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Prevention of heel pressure ulcers among older patients - from ambulance care to hospital discharge: A multi-centre randomized controlled trial.
Karlstad Univ, Fac Hlth Sci & Technol, Dept Hlth Sci, Univ Gatan 2, S-65188 Karlstad, Sweden.
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Univ Uppsala Hosp, Surg & Oncol Div, Uppsala, Sweden. (vårdvetenskap)ORCID iD: 0000-0002-9912-5350
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Caring Sciences. Univ Uppsala Hosp, Surg & Oncol Div, Uppsala, Sweden. (Vårdvetenskap)
Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Public Health and Caring Sciences, Health Services Research. Uppsala University, Disciplinary Domain of Medicine and Pharmacy, Faculty of Medicine, Department of Medical Sciences, Cardiovascular epidemiology. Univ Adelaide, Sch Nursing, Adelaide, SA, Australia.; Univ Uppsala Hosp, Dept Emergency Care, Uppsala, Sweden.
2016 (English)In: Applied Nursing Research, ISSN 0897-1897, E-ISSN 1532-8201, Vol. 30, 170-175 p.Article in journal (Refereed) Published
Abstract [en]

UNLABELLED: The aim was to investigate the effect of an early intervention, a heel suspension device boot, on the incidence of heel pressure ulcers among older patients (aged 70+).

BACKGROUND: Pressure ulcers are a global healthcare issue; furthermore, the heel is an exposed location. Research indicates that preventive nursing interventions starting during the ambulance care and used across the acute care delivery chain are seldom used.

METHODS: A multi-centre randomized control study design was used. Five ambulance stations, two emergency departments and 16 wards at two Swedish hospitals participated. Altogether, 183 patients were transferred by ambulance to the emergency department and were thereafter admitted to one of the participating wards.

RESULTS: Significantly fewer patients in the intervention group (n=15 of 103; 14.6%) than the control group (n=24 of 80; 30%) developed heel pressure ulcers during their hospital stay (p=0.017).

CONCLUSIONS: Pressure ulcer prevention should start early in the acute care delivery chain to increase patient safety.

Place, publisher, year, edition, pages
2016. Vol. 30, 170-175 p.
National Category
Nursing
Identifiers
URN: urn:nbn:se:uu:diva-289119DOI: 10.1016/j.apnr.2015.10.003ISI: 000375340300031PubMedID: 27091274OAI: oai:DiVA.org:uu-289119DiVA: diva2:924736
Note

Funding: The study was funded by the Uppsala-Orebro Regional Research Council, Uppsala County Council, County Council of Varmland, University of Gavle, Karlstad University, Uppsala University, and Uppsala University Hospital. An unrestricted grant from ETAC AB provided the heel pressure ulcer suspension device (Heelift (R) Standard), but played no role in the design and conduct of the study; the collection, management, analysis or interpretation of the data; or the preparation, review or approval of the manuscript.

Available from: 2016-04-28 Created: 2016-04-28 Last updated: 2016-06-23Bibliographically approved

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Engström, MariaGunningberg, LenaMuntlin Athlin, Åsa
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