Evidence map›Paper›PMID 30412652›Full record

Trial reportInternational wound journal2019

Independent risk factors for pressure ulcer development in a high-risk nursing home population receiving evidence-based pressure ulcer prevention: Results from a study in 26 nursing homes in Belgium.

Charlotte Anrys, Hanne Van Tiggelen, Sofie Verhaeghe, Ann Van Hecke, Dimitri Beeckman

Registry-linked trialAbstract readComparative StudyRandomized Controlled Trial
In one paragraph

Trial report in International wound journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06294327 (Comparing a REactive STatic Air Mattress to an Alternating Air Pressure Mattress in the Prevention of Pressure Ulcers), which is not on this map. Cited by 16 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06294327 nacompletednot on this mapstarted 2024, after this paper: background citation

Comparing a REactive STatic Air Mattress to an Alternating Air Pressure Mattress in the Prevention of Pressure Ulcers: a Randomized Controlled Trial (RESTART)

TypeinterventionalSponsorVitazRan2024 to 2026Enrolled621ConditionsPressure Injury, Pressure Ulcer, Decubitus UlcerArmsReactive static air support surfaces
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Alternating pressure (active) air surfaces for preventing pressure ulcers.The Cochrane database of systematic reviews · 2021
    Pooled it
  3. Beds, overlays and mattresses for treating pressure ulcers.The Cochrane database of systematic reviews · 2021
    Pooled it
  4. Reactive air surfaces for preventing pressure ulcers.The Cochrane database of systematic reviews · 2021
    Pooled it
  5. Foam surfaces for preventing pressure ulcers.The Cochrane database of systematic reviews · 2021
    Pooled it
  6. Pooled it
  7. Trial
  8. Trial
  9. Article
  10. Observational
  11. Article
  12. Article
  13. Article
  14. Risk Factors for Pressure Injuries in Adult Patients: A Narrative Synthesis.International journal of environmental research and public health · 2022
    Review
  15. Factors Associated with a High-Risk Profile for Developing Pressure Injuries in Long-Term Residents of Nursing Homes.Medical principles and practice : international journal of the Kuwait University, Health Science Centre · 2022
    Article
  16. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Charlotte AnrysSkin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.ORCID https://orcid.org/0000-0002-6527-5254
Hanne Van TiggelenSkin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Sofie VerhaegheSkin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Ann Van HeckeSkin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.
Dimitri BeeckmanSkin Integrity Research Group (SKINT), University Centre for Nursing and Midwifery, Department of Public Health and Primary Care, Ghent University, Ghent, Belgium.ORCID https://orcid.org/0000-0003-3080-8716

Funding

Frontier Medical Group, South Wales, United Kingdom
6 · The paper itself

Abstract

The aim of this study was to identify independent risk factors for pressure ulcer (PU) development in a high-risk nursing home population receiving evidence-based PU prevention. This study was part of a randomised controlled trial examining the (cost-)effectiveness of static air support surfaces compared with alternating pressure air mattresses. The sample consisted of 308 residents at a high risk of PU development (presence of non-blanchable erythema, Braden score ≤ 12 or Braden subscale "mobility" ≤ 2). PU incidence was monitored for 14 days. Demographic variables; functional, physical, and psychological characteristics; and data on skin assessment were collected. Independent risk factors were identified using multiple logistic regression analysis. The overall PU incidence (category II-IV) was 8.4% (n = 26), and 1.9% (n = 6) of the residents developed a deep PU (category III-IV). PUs (category II-IV) were significantly associated with non-blanchable erythema, a lower Braden score, and pressure area-related pain in high-risk residents even if preventive care was provided. These results highlight the need of a systematic risk assessment, including pain assessment and skin observations, in order to determine and tailor preventive care to the needs of high-risk individuals.

Indexed as

BedsAgedAged, 80 and overBelgiumCohort StudiesEvidence-Based NursingFemaleHumansIncidenceMaleNursing HomesPressure UlcerRisk AssessmentRisk Factorshigh-risk populationnursing homepressure ulcerspreventionrisk factors

Identifiers

PMID30412652
PMCPMC7949181

What OpenQuestion holds

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.