Preventing Fall Injury.

Preventing Fall Injury. Wounds. 2019 Oct;31(10):269-271 Authors: Bolton L Abstract Falls are the leading cause of injury, premature institutionalization, and long-term disability in elderly adults worldwide, with a fall-related fatality in the United States every 19 minutes.1 According to the Centers for Disease Control and Prevention,2 3 million people over 65 years of age receive emergency room treatment for fall injuries at an average cost of $30 000. The annual cost of fall injuries was more than $50 billion in 2015.1,2 Community-based interventions effective in preventing falls include exercise, medication, and nutritional management as well as improving safety of the local environment.3 Evidence supporting interventions designed to reduce hospital inpatient falls is less clear despite considerable research aimed at reducing this growing problem. Those injured due to falling during a hospital stay incur higher costs, including a 6-day longer hospital stay, than non-fallers.4 Programs have worked to prevent other "never events," such as wound infections or pressure ulcers, but mixed results have been reported for preventing falls or fall-related injuries in hospitals. This month's Evidence Corner reviews a randomized controlled trial (RCT)5 and a prospective observational study6 that offer important clues on how to prevent hospital inpatient falls. PMID: 31730506 [PubMed - in process]
Source: Wounds - Category: General Medicine Tags: Wounds Source Type: research

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Conclusion: A user-centered, open innovation approach led to the development of a good quality, affordable, and acceptable rigid frame wheelchair model that increased the range of manual wheelchairs available through the Brazilian public healthcare system.Implications for rehabilitationThe feedback of rehabilitation professionals with respect to new products' features is fundamental in order to understand how these devices will be adequately serviced and delivered to users.Engaging users of assistive products and rehabilitation professionals in developing new and innovative products facilitates the iteration and selection ...
Source: Disability and Rehabilitation. Assistive Technology. - Category: Rehabilitation Authors: Tags: Disabil Rehabil Assist Technol Source Type: research
Abstract Aim: To determine prevalence, incidence and risk factors for foot pressure ulcers in ambulatory children with spina bifida. Method: Retrospective cohort study of 72 ambulatory children (age range 0-23.9 years) with spina bifida treated at a pediatric tertiary care facility. Data on foot pressure ulcers were recorded and analyzed to determine prevalence, incidence and predictive factors. Results: Foot pressure ulcers occurred in 50/143 limbs (35%) over 10.5 ± 3.5 years. Average incidence was 0.10 foot pressure ulcer incidents per person-year, and prevalence in year...
Source: Disability and Rehabilitation - Category: Rehabilitation Authors: Tags: Disabil Rehabil Source Type: research
Background: Chronic wounds, including diabetic ulcers, venous ulcers, and pressure ulcers, are characterized by physiological impairments manifested by delayed healing, leading in some cases to permanent disability and increased morbidity. Delay in wound healing is multifactorial; it can be attributed to excessive inflammation, fibroblast senescence, alterations in wound bed flora, and other exposures. Herein we sought to evaluate clinicopathological characteristics that contribute to prolonged healing times in chronic nonhealing wounds.
Source: Journal of the American Academy of Dermatology - Category: Dermatology Source Type: research
We examined which studies of available support surfaces, new and currently utilized wound dressings or any other treatment modalities have provided ev idence of any greater effectiveness than standard of care in the prevention of pressure injury and in promotion of pressure ulcer healing. Our objective is to provide healthcare providers with an assessment of the relative efficacy of the various interventions available to facilitate their decision- making in the healing of their patient’s pressure ulcers. Goals for pressure injury prevention or treatment, especially in the geriatric population, address repositioning f...
Source: Current Physical Medicine and Rehabilitation Reports - Category: Rehabilitation Source Type: research
CONCLUSION: Algal polysaccharides possess mechanical and physical properties, along with excellent biocompatibility and biodegradability that make them suitable for a variety of applications as wound dressings. Furthermore, algal polysaccharides have been used for a dual purpose, namely as wound covering, but also as a vehicle for drug delivery to the wound site. PMID: 31109271 [PubMed - as supplied by publisher]
Source: Current Pharmaceutical Design - Category: Drugs & Pharmacology Authors: Tags: Curr Pharm Des Source Type: research
DiscussionThis paper provides details of the planned statistical analyses for this trial and will reduce the risks of outcome reporting bias and data driven results.Trial registrationInternational Standard Randomised Controlled Trials database,ISRCTN12702354. Registered on 9 December 2015.
Source: Trials - Category: Research Source Type: clinical trials
The aim of this study was to evaluate the impact of home health care (HHC) for disabled patients. We conducted a nationwide population-based retrospective cohort study. A total of 5838 disabled patients with HHC were identified to match by propensity score with 15,829 disabled patients without HHC receiving tube or catheter care (tracheostomy tube, nasogastric tube, urinary catheter, cystostomy tube, nephrostomy tube) or stage 3 or 4 pressure sore care from the Taiwanese National Health Insurance Research Database between 2005 and 2009. After 1:1 matching, 2901 subjects in the HHC group and 2901 subjects in the non-HHC gr...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
Authors: Shirogane S, Toyama S, Takashima A, Tanaka T Abstract The shearing force acting upon the contacting surface of the buttocks while seated in a wheelchair has been linked to the development of pressure ulcers. However, the actual causative factors have not been examined in detail. In an attempt to clarify the nature of this problem, we developed a specific measurement system. In preparation for future clinical applications, we conducted preliminary testing in non-disabled individuals. As a result, we were able to discover a number of issues related to this system and our measurement methods. Although we only...
Source: Assistive Technology - Category: Rehabilitation Tags: Assist Technol Source Type: research
To the Editor Dr Costa and colleagues for the UK WOLLF Collaborators found no improvement in disability at 12 months in patients with severe open fractures of the lower limb who received negative pressure wound therapy (NPWT) vs standard wound management. I would like to address some issues in the study.
Source: JAMA - Category: General Medicine Source Type: research
DiscussionParticipant uptake, engagement and retention are key feasibility outcomes. Exploration of barriers and facilitators to intervention delivery will inform intervention optimisation. Study results will inform progression to a definitive trial and add to the body of evidence for good practice in care home research.Trial registrationISRCTN Registry,ISRCTN50080330. Registered on 27 March 2017.
Source: Trials - Category: Research Source Type: clinical trials
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