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Randomised controlled trial comparing alternating pressure overlays with alternating pressure mattresses for pressure sore prevention and treatment

Completed
Conditions
Pressure sores
Skin and Connective Tissue Diseases
Registration Number
ISRCTN78646179
Lead Sponsor
Department of Health (UK)
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
1972
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

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.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
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 Outcome Measures
NameTimeMethod
1. Worsening/healing of existing sores<br>2. Patients' perceptions<br>3. Time to occurrence<br>4. Site of sore<br>5. Economic costs including those incurred in the treatment of pressure sores in the community, post-discharge<br><br>Skin assessments will be made daily by qualified attendant nursing staff and validated twice weekly by research nurses. <br><br>Health economic results comparing the costs and benefits of the expensive with the cheaper mattresses, will be expressed as incremental cost effectiveness ratios.
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