Pressure sores Skin and Connective Tissue Diseases Pressure sores
Conditions
Interventions
Patients at moderate to high risk of developing a pressure sore will be randomised (stratified, 24 hour telephone) to either:
1. An Alternating-pressure Replacement mattress (AR)
2. An Alternating pre
Sponsors
Department of Health (UK)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: Patients aged > 55 years who are admitted to a vascular, orthopaedic or care of the elderly ward with an expected length of stay of at least 7 days AND who are completely immobile/have very limited mobility on admission; or have a pre-existing grade 1, 2 or 3 pressure sore on admission. Patients admitted before elective surgery who are expected to be completely immobile/have very limited mobility for at least 3 days after surgery may also be included.
Exclusion criteria
Exclusion criteria: Patients who have a pre-existing grade 4 or 5 pressure sore on admission, have participated in this trial previously or are unable/unwilling to give full informed consent.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The occurrence of a first or new sore at or above the level of superficial damage to the skin (break/blister) before discharge will be considered as a treatment failure. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Worsening/healing of existing sores 2. Patients' perceptions 3. Time to occurrence 4. Site of sore 5. Economic costs including those incurred in the treatment of pressure sores in the community, post-discharge Skin assessments will be made daily by qualified attendant nursing staff and validated twice weekly by research nurses. Health economic results comparing the costs and benefits of the expensive with the cheaper mattresses, will be expressed as incremental cost effectiveness ratios. | — |
Countries
United Kingdom
Outcome results
None listed