Esin Derin Cicek, Ayper Önal Alkan, Nihan Parasiz Yukselen, Yılmaz Onal, Hakki Muammer Karakas, Ahmet Vural
Objective: The aim of this study was to determine the incidence of pressure ulcers (PUs) in patients treated for acute ischaemic stroke (AIS) and to evaluate comorbid/confounding factors.
Method: The study included patients treated for AIS who were divided into three treatment groups: those receiving intravenous tissue plasminogen activator therapy (tPA); patients receiving mechanical thrombectomy (MT); and those receiving both tPA and MT. PUs were classified according to the international classification system and factors that may influence their development were investigated.
Results: A total of 242 patients were included in this study. The incidence of PUs in patients treated for AIS was 7.4%. Most PUs were located on the sacrum (3.7%), followed by the gluteus (3.3%) and trochanter (2.9%). With regards to PU classification: 29% were stage I; 34% were stage II; and the remainder were stage III. Age was not a significant factor in the development of PUs (p=0.172). Patients in the tPA group had a lower PU incidence (2.3%) than patients in the tPA+MT group (15.7%) and MT group (12.1%) (p=0.001). Patients with PUs had a longer period of hospitalisation (18.5±11.92 days) than patients without a PU (8.0±8.52 days) (p=0.000). National Institute of Health Stroke Scale (NIHSS) scores at admission were higher in patients with PUs than in patients without a PU (14.33±4.38 versus 11.08±5.68, respectively; p=0.010). The difference in presence of comorbidities between patients with and without PUs (p=0.922) and between treatment groups (p=0.677) were not statistically significant. The incidence of PUs was higher in patients requiring intensive care, but this difference was not statistically significant (p=0.089).
Conclusion: In this study, patients treated for AIS with high NIHSS scores at admission and/or receiving MT were at higher risk for PUs, and so particular attention should be given to these patients in order to prevent PU development.
研究目的本研究旨在确定急性缺血性中风(AIS)患者的压疮(PU)发生率,并评估合并症/诱发因素:研究对象包括接受急性缺血性中风(AIS)治疗的患者,这些患者被分为三个治疗组:接受静脉组织纤溶酶原激活剂治疗(tPA)的患者;接受机械性血栓切除术(MT)的患者;同时接受tPA和MT治疗的患者。PU根据国际分类系统进行分类,并对可能影响其发展的因素进行了调查:本研究共纳入 242 例患者。在接受AIS治疗的患者中,PU的发生率为7.4%。大多数 PU 位于骶骨(3.7%),其次是臀肌(3.3%)和转子(2.9%)。PU分类:29%为I期,34%为II期,其余为III期。年龄不是PU发病的重要因素(P=0.172)。tPA组患者的PU发生率(2.3%)低于tPA+MT组(15.7%)和MT组(12.1%)(P=0.001)。PU 患者的住院时间(18.5±11.92 天)长于无 PU 患者(8.0±8.52 天)(P=0.000)。PU 患者入院时的美国国立卫生研究院卒中量表(NIHSS)评分高于无 PU 患者(分别为 14.33±4.38 对 11.08±5.68;P=0.010)。PU患者与无PU患者在合并症方面的差异(P=0.922)以及治疗组之间的差异(P=0.677)均无统计学意义。需要重症监护的患者PU发生率较高,但这一差异无统计学意义(P=0.089):在这项研究中,入院时NIHSS评分较高和/或接受MT治疗的AIS患者发生PU的风险较高,因此应特别关注这些患者,以预防PU的发生。
{"title":"Pressure ulcer development in patients treated for acute ischaemic stroke.","authors":"Esin Derin Cicek, Ayper Önal Alkan, Nihan Parasiz Yukselen, Yılmaz Onal, Hakki Muammer Karakas, Ahmet Vural","doi":"10.12968/jowc.2020.0331","DOIUrl":"https://doi.org/10.12968/jowc.2020.0331","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study was to determine the incidence of pressure ulcers (PUs) in patients treated for acute ischaemic stroke (AIS) and to evaluate comorbid/confounding factors.</p><p><strong>Method: </strong>The study included patients treated for AIS who were divided into three treatment groups: those receiving intravenous tissue plasminogen activator therapy (tPA); patients receiving mechanical thrombectomy (MT); and those receiving both tPA and MT. PUs were classified according to the international classification system and factors that may influence their development were investigated.</p><p><strong>Results: </strong>A total of 242 patients were included in this study. The incidence of PUs in patients treated for AIS was 7.4%. Most PUs were located on the sacrum (3.7%), followed by the gluteus (3.3%) and trochanter (2.9%). With regards to PU classification: 29% were stage I; 34% were stage II; and the remainder were stage III. Age was not a significant factor in the development of PUs (p=0.172). Patients in the tPA group had a lower PU incidence (2.3%) than patients in the tPA+MT group (15.7%) and MT group (12.1%) (p=0.001). Patients with PUs had a longer period of hospitalisation (18.5±11.92 days) than patients without a PU (8.0±8.52 days) (p=0.000). National Institute of Health Stroke Scale (NIHSS) scores at admission were higher in patients with PUs than in patients without a PU (14.33±4.38 versus 11.08±5.68, respectively; p=0.010). The difference in presence of comorbidities between patients with and without PUs (p=0.922) and between treatment groups (p=0.677) were not statistically significant. The incidence of PUs was higher in patients requiring intensive care, but this difference was not statistically significant (p=0.089).</p><p><strong>Conclusion: </strong>In this study, patients treated for AIS with high NIHSS scores at admission and/or receiving MT were at higher risk for PUs, and so particular attention should be given to these patients in order to prevent PU development.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284059","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Heri Kristianto, Ahsan Ahsan, Lailatul Mukaroma, Fenida Akhsinnadya, Melati Cahyani Indri, Nina Damayanti, Inne Kusbandiyah, Ridha Tri Rohyani, David Blow, Yohanes Andy Rias, Ahmad Hasyim Wibisono, Linda Wieke Noviyanti, Tina Handayani Nasution
Objective: This study aimed to measure the effectiveness of neuromuscular taping (NMT) form I (a polyacrylate tape 0.6cm wide and 30cm long) on wound temperature and erythema in diabetic foot ulcers (DFUs) as an initial study in NMT intervention trials.
Method: The study employed a quasi-experimental pretest and post-test design with a seven-day observation. The research sample was 38 patients with DFU grades 2 and 3. The sample was divided into two groups: the control group (n=19) and the intervention group (n=19). In wound care, the modern dressing was applied to both groups while NMT was applied to the intervention group in form I with 30cm long and 6mm wide strips, and on the proximal, distal and lateral sides. The wound bed temperature was measured with a non-contact infrared thermometer, and erythema was measured with Corel Photo-Paint X5 software (Corel Corp, Canada). Statistical analysis between the two groups was carried out using the Mann-Whitney test, independent t-test and Chi-squared test with p< 0.05 representing statistical significance.
Results: The preliminary results revealed that no statistically significant differences (p>0.05) were noted between the groups in sociodemographic or clinical characteristics, including age, body mass index, blood sugar, duration of diabetes, sex, smoking history, wound temperature and degree of erythema. Finally, it was also observed that, after seven days of application, NMT form I increased wound bed temperature, and reduced the level of erythema (p<0.05).
Conclusion: In this study, NMT form I has been shown to increase the wound bed temperature and reduce the degree of erythema in DFUs.
研究目的本研究旨在测量神经肌肉绑带(NMT)I型(宽0.6厘米、长30厘米的聚丙烯酸酯胶带)对糖尿病足溃疡(DFUs)伤口温度和红斑的效果,作为神经肌肉绑带干预试验的初步研究:研究采用准实验性的前测和后测设计,观察期为七天。研究样本为 38 名 2 级和 3 级 DFU 患者。样本分为两组:对照组(19 人)和干预组(19 人)。在伤口护理方面,对照组和干预组均使用现代敷料,而干预组则在伤口近端、远端和侧边使用长 30 厘米、宽 6 毫米的 I 型 NMT 敷料。伤口温度用非接触式红外测温仪测量,红斑用 Corel Photo-Paint X5 软件(加拿大 Corel 公司)测量。两组之间的统计分析采用曼-惠特尼检验、独立 t 检验和卡方检验,P< 0.05 代表统计学意义:初步结果显示,两组在年龄、体重指数、血糖、糖尿病病程、性别、吸烟史、伤口温度和红斑程度等社会人口学或临床特征方面均无统计学差异(P>0.05)。最后,研究还观察到,在使用七天后,NMT I 型可提高伤口床温度,降低红斑程度(p 结论:NMT I 型可提高伤口床温度,降低红斑程度(p 结论:NMT I 型可提高伤口床温度,降低红斑程度(p 结论):本研究表明,NMT I 型可提高 DFU 的伤口温度并减轻红斑程度。
{"title":"Effects of neuromuscular taping form I on wound temperature and erythema in diabetic foot ulcer: a preliminary study.","authors":"Heri Kristianto, Ahsan Ahsan, Lailatul Mukaroma, Fenida Akhsinnadya, Melati Cahyani Indri, Nina Damayanti, Inne Kusbandiyah, Ridha Tri Rohyani, David Blow, Yohanes Andy Rias, Ahmad Hasyim Wibisono, Linda Wieke Noviyanti, Tina Handayani Nasution","doi":"10.12968/jowc.2020.0291","DOIUrl":"https://doi.org/10.12968/jowc.2020.0291","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to measure the effectiveness of neuromuscular taping (NMT) form I (a polyacrylate tape 0.6cm wide and 30cm long) on wound temperature and erythema in diabetic foot ulcers (DFUs) as an initial study in NMT intervention trials.</p><p><strong>Method: </strong>The study employed a quasi-experimental pretest and post-test design with a seven-day observation. The research sample was 38 patients with DFU grades 2 and 3. The sample was divided into two groups: the control group (n=19) and the intervention group (n=19). In wound care, the modern dressing was applied to both groups while NMT was applied to the intervention group in form I with 30cm long and 6mm wide strips, and on the proximal, distal and lateral sides. The wound bed temperature was measured with a non-contact infrared thermometer, and erythema was measured with Corel Photo-Paint X5 software (Corel Corp, Canada). Statistical analysis between the two groups was carried out using the Mann-Whitney test, independent t-test and Chi-squared test with p< 0.05 representing statistical significance.</p><p><strong>Results: </strong>The preliminary results revealed that no statistically significant differences (p>0.05) were noted between the groups in sociodemographic or clinical characteristics, including age, body mass index, blood sugar, duration of diabetes, sex, smoking history, wound temperature and degree of erythema. Finally, it was also observed that, after seven days of application, NMT form I increased wound bed temperature, and reduced the level of erythema (p<0.05).</p><p><strong>Conclusion: </strong>In this study, NMT form I has been shown to increase the wound bed temperature and reduce the degree of erythema in DFUs.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284055","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"In memory of Gregory Schultz.","authors":"Vincent Falanga","doi":"10.12968/jowc.2024.0153","DOIUrl":"https://doi.org/10.12968/jowc.2024.0153","url":null,"abstract":"","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284057","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Debridement is key to removing devitalised tissue, debris and biofilm as part of wound-bed preparation. Unlike many other methods of debridement, mechanical debridement with a pad is effective enough to be used independently without an adjunctive method of debridement, while being more accessible than other standalone options.
Objective: To explore the clinical performance and safety of a debridement pad with both abrasive and non-abrasive surfaces in daily clinical practice.
Methods: This was a prospective, non-controlled, non-randomised, single-arm, open-label, multicentred observational evaluation. Inclusion criteria were wounds >4 cm2 covered with at least 30% debris, necrotic tissue or slough in patients aged ≥18 years. The treatment protocol comprised a single application of the debridement pad. The primary outcome measure was the amount of necrotic tissue, slough or debris in the wound bed. Secondary outcomes included the appearance of the wound bed, edges and periwound skin; self-reported pain scores; foreseeable negative impacts; and clinician satisfaction.
Results: A total of 62 participants with a variety of wound types were included in the analysis. Most wounds (87%) had been present for over 3 months and had high or moderate exudate levels (90%). A significant reduction was observed in all three parameters: necrotic tissue (p=0.043), slough (p<0.001) and debris (p<0.001). Necrotic tissue, slough and debris showed mean relative reductions of 40%, 72% and 40%, respectively. Of participants, 84% did not experience an increase in pain during the debridement procedure.
Conclusion: This clinical real-world data shows the debridement pad to be an effective and well-tolerated device for debridement and wound bed preparation.
{"title":"Clinical performance and safety of a debridement pad with abrasive and non-abrasive fibres.","authors":"Ewa Stürmer, Eike Sebastian Debus, Leanne Atkin","doi":"10.12968/jowc.2024.0162","DOIUrl":"10.12968/jowc.2024.0162","url":null,"abstract":"<p><strong>Background: </strong>Debridement is key to removing devitalised tissue, debris and biofilm as part of wound-bed preparation. Unlike many other methods of debridement, mechanical debridement with a pad is effective enough to be used independently without an adjunctive method of debridement, while being more accessible than other standalone options.</p><p><strong>Objective: </strong>To explore the clinical performance and safety of a debridement pad with both abrasive and non-abrasive surfaces in daily clinical practice.</p><p><strong>Methods: </strong>This was a prospective, non-controlled, non-randomised, single-arm, open-label, multicentred observational evaluation. Inclusion criteria were wounds >4 cm<sup>2</sup> covered with at least 30% debris, necrotic tissue or slough in patients aged ≥18 years. The treatment protocol comprised a single application of the debridement pad. The primary outcome measure was the amount of necrotic tissue, slough or debris in the wound bed. Secondary outcomes included the appearance of the wound bed, edges and periwound skin; self-reported pain scores; foreseeable negative impacts; and clinician satisfaction.</p><p><strong>Results: </strong>A total of 62 participants with a variety of wound types were included in the analysis. Most wounds (87%) had been present for over 3 months and had high or moderate exudate levels (90%). A significant reduction was observed in all three parameters: necrotic tissue (p=0.043), slough (p<0.001) and debris (p<0.001). Necrotic tissue, slough and debris showed mean relative reductions of 40%, 72% and 40%, respectively. Of participants, 84% did not experience an increase in pain during the debridement procedure.</p><p><strong>Conclusion: </strong>This clinical real-world data shows the debridement pad to be an effective and well-tolerated device for debridement and wound bed preparation.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: The aim of this systematic review was to identify and qualify the current available evidence of the wound exudate handling capabilities and the cost-effectiveness of hydration response technology (HRT). HRT combines physically modified cellulose fibres and gelling agents resulting in wound dressings that absorb and retain larger quantities of wound exudate.
Method: A systematic search was conducted in MEDLINE (via PubMed and PubMed Central) according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search was conducted using an unlimited search period. Studies or reviews that evaluated effect on wound exudate and cost-effectiveness, as well as the impact on wound healing were considered. Records focusing on wound management using HRT devices were included.
Results: The literature search identified four studies and one comparative analysis, ranging from low to moderate quality, that compared HRT dressings to other interventions (carboxymethyl cellulose dressing, other superabsorbent dressings, negative pressure wound therapy).
Conclusion: The analysed data supported the beneficial use of dressings with HRT for exuding wounds which was characterised by fewer dressing changes, improved periwound skin conditions and reduced costs.
{"title":"Hydration response technology dressings for low to excessively exuding wounds: a systematic review.","authors":"Hadar Avihai Lev-Tov, Sarah Hermak","doi":"10.12968/jowc.2024.0088","DOIUrl":"10.12968/jowc.2024.0088","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this systematic review was to identify and qualify the current available evidence of the wound exudate handling capabilities and the cost-effectiveness of hydration response technology (HRT). HRT combines physically modified cellulose fibres and gelling agents resulting in wound dressings that absorb and retain larger quantities of wound exudate.</p><p><strong>Method: </strong>A systematic search was conducted in MEDLINE (via PubMed and PubMed Central) according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). The search was conducted using an unlimited search period. Studies or reviews that evaluated effect on wound exudate and cost-effectiveness, as well as the impact on wound healing were considered. Records focusing on wound management using HRT devices were included.</p><p><strong>Results: </strong>The literature search identified four studies and one comparative analysis, ranging from low to moderate quality, that compared HRT dressings to other interventions (carboxymethyl cellulose dressing, other superabsorbent dressings, negative pressure wound therapy).</p><p><strong>Conclusion: </strong>The analysed data supported the beneficial use of dressings with HRT for exuding wounds which was characterised by fewer dressing changes, improved periwound skin conditions and reduced costs.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284056","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: The relationship between the healing time of pressure ulcers (PUs) and wound cleaning frequency among older people in homecare settings was investigated.
Method: This single-centre, prospective cohort study was conducted from April 2018 to March 2019. Patients who used home-visit nursing services, had National Pressure Ulcer Advisory Panel classification stage 2 PUs, and had their wounds cleaned at least twice a week were enrolled in the study. Wound cleaning was performed using tap water and a weakly acidic cleanser. Participants were divided into two groups, determined by the frequency of wound cleaning (twice weekly versus ≥3 times weekly). Duration of PU healing and the increase in care insurance premiums were compared in both groups.
Results: A total of 12 patients were included in the study. The mean healing period of PUs cleaned ≥3 times per week (65.3±24.8 days) was significantly shorter than that of PUs cleaned twice a week (102.6±19.2 days; p<0.05). Furthermore, the increase in care insurance premiums for PUs cleaned ≥3 times per week (¥122,497±105,660 Yen per six months) was significantly lower than that for PUs cleaned twice a week (¥238,116±60,428 per six months) (p<0.05).
Conclusion: Our results suggest that frequent cleaning of PUs by health professionals in homecare settings not only shorten PU healing period but also reduces care insurance premiums for PU care.
目的:调查家庭护理环境中老年人压疮(PU)愈合时间与伤口清洁频率之间的关系:调查家庭护理环境中老年人压疮(PU)愈合时间与伤口清洁频率之间的关系:这项单中心前瞻性队列研究于 2018 年 4 月至 2019 年 3 月进行。使用上门护理服务、患有国家压力溃疡顾问小组分类第二阶段PU、每周至少清洗两次伤口的患者被纳入研究。伤口清洁使用自来水和弱酸性清洁剂。根据清洗伤口的频率(每周两次与每周≥3 次)将参与者分为两组。比较了两组患者的 PU 愈合时间和护理保险费的增加情况:研究共纳入了 12 名患者。每周清洁≥3 次的 PU 的平均愈合期(65.3±24.8 天)明显短于每周清洁 2 次的 PU 的平均愈合期(102.6±19.2 天;P 结论:我们的研究结果表明,频繁清洁 PU 可缩短 PU 的愈合期:我们的研究结果表明,在家庭护理环境中,医护人员经常清洁 PU 不仅能缩短 PU 的愈合期,还能降低 PU 护理的护理保险费。
{"title":"Relationship between cleaning frequency and pressure ulcer healing time in older people receiving home care.","authors":"Yoshiyuki Yoshikawa, Noriaki Maeshige, Masayuki Tanaka, Mikiko Uemura, Terutaka Hiramatsu, Hidemi Fujino, Masaharu Sugimoto, Hiroto Terashi","doi":"10.12968/jowc.2021.0152","DOIUrl":"https://doi.org/10.12968/jowc.2021.0152","url":null,"abstract":"<p><strong>Objective: </strong>The relationship between the healing time of pressure ulcers (PUs) and wound cleaning frequency among older people in homecare settings was investigated.</p><p><strong>Method: </strong>This single-centre, prospective cohort study was conducted from April 2018 to March 2019. Patients who used home-visit nursing services, had National Pressure Ulcer Advisory Panel classification stage 2 PUs, and had their wounds cleaned at least twice a week were enrolled in the study. Wound cleaning was performed using tap water and a weakly acidic cleanser. Participants were divided into two groups, determined by the frequency of wound cleaning (twice weekly versus ≥3 times weekly). Duration of PU healing and the increase in care insurance premiums were compared in both groups.</p><p><strong>Results: </strong>A total of 12 patients were included in the study. The mean healing period of PUs cleaned ≥3 times per week (65.3±24.8 days) was significantly shorter than that of PUs cleaned twice a week (102.6±19.2 days; p<0.05). Furthermore, the increase in care insurance premiums for PUs cleaned ≥3 times per week (¥122,497±105,660 Yen per six months) was significantly lower than that for PUs cleaned twice a week (¥238,116±60,428 per six months) (p<0.05).</p><p><strong>Conclusion: </strong>Our results suggest that frequent cleaning of PUs by health professionals in homecare settings not only shorten PU healing period but also reduces care insurance premiums for PU care.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284061","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Changing perceptions of care in home care and nursing home settings.","authors":"Mark Collier","doi":"10.12968/jowc.2024.0164","DOIUrl":"https://doi.org/10.12968/jowc.2024.0164","url":null,"abstract":"","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Hassiel Aurelio Ramirez-Marin, Irazu Contreras-Yañez, Karin Ivette Campos-Jimenez, Leticia Molina-Murrieta, Yeni Huerta-Ramirez, Judith Guadalupe Domínguez-Cherit
Objective: To explore the epidemiology and risk factors associated with the development of pressure ulcers (PUs) in patients receiving prone positioning (PP) ventilatory therapy; to compare the inflammatory status of patients who develop PUs with those who do not; and to describe the experience and useful findings that have allowed us to improve the management of these patients to reduce the incidence of PUs.
Method: An observational, descriptive and longitudinal study was conducted, where sociodemographic and laboratory data were collected from patients who were hospitalised and required PP ventilatory therapy in critical care areas (CCA) during the months of May-October 2020.
Results: From the total number of patients who required PP during their CCA stay (n=240), 202 (84.2%) developed a PU. The four most frequent areas where a PU appeared were: the head and neck (n=115); the pinna (n=21); the torso (n=21); and the lower limbs (n=21). Patients who developed PU were more frequently males with higher initial levels of creatinine phosphokinase and ferritin. The incidence for each month of follow-up decreased from 8.3% to 5.8%.
Conclusion: Regardless of the intervention, a multidisciplinary approach is required to optimise the prevention and treatment of these wounds. While PUs are often the result of other medical conditions or poor health status in general, the vast majority of PUs are avoidable.
目的探讨接受俯卧位(PP)通气治疗的患者发生压疮(PU)的流行病学和相关风险因素;比较发生压疮的患者和未发生压疮的患者的炎症状态;描述我们在改善这些患者的管理以降低压疮发生率方面的经验和有用发现:方法:我们开展了一项观察性、描述性和纵向研究,收集了2020年5月至10月期间在重症监护区(CCA)住院并需要PP通气治疗的患者的社会人口学和实验室数据:在 CCA 住院期间需要 PP 的患者总数(240 人)中,202 人(84.2%)出现了 PU。PU最常出现的四个部位是:头颈部(115人)、耳廓(21人)、躯干(21人)和下肢(21人)。发生 PU 的患者多为男性,肌酐磷酸激酶和铁蛋白的初始水平较高。随访一个月的发病率从8.3%降至5.8%:无论采取何种干预措施,都需要采取多学科方法来优化这些伤口的预防和治疗。虽然 PU 通常是其他疾病或总体健康状况不良的结果,但绝大多数 PU 是可以避免的。
{"title":"Pressure ulcers related to prone positioning: a pandemic amidst a pandemic.","authors":"Hassiel Aurelio Ramirez-Marin, Irazu Contreras-Yañez, Karin Ivette Campos-Jimenez, Leticia Molina-Murrieta, Yeni Huerta-Ramirez, Judith Guadalupe Domínguez-Cherit","doi":"10.12968/jowc.2021.0105","DOIUrl":"10.12968/jowc.2021.0105","url":null,"abstract":"<p><strong>Objective: </strong>To explore the epidemiology and risk factors associated with the development of pressure ulcers (PUs) in patients receiving prone positioning (PP) ventilatory therapy; to compare the inflammatory status of patients who develop PUs with those who do not; and to describe the experience and useful findings that have allowed us to improve the management of these patients to reduce the incidence of PUs.</p><p><strong>Method: </strong>An observational, descriptive and longitudinal study was conducted, where sociodemographic and laboratory data were collected from patients who were hospitalised and required PP ventilatory therapy in critical care areas (CCA) during the months of May-October 2020.</p><p><strong>Results: </strong>From the total number of patients who required PP during their CCA stay (n=240), 202 (84.2%) developed a PU. The four most frequent areas where a PU appeared were: the head and neck (n=115); the pinna (n=21); the torso (n=21); and the lower limbs (n=21). Patients who developed PU were more frequently males with higher initial levels of creatinine phosphokinase and ferritin. The incidence for each month of follow-up decreased from 8.3% to 5.8%.</p><p><strong>Conclusion: </strong>Regardless of the intervention, a multidisciplinary approach is required to optimise the prevention and treatment of these wounds. While PUs are often the result of other medical conditions or poor health status in general, the vast majority of PUs are avoidable.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284060","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-06-01DOI: 10.12968/jowc.2024.33.Sup6b.S1
Dieter O Mayer, William H Tettelbach, Guido Ciprandi, Fiona Downie, Jane Hampton, Heather Hodgson, Jose Luis Lazaro-Martinez, Astrid Probst, Greg Schultz, Ewa Klara Stürmer, Alison Parnham, Nicoletta Frescos, Duncan Stang, Samantha Holloway, Steve L Percival
{"title":"Best practice for wound debridement.","authors":"Dieter O Mayer, William H Tettelbach, Guido Ciprandi, Fiona Downie, Jane Hampton, Heather Hodgson, Jose Luis Lazaro-Martinez, Astrid Probst, Greg Schultz, Ewa Klara Stürmer, Alison Parnham, Nicoletta Frescos, Duncan Stang, Samantha Holloway, Steve L Percival","doi":"10.12968/jowc.2024.33.Sup6b.S1","DOIUrl":"10.12968/jowc.2024.33.Sup6b.S1","url":null,"abstract":"","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Objective: Non-lactational mastitis (NLM) is a benign inflammatory disease of the mammary gland, with pain, swelling and redness as the main clinical manifestations. There is no unified and effective standard treatment plan for this disease at present. In addition to breast cancer, non-lactational mastitis is also becoming a presenting complaint in an increasing number of outpatients at the authors' clinic. This case report summarises the treatment and management of a 35-year-old female patient with NLM complicated with multiple sinus wounds after surgery.
Method: The patient was treated as follows, with: timely debridement according to the local condition of the wound, with manual compression to drain exudate from the sinus wound; selected wound dressings according to their performance and characteristics to fill the sinus tract for drainage and infection control; psychological care of the patient and their family to ensure that patients actively participate in the treatment; family support to the patient to deal with negative emotions; integrated traditional Chinese and Western medicine to prevent/manage infection; dietary care and control; posture management and health education to facilitate the patient's wound healing process.
Results: After local management with systemic treatment and management using integrated traditional Chinese and Western medicine, the wound healed after 46 days, with no recurrence during a follow-up period of one year.
Conclusion: As shown in this case report, the wound should be cut and drained as soon as possible in order to prevent obstruction of the sinus drainage. Modern wound dressings are selected for the 'external' treatment of local wounds. Integrated traditional Chinese and Western medicine may help in systemic therapy of the whole patient.
{"title":"Non-lactational mastitis with multiple sinus wounds treated by integrated traditional Chinese and Western medicine.","authors":"Yinhua Zhang, Ranran Zhang, Chunlei Sun, Dong Meng, Ling Chen","doi":"10.12968/jowc.2022.0050","DOIUrl":"10.12968/jowc.2022.0050","url":null,"abstract":"<p><strong>Objective: </strong>Non-lactational mastitis (NLM) is a benign inflammatory disease of the mammary gland, with pain, swelling and redness as the main clinical manifestations. There is no unified and effective standard treatment plan for this disease at present. In addition to breast cancer, non-lactational mastitis is also becoming a presenting complaint in an increasing number of outpatients at the authors' clinic. This case report summarises the treatment and management of a 35-year-old female patient with NLM complicated with multiple sinus wounds after surgery.</p><p><strong>Method: </strong>The patient was treated as follows, with: timely debridement according to the local condition of the wound, with manual compression to drain exudate from the sinus wound; selected wound dressings according to their performance and characteristics to fill the sinus tract for drainage and infection control; psychological care of the patient and their family to ensure that patients actively participate in the treatment; family support to the patient to deal with negative emotions; integrated traditional Chinese and Western medicine to prevent/manage infection; dietary care and control; posture management and health education to facilitate the patient's wound healing process.</p><p><strong>Results: </strong>After local management with systemic treatment and management using integrated traditional Chinese and Western medicine, the wound healed after 46 days, with no recurrence during a follow-up period of one year.</p><p><strong>Conclusion: </strong>As shown in this case report, the wound should be cut and drained as soon as possible in order to prevent obstruction of the sinus drainage. Modern wound dressings are selected for the 'external' treatment of local wounds. Integrated traditional Chinese and Western medicine may help in systemic therapy of the whole patient.</p>","PeriodicalId":17590,"journal":{"name":"Journal of wound care","volume":null,"pages":null},"PeriodicalIF":1.9,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141284066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}