF-BB were smaller than those treated with placebo (mean [SE] volume 6.4 [4.0] vs 21.8 [5.6]% of day 0 volume). There were no toxic effects. These preliminary findings suggest that rPDGF-BB is a potent wound-healing agent in soft tissue.