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    Improving pressure ulcer management in Australian nursing homes: results of the PRIME Trial organisational study

    20175_downloaded_stream_163.pdf (384.5Kb)
    Access Status
    Open access
    Authors
    Ellis, I.
    Santamaria, Nick
    Carville, Keryln
    Prentice, J.
    Ellis, T.
    Lewin, G.
    Newall, N.
    Date
    2006
    Type
    Journal Article
    
    Metadata
    Show full item record
    Citation
    Ellis, Isabelle and Santamaria, Nick and Carville, Keryln and Prentice, Jenny and Ellis, Tal and Lewin, Gill and Newall, Nelly. 2006. Improving pressure ulcer management in Australian nursing homes: results of the PRIME Trial organisational study. Primary Intention 14 (3): 106-111.
    Source Title
    Primary Intention
    Faculty
    School of Nursing and Midwifery
    Division of Health Sciences
    URI
    http://hdl.handle.net/20.500.11937/16816
    Collection
    • Curtin Research Publications
    Abstract

    Pressure ulcers are a significant cause of morbidity and mortality in the aged care population with prevalence rates reported to be as high as 43% in some aged care facilities. The PRIME Trial was designed to investigate the effectiveness of an integrated pressure ulcer management system in reducing pressure ulcer prevalence and incidence in nursing homes. A total of 1956 residents from 23 nursing homes in NSW, Vic, SA and WA were enrolled in this Commonwealth funded study.This paper presents the results from phase 1 of the trial and indicates that the prevalence of pressure ulcers in the cohort of 1956 residents was 25.9%. Significant associations between the development of a pressure ulcer and comorbidity level (Charlson Index) (p=0.01), risk assessment level (Braden Scale) (p=0.00) and the lack of appropriate equipment (p=0.00) were detected. Residents who developed a pressure ulcer whilst in an acute hospital showed a trend to develop more than one ulcer and ulcers that were of higher severity than those developed in a nursing home.The results from phase 1 of the PRIME Trial suggest that emphasis needs to be given to appropriate risk assessment of the elderly nursing home resident that should include comorbitity status and the provision of suitable pressure relieving equipment.

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      Pressure ulcers are a significant iatrogenic cause of morbidity and mortality in the aged care population, with prevalence reported to be as high as 43% in some aged care facilities. The PRIME trial was a 15-month pre- ...
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