The economics of pressure relieving surfaces: an illustrative case study of the impact of high-specification surfaces on hospital finances.

Abstract:

:Pressure ulcers are associated with a significant economic burden that, in many cases, is recognised as being avoidable. The effectiveness of pressure relieving surfaces is well documented and acknowledged in clinical guidelines on the prevention and management of pressure ulcers. Whilst pressure relieving surfaces are more expensive than traditional hospital mattresses, judicious use, targeted to patients most at risk, can help to reduce the incidence and costs of pressure ulcers in hospital settings. This review paper includes a summary of pivotal clinical evidence on pressure relieving surfaces as well as a suggested approach for modelling their financial impact on hospital budgets. Simple financial modelling suggests that pressure relieving surfaces could lead to financial savings for a hospital when used appropriately.

journal_name

Int Wound J

authors

Trueman P,Whitehead SJ

doi

10.1111/j.1742-481X.2009.00647.x

subject

Has Abstract

pub_date

2010-02-01 00:00:00

pages

48-54

issue

1

eissn

1742-4801

issn

1742-481X

pii

IWJ647

journal_volume

7

pub_type

杂志文章
  • Case series of use of Manuka honey in leg ulceration.

    abstract::Gethin G, Cowman S. Case series of use of Manuka honey in leg ulceration. Abstract The historical and current literature reports the successful use of honey to manage a diversity of wound aetiologies. However, only in the last 40 years is research on its mode of action and contribution to wound healing being investiga...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-4801.2005.00078.x

    authors: Gethin G,Cowman S

    更新日期:2005-03-01 00:00:00

  • A prospective window into medical device-related pressure ulcers in intensive care.

    abstract::The aim of this study was to determine the prevalence, severity, location, aetiology, treatment and healing of medical device-related pressure ulcers (PUs) in intensive care patients for up to 7 days. A prospective repeated measures study design was used. Patients in six intensive care units of two major medical centr...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12026

    authors: Coyer FM,Stotts NA,Blackman VS

    更新日期:2014-12-01 00:00:00

  • An inexpensive method of negative pressure wound therapy for extremities.

    abstract::Negative pressure wound therapy (NPWT) is an established method for the faster wound healing of chronic non-healing wounds. It is also used for laparostomy wounds and healing of split skin grafts. The commercially available machine and the consumables for NPWT are very expensive and economically not feasible in develo...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13002

    authors: Gopal SV,Solomon A

    更新日期:2019-02-01 00:00:00

  • Laser irradiation effect on Staphylococcus aureus and Pseudomonas aeruginosa biofilms isolated from venous leg ulcer.

    abstract::Chronic wounds, including diabetic foot ulcers, pressure ulcers and venous leg ulcers, represent a significant cause of morbidity in developed countries, predominantly in older patients. The aetiology of these wounds is probably multifactorial, but the role of bacteria in their pathogenesis is still unclear. Moreover,...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2011.00910.x

    authors: Baffoni M,Bessa LJ,Grande R,Di Giulio M,Mongelli M,Ciarelli A,Cellini L

    更新日期:2012-10-01 00:00:00

  • Use of prophylactic silicone adhesive dressings for maintaining skin integrity in intensive care unit patients: A randomised controlled trial.

    abstract::The aims of this randomised controlled study were to determine whether the application of silicone adhesive dressings with standard preventive care would reduce the impairment of skin integrity and to evaluate the subepidermal moisture (SEM) value in anatomical locations to predict impairment of skin integrity. Of the...

    journal_title:International wound journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/iwj.13028

    authors: Lee YJ,Kim JY,Shin WY

    更新日期:2019-03-01 00:00:00

  • Management of Marjolin's ulcer in a chronic pressure sore secondary to paraplegia: a radical surgical solution.

    abstract::Marjolin's ulcer refers to malignant degeneration in a chronic wound. Although originally described in an area of burns scar, many other chronic wounds such as osteomyelitis sinus tracts, venous stasis ulcers and chronic pressure sores have the potential to undergo malignant transformation. We present an interesting c...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2011.00831.x

    authors: Fairbairn NG,Hamilton SA

    更新日期:2011-10-01 00:00:00

  • An audit to assess the perspectives of U.S. wound care specialists regarding the importance of proteases in wound healing and wound assessment.

    abstract::Chronic wounds represent an aberrant biochemistry that creates a toxic proteolytic milieu which can be detrimental to the healing process. Rebalancing the wound microenvironment and addressing elevated protease activity (EPA) could therefore help facilitate healing. To understand how clinicians currently diagnose and ...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-481X.2012.01040.x

    authors: Snyder RJ,Cullen B,Nisbet LT

    更新日期:2013-12-01 00:00:00

  • The cost-benefit of using soft silicone multilayered foam dressings to prevent sacral and heel pressure ulcers in trauma and critically ill patients: a within-trial analysis of the Border Trial.

    abstract::Little is known about the cost-benefit of soft silicone foam dressings in pressure ulcer (PU) prevention among critically ill patients in the emergency department (ED) and intensive care unit (ICU). A randomised controlled trial to assess the efficacy of soft silicone foam dressings in preventing sacral and heel PUs w...

    journal_title:International wound journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/iwj.12160

    authors: Santamaria N,Liu W,Gerdtz M,Sage S,McCann J,Freeman A,Vassiliou T,DeVincentis S,Ng AW,Manias E,Knott J,Liew D

    更新日期:2015-06-01 00:00:00

  • Bacterial inhibition efficiency of prilocaine and bupivacaine.

    abstract::This study aimed to demonstrate the antibacterial effects of bupivacaine and prilocaine on Escherichia coli, Staphylococcus aureus, and Pseudomonas aeruginosa. In our study, the in vitro antimicrobial effects of 20 mg/mL prilocaine and 5 mg/mL bupivacaine were tested against a S. aureus American-type culture collectio...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13180

    authors: Kesici S,Demirci M,Kesici U

    更新日期:2019-10-01 00:00:00

  • The influence on wound contraction and fluid evacuation of a rigid disc inserted to protect exposed organs during negative pressure wound therapy.

    abstract::The use of a rigid disc as a barrier between the wound bed and the wound filler during negative pressure wound therapy (NPWT) has been suggested to prevent damage to exposed organs. However, it is important to determine that the effects of NPWT, such as wound contraction and fluid removal, are maintained during treatm...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2011.00805.x

    authors: Anesäter E,Roupé KM,Robertsson P,Borgquist O,Torbrand C,Ingemansson R,Lindstedt S,Malmsjö M

    更新日期:2011-08-01 00:00:00

  • Prospective clinical study of a new adhesive gelling foam dressing in pressure ulcers.

    abstract::This prospective, non comparative study evaluated the safety and effectiveness of an adhesive gelling foam dressing in pressure ulcer management. Twenty-three subjects with exuding pressure ulcers were recruited from seven centres in the USA and Canada. Study treatment included an adhesive gelling foam dressing, optio...

    journal_title:International wound journal

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1111/j.1742-481X.2007.00428.x

    authors: Parish LC,Dryjski M,Cadden S,Versiva XC Pressure Ulcer Study Group.

    更新日期:2008-03-01 00:00:00

  • Retrospective observational analysis of the use of an architecturally unique dermal regeneration template (Derma Pure®) for the treatment of hard-to-heal wounds.

    abstract::The purpose of this analysis was to evaluate the use of DermaPure, a decellularised human skin allograft, in the treatment of a variety of challenging wounds. This retrospective observational analysis reviewed a total of 37 patients from 29 different wound clinics across the USA. Each patient received one application ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12667

    authors: Kimmel H,Gittleman H

    更新日期:2017-08-01 00:00:00

  • Negative pressure surgical management after pathological scar surgical excision: a first report.

    abstract::Wound dehiscence is a surgical complication caused by the application of opposing and distracting forces tending to pull apart the suture line. In recent years, a novel negative pressure surgical management system has been developed to prevent surgical wound complications. This system creates a closed environment that...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.12040

    authors: Bollero D,Malvasio V,Catalano F,Stella M

    更新日期:2015-02-01 00:00:00

  • Effects of pH-neutral, super-oxidised solution on human dermal fibroblasts in vitro.

    abstract::For the past 20 years, super-oxidised solutions (SOSs) have been shown to be potent antimicrobials and disinfectants via oxidative damage. However, the potential toxicity of SOSs on eukaryotic cells has not been documented in vitro. This is relevant because oxygen and chlorine reactive species may possibly induce agei...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2007.00331.x

    authors: González-Espinosa D,Pérez-Romano L,Guzmán-Soriano B,Arias E,Bongiovanni CM,Gutiérrez AA

    更新日期:2007-09-01 00:00:00

  • Nurses are research leaders in skin and wound care.

    abstract::The World Health Assembly declared 2020, the International Year of the Nurse and the Midwife. Recent editorials and commentaries support the leading role of nurses and midwives as frontline caregivers emphasizing the need to invest in the nursing workforce worldwide to meet global health needs. Today nurses are also l...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13492

    authors: Gethin G,Probst S,Weller C,Kottner J,Beeckman D

    更新日期:2020-12-01 00:00:00

  • Wound healing in radiated skin: pathophysiology and treatment options.

    abstract::Ulcers in radiated skin continue to be a challenge for health care practitioners. Healing impairment in the setting of radiation-damaged tissue will most of the time lead to chronic wounds that reduce the patient's quality of life. In this review, we present an update of the pathophysiology of tissue damage caused by ...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-481X.2008.00436.x

    authors: Olascoaga A,Vilar-Compte D,Poitevin-Chacón A,Contreras-Ruiz J

    更新日期:2008-06-01 00:00:00

  • Role of fibronectin in normal wound healing.

    abstract::Fibronectin is an adhesive molecule that plays a crucial role in wound healing, particularly in extracellular matrix (ECM) formation and also in reepithelialisation. Fibronectin plays many different roles in the wound healing process because of the presence of specific function domains and binding sites in its structu...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/iwj.12109

    authors: Lenselink EA

    更新日期:2015-06-01 00:00:00

  • Pain and trauma in negative pressure wound therapy: a review.

    abstract::Negative pressure wound therapy (NPWT) is considered an effective wound treatment, but there are a number of issues that need to be addressed for improvements to be made. This review aimed to explore the literature relating to the pain and skin trauma that may be experienced during NPWT. A literature search was carrie...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/iwj.12059

    authors: Upton D,Andrews A

    更新日期:2015-02-01 00:00:00

  • Use of negative pressure wound therapy with instillation and a reticulated open cell foam dressing with through holes in the acute care setting.

    abstract::Negative pressure wound therapy with instillation and dwell time (NPWTi-d) is an automated system used to deliver, dwell, and remove topical solutions from the wound bed. Recently, a reticulated open cell foam dressing with through holes (ROCF-CC) was developed, which assists with wound cleansing by removing thick exu...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13097

    authors: McElroy EF

    更新日期:2019-06-01 00:00:00

  • Bacteriotherapy with Lactobacillus plantarum in burns.

    abstract::Bacterial colonisation and infection remain the major causes of delayed healing and graft rejection following burns. Topical treatment is necessary to reduce the incidence of burn wound infection. Silver sulphadiazine (SD-Ag) is an often used microbicidal agent. However, this treatment produces adverse reactions and s...

    journal_title:International wound journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/j.1742-481X.2008.00577.x

    authors: Peral MC,Martinez MA,Valdez JC

    更新日期:2009-02-01 00:00:00

  • Using image J to document healing in ulcers of the foot in diabetes.

    abstract::The aim of the study was to assess the reliability of measuring the cross-sectional area of diabetic foot ulcers using Image J software. The inter- and intra-rater reliability of ulcer area measures were assessed using digital images of acetate tracings of ulcers of the foot affecting 31 participants in an off-loading...

    journal_title:International wound journal

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/iwj.12769

    authors: Jeffcoate WJ,Musgrove AJ,Lincoln NB

    更新日期:2017-12-01 00:00:00

  • The average cost of pressure ulcer management in a community dwelling spinal cord injury population.

    abstract::Pressure ulcers (PUs) are a common secondary complication experienced by community dwelling individuals with spinal cord injury (SCI). There is a paucity of literature on the health economic impact of PU in SCI population from a societal perspective. The objective of this study was to determine the resource use and co...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-481X.2012.01002.x

    authors: Chan BC,Nanwa N,Mittmann N,Bryant D,Coyte PC,Houghton PE

    更新日期:2013-08-01 00:00:00

  • Using a muscle pump activator device to stimulate healing for non-healing lower leg wounds in long-term care residents.

    abstract::Chronic non-healing wounds are a burden in the Long-Term Care (LTC) sector, increasing costs, morbidity, and mortality and causing pain and suffering. The objective of this LTC Innovation pilot was to test the value of a promising new neuromuscular stimulation device in elevating the experience and satisfaction of the...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13027

    authors: Harris C,Ramage D,Boloorchi A,Vaughan L,Kuilder G,Rakas S

    更新日期:2019-02-01 00:00:00

  • Wound healing university diplomas in France: an impact measurement after 6 years.

    abstract::An educational programme in wound healing was developed in France in 1998. The course lasts for 1 year and consists of 100 hours of interactive education including wound-healing principles, management of pressure ulcers, leg ulcers, diabetic foot ulcers, burns and trauma. The programme mixes theoretical and practical ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/j.1742-4801.2005.00100.x

    authors: Meaume S,Téot L,Dereure O

    更新日期:2005-06-01 00:00:00

  • Autologous platelet-rich plasma for healing chronic venous leg ulcers: Clinical efficacy and potential mechanisms.

    abstract::The overall quality of evidence of autologous platelet-rich plasma (PRP) for treating chronic wounds remains low. While further well-designed clinical studies are clearly required to convincingly demonstrate the efficacy of autologous PRP in improved healing of venous leg ulcers (VLUs) and other chronic wounds, there ...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13098

    authors: Weller CD,Gardiner EE,Arthur JF,Southey M,Andrews RK

    更新日期:2019-06-01 00:00:00

  • Effect of low-thermal dissection device versus conventional electrocautery in mastectomy for female-to-male transgender patients.

    abstract::Subcutaneous mastectomy, the first step in sexual reassignment surgery of female-to-male transsexuals, is associated with high rates of complication and revision surgery. Also, conventional electrosurgery and the associated thermal tissue damage may compromise outcome. This retrospective randomised clinical study eval...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13382

    authors: Schlosshauer T,Kiehlmann M,Riener MO,Rothenberger J,Sader R,Rieger UM

    更新日期:2020-10-01 00:00:00

  • Porcine acellular dermal matrix (PADM) vascularises after exposure in open necrotic wounds seen after complex hernia repair.

    abstract::Biological alternatives to synthetic meshes are increasingly utilised in complex abdominal wall reconstruction. There is a lack of evidence demonstrating that non-cross-linked porcine acellular dermal matrix vascularizes and integrates with human tissue in suboptimal wound conditions. We aimed to evaluate these proper...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/iwj.12558

    authors: Gowda AU,Chang SM,Chopra K,Matthews JA,Sabino J,Stromberg JA,Zahiri HR,Pinczewski J,Holton LH 3rd,Silverman RP,Singh DP

    更新日期:2016-10-01 00:00:00

  • The detrimental impact of extracellular bacterial proteases on wound healing.

    abstract::In addition to clinical signs of infection (e.g. inflammation, purulence and pain), a microbial count of ≥105 colony-forming units/g has historically been used to define wound infection. However, it is increasingly recognised that, rather than a high bioburden level alone being detrimental to wound healing, it is the ...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/iwj.12790

    authors: Lindsay S,Oates A,Bourdillon K

    更新日期:2017-12-01 00:00:00

  • The role of topical probiotics on wound healing: A review of animal and human studies.

    abstract::Pathogenic, opportunistic, and commensal bacterial coexist in the intestinal tract, and imbalances among these strains have been linked to systemic inflammation and a variety of disease states. Similarly, human skin plays an important role as an interface between the body and the environment with an estimated 1 billio...

    journal_title:International wound journal

    pub_type: 杂志文章

    doi:10.1111/iwj.13451

    authors: Knackstedt R,Knackstedt T,Gatherwright J

    更新日期:2020-12-01 00:00:00

  • The diagnosis of infection in chronic leg ulcers: A narrative review on clinical practice.

    abstract::This literature review aimed to provide a narrative review of evidence on validity of clinical and microbial indicators of infection and to gain insights into the diagnosis of infection in chronic leg ulcers (CLUs). A search was conducted in Cinahl, Medline, the Cochrane Library databases, Embase, Web of Science, Scie...

    journal_title:International wound journal

    pub_type: 杂志文章,评审

    doi:10.1111/iwj.13069

    authors: Bui UT,Finlayson K,Edwards H

    更新日期:2019-06-01 00:00:00