Background Postoperative pressure ulcers are important indicators of perioperative care quality, and are serious and expensive complications during critical care. This study aimed to identify perioperative risk factors for postoperative pressure ulcers. Methods This retrospective case-control study evaluated 2,498 patients who underwent major surgery. Forty-three patients developed postoperat...

This year in particular, as the National Pressure Ulcer Advisory Panel (NPUAP) celebrates its 25th anniversary, there are many reasons to be proud about the journey to awareness and best practice related to pressure ulcers. No longer do we find ourselves “ringing the bell” to alert clinicians, administrators, policy makers, and family caregivers to this pervasive problem among immobile and debi...

OBJECTIVE To compare whether differences exist between alternating pressure overlays and alternating pressure mattresses in the development of new pressure ulcers, healing of existing pressure ulcers, and patient acceptability. DESIGN Pragmatic, open, multicentre, randomised controlled trial. SETTING 11 hospitals in six NHS trusts. PARTICIPANTS 1972 people admitted to hospital as acute or...

AIMS One aim was to compare the quality and comprehensiveness in nursing documentation of pressure ulcers before and after implementation of an electronic health record in a hospital setting. Another aim was to investigate the use of preformulated templates for pressure ulcer recording in the electronic health record. BACKGROUND With the possibilities of the electronic health record to provid...

AIMS AND OBJECTIVES To assess and compare the predictive validity of the modified Braden and Braden scales and to identify which of the modified Braden subscales are predictive in assessing pressure ulcer risk among orthopaedic patients in an acute care setting. BACKGROUND Although the Braden scale has better predictive validity, literature has suggested that it can be used in conjunction wit...

Technological advances in recent decades have extended survival time of critically ill hospitalized patients but their unstable physiological state and limited mobility increase their risk for pressure ulcers. On two different days (June 16 and October 20, 2004), pressure ulcer prevalence in patients hospitalized at the São Paulo Hospital, Brazil was assessed. On study day 1, 43 of the 376 inp...

PURPOSE Prevention of pressure ulcer development is one of the most important tasks of chronic diseases management. This diseases are the risk factors of pressure ulcer development. The effectiveness of prevention depends on medical staff work organization, material resources (e.g. dressings), training system and education. The aim of the study was to asses the level of preparation for preventi...

A criterion-referenced Web-based test was designed and administered to 256 individuals at 48 randomly sampled National Database of Nursing Quality Indicators (NDNQI) member hospitals to determine the reliability of the NDNQI pressure ulcer indicator. Overall κ values for pressure ulcer identification, staging, and sourcing indicate moderate to near perfect reliability. Findings suggest that nur...

Pressure ulcers continue to be a personally and financially expensive complication of surgery and hospitalization. The effects of anesthesia, immobilization during surgery, and use of multiple medical devices all place the surgical patient at high risk for pressure-related skin injury. As part of a comprehensive pressure ulcer prevention initiative, nurses in the cardiac and main ORs at Childre...