Pressure sores and pressure-decreasing mattresses: controlled clinical trial

Hofman, A.; Geelkerken, R.H.; Wille, Jan; Hamming, J J; Breslau, Paul J.; Hermans, J.

doi:10.1016/s0140-6736(94)91521-0

Cited by 106 publications

(58 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Research on the cause of bowel leakage remains necessary to lower the incidence of this unfortunate event. Since the introduction of this registration system in 1996, several prospective studies have been performed to get more insight into the cause of complications to lower their frequency rates [18,19,20]. We are now working on a postoperative colorectal resection sheet in which we prospectively try to identify the parameters (like leukocytosis, fever, hemodynamic changes and high amylase levels in blood serum) that can be used to detect anastomotic leakage at an early stage in the course of this disease.…”

Section: Resultsmentioning

confidence: 99%

Quality Control of Colorectal Surgery with an Extensive Complication Registration System

Peeters¹,

Peeters²,

Corion³

et al. 2005

Dig Surg

View full text Add to dashboard Cite

Background/Aims: Since 1996, a standard registration is used to obtain a clear understanding of the complications that occur after colorectal surgery. In our registration system the cause of a complication and the detrimental effect to the patient’s health are coded. Methods: The treatment of colorectal diseases was evaluated to analyze the quality of medical care. Results: From 1996 to 2000, a total of 169 complications were documented in 108 of the 353 patients operated on. Leakage of the anastomosis occurred in 22 cases (6%) and wound infection occurred in 11 cases (3%). Most of the complications required no or little medical attention (n = 101, 59%). 51% of the complications could be attributed to the physical condition of the patient. Surgical complications were the cause in 31% of the cases and management problems in 16% of the cases. Conclusion: A registration system provides good insight into the frequency and severity of the complications after colorectal surgery. Extensive registration is mandatory to provide reliable information, comparing the results year by year. This provides the basis for continuous improvement of medical protocols on the surgical ward.

show abstract

Section: Resultsmentioning

confidence: 99%

Quality Control of Colorectal Surgery with an Extensive Complication Registration System

Peeters¹,

Peeters²,

Corion³

et al. 2005

Dig Surg

View full text Add to dashboard Cite

show abstract

“…Malnutrition and prolonged immobilization are the most significant risk factors for pressure ulcer development according to Hofman et al (1994). The National Institute for Health and Clinical Excellence (NICE) (2005) suggested that when assessing a patient's 'at-risk status' of…”

Section: The Value Of Risk-assessment Toolsmentioning

confidence: 99%

Pressure ulcers: understanding the challenges of promoting quality

Ousey

2010

Br J Nurs

View full text Add to dashboard Cite

Pressure ulcers affect quality of life and general wellbeing, and create significant difficulties for patients, their carers and families. Pressure ulcers are associated with morbidity and mortality, and prove costly for healthcare providers. This article identifies the Government's quality agenda and the importance of maintaining, developing and delivering quality care for the prevention of pressure ulceration.

show abstract

“…Patients were not eligible if they had a history of pressure ulcers, wound scars, or other dermatological diseases and peripheral vascular diseases on admission or before entry to this study. Pressure ulcers were defined as findings of persistent erythema, epidermal defects or breaks, superficial necrosis, or subcutaneous necrosis in the skin at sites of bony prominences on the back [13]. The pressure ulcers in each patient were identified by 3 physicians who had over 5 years' experience of pressure ulcer management.…”

Section: Patientsmentioning

confidence: 99%

“…We considered the following clinical characteristics as possible risk factors for pressure ulcer development: age, gender, underlying disease, level of consciousness, mobility and activity defined on the Braden scale, and cause of the patients being bedridden [13,14]. We also evaluated physical findings including body weight (BW), body height (BH), body mass index (BMI; kg/m 2 ), systolic and diastolic blood pressure (sBP and dBP, respectively), and heart rate (HR) as risk factors for pressure ulcer development [15,16].…”

Section: Risk Factors For Pressure Ulcer Developmentmentioning

confidence: 99%

The Effect of Anti-Platelet Aggregation to Prevent Pressure Ulcer Development: A Retrospective Study of 132 Elderly Patients

Matsuyama

Takano²,

Miura³

et al. 2000

Gerontology

View full text Add to dashboard Cite

Background: As the number of bedridden elderly patients increases, prevention of pressure ulcers is becoming a more important issue. However, an approach to this problem using medication has not been considered sufficiently in the clinical context. Objective: To test the hypothesis that anti-platelet aggregation therapy administered to the elderly patients may be helpful in preventing pressure ulcer formation, the medical records of 132 bedridden elderly patients were analyzed. In addition, the propensity of platelets to aggregate was also measured in some of the bedridden patients. Methods: Patients were divided into two groups, with pressure ulcers (group P, 52 patients) and without (group N, 80 patients). Subsequently, six factors defining the clinical characteristics age and gender, underlying disease, cause of being bedridden, level of consciousness, mobility and activity as defined on the Braden scale, and frequency of anti-platelet aggregation medication were investigated in groups P and N. In addition, physical findings (three factors): body mass index, blood pressure (BP), and heart rate were investigated in both groups. Furthermore, laboratory data (seven factors): total protein (TP), albumin, total cholesterol, hemoglobin (Hb), hematocrit (Hct), platelets, and platelet aggregation were compared between two groups. Results: There were no significant differences in clinical characteristics between the two groups with the exception of the frequency of anti-platelet aggregation medication (23.1% of group P vs. 40.0% of group N, χ² = 4.06, p < 0.05). There was also no significant difference in physical findings except a difference between systolic and diastolic BP (48.4 mm Hg in group P vs. 57.1 mm Hg in group N, p < 0.01). Values of TP, albumin, Hb, and Hct in both groups were lower than the normal range, but there was no significant difference between the two groups. The platelet count was significantly greater in group P than in group N after lying supine (p < 0.03), and platelet aggregation in group P was significantly higher compared with group N (p < 0.03). Conclusions: Although our hypothesis must be tested by a randomized prospective trial, these results indicate that increased platelet aggregation is possibly associated with the development of pressure ulcers; therefore anti-platelet aggregation therapy may prevent their occurrence in bedridden elderly patients.

show abstract

Pressure sores and pressure-decreasing mattresses: controlled clinical trial

Cited by 106 publications

References 10 publications

Quality Control of Colorectal Surgery with an Extensive Complication Registration System

Quality Control of Colorectal Surgery with an Extensive Complication Registration System

Pressure ulcers: understanding the challenges of promoting quality

The Effect of Anti-Platelet Aggregation to Prevent Pressure Ulcer Development: A Retrospective Study of 132 Elderly Patients

Contact Info

Product

Resources

About