Prevention of Pressure Ulcers in the Acute Care Setting: New Innovations and Technologies
- 1 September 2016
- journal article
- review article
- Published by Ovid Technologies (Wolters Kluwer Health) in Plastic and Reconstructive Surgery
- Vol. 138 (3S), 232S-240S
- https://doi.org/10.1097/prs.0000000000002644
Abstract
Pressure ulcers (PUs) challenge many in the healthcare field requiring costly and complex care. PUs result from prolonged ischemia and subsequent soft-tissue injury caused by unrelieved pressure over a bony prominence. Proper risk assessment and implementation of prevention strategies for PUs are crucial to providing comprehensive care while reducing healthcare costs. The emphasis has led to the expansion of research in PU prevention technologies in the recent years. The aim of this review is to present an evidence-based summary of some of the new innovations in PU prevention. A literature search was performed. Articles were included if the article discussed the cost, prevalence, assessment, diagnosis, and/or prevention of PUs. The literature search was limited to 2013 to 2016. A total of 1393 potential studies were identified using the search criteria. Three hundred fifty-three articles were reviewed and when possible, preference for inclusion was given to those studies with a higher level of evidence or those discussing novel ideas/innovations. The summary of topics explored includes the following: the use of risk assessment scales as an adjunct in risk identification, the benefit of alternative support surfaces to aid in prevention as compared with standard hospital mattresses, effective repositioning strategies, silicone prophylactic dressing for shear reduction, microclimate control, nutritional considerations, use of electrical stimulation for spinal cord injury patients, and the importance of patient participation.Keywords
This publication has 45 references indexed in Scilit:
- Consensus Statement of the Academy of Nutrition and Dietetics/American Society for Parenteral and Enteral Nutrition: Characteristics Recommended for the Identification and Documentation of Adult Malnutrition (Undernutrition)Journal of the Academy of Nutrition and Dietetics, 2012
- The Levels of Evidence and Their Role in Evidence-Based MedicinePlastic and Reconstructive Surgery, 2011
- Hospitalized patients' participation and its impact on quality of care and patient safetyInternational Journal for Quality in Health Care, 2011
- Sensing Pressure Distribution on a Lower-Limb Exoskeleton Physical Human-Machine InterfaceSensors, 2010
- Guidelines for the prevention of pressure ulcersWound Repair and Regeneration, 2008
- Cellular and molecular basis of wound healing in diabetesJCI Insight, 2007
- Implantable Baclofen Pump as an Adjuvant in Treatment of Pressure SoresAnnals of Plastic Surgery, 2003
- Pressure Sores and Paraplegia: An Experimental ModelAnnals of Plastic Surgery, 1985
- Percutaneous lumbar rhizotomy for spasms in paraplegiaSpinal Cord, 1983
- Effects of Cortisone and Vitamin A on Wound HealingAnnals of Surgery, 1968