pressure ulcer
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged 20 or older with stage III/IV pressure ulcers according to international NPUAP/EPUAP pressure ulcer classification system were included. Eligible participants had pressure ulcers measuring 4 cm2 to 80 cm2 (from 2 to 4 in the item of Size on the Pressure Sore Status Tool [PSST] ), and the ulcers were in the yellow inflammatory phase; at least 50% of the surface area was covered by necrotic tissue (from 4 to 5 in the item of Necrotic tissue amount on the PSST). If a patient had multiple pressure ulcers, the largest one was selected for this study. Written informed consent was obtained from participants or their family members.
Exclusion criteria
Exclusion criteria: Participants were excluded if their skin ulcer was due to other causes, including peripheral arterial occlusive disease, skin cancer; if they had poorly controlled diabetes (HbA1c > 10% measured at registration); or they were treated with corticosteroids, immunosuppressants, cytotoxic agents, or radiotherapy.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The absolute surface area reduction (SAR: baseline surface area - actual surface area). Whether the differences between the treatments will affect SAR for 12 weeks is investigated, and the SAR at 4, 8, and 12 week is compared for both treatments. | — |
Secondary
| Measure | Time frame |
|---|---|
| PSST score reduction at 4, 8, and 12 week compared to baseline (baseline PSST score - actual PSST score). The incidence of adverse events including wound deterioration, local or systemic infection, hypergranulation, and maceration. Required time to treat. Required cost. | — |
Countries
Japan
Contacts
Minakuchi Hostpital Department of Psychiatry