Pressure ulcers (PUs) Skin and Connective Tissue Diseases Pressure ulcers (PUs)
Conditions
Interventions
The seating interface and both heels of inpatients at the Royal Hospitals will be scanned by a trained researcher using the EPISCAN 1-200 (LongPort, Inc. [USA]) High Frequency Ultrasound Scanner (HFUS
Sponsors
Department for Employment and Learning (UK) - Strategic Priority Fund
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Inpatients admitted to the acute wards for vascular disease 2. Written informed consent to participate 3. Intact skin on one or more areas to be scanned (seating interface and both heels)
Exclusion criteria
Exclusion criteria: Existing pressure damage of more than or equal to Grade two visible on their skin (including blisters, abrasions, and ulcers where skin loss is present) on both heels and the seating interface.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Presence or absence of a PU (more than or equal to grade two) after baseline assessment and before discharge. Previous work has demonstrated that Clinical Research Nurses are able to identify and record the presence of a PU (more than or equal to grade two) in a consistent and reliable manner, and that initial training and clinical skill is maintained over time. | — |
Secondary
| Measure | Time frame |
|---|---|
| Development of non-blanchable erythema of intact skin (grade one [b] PU), an important independent predictor of Grade two PU development, increasing the odds approximately four to six-fold. This outcome will be used to monitor the sub-group of participants who, on entry to the study, did not present with any visible signs of pressure damage consistent with a grade one (b) PU. | — |
Countries
United Kingdom
Outcome results
None listed