Reducing pressure ulcer prevalence in residential aged care: results from phase II of the PRIME trial

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- and post-intervention study designed to investigate the effectiveness of an integ...

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Main Authors: Santamaria, Nick, Carville, Keryln, Prentice, Jenny, Ellis, Isabelle, Ellis, T., Lewin, Gill, Newall, Nelly, Haslehurst, Paula, Bremner, A.
Format: Journal Article
Published: Cambridge Media 2009
Online Access:http://www.awma.com.au/journal/1701_03.pdf
http://hdl.handle.net/20.500.11937/12783
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author Santamaria, Nick
Carville, Keryln
Prentice, Jenny
Ellis, Isabelle
Ellis, T.
Lewin, Gill
Newall, Nelly
Haslehurst, Paula
Bremner, A.
author_facet Santamaria, Nick
Carville, Keryln
Prentice, Jenny
Ellis, Isabelle
Ellis, T.
Lewin, Gill
Newall, Nelly
Haslehurst, Paula
Bremner, A.
author_sort Santamaria, Nick
building Curtin Institutional Repository
collection Online Access
description 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- and post-intervention study designed to investigate the effectiveness of an integrated pressure ulcer management system consisting of pressure ulcer risk assessment tools, Australian Wound Management Association (AWMA) guidelines, digital imaging and clinical education in reducing pressure ulcer prevalence in residential aged care facilities. A total of 1228 residents from 23 residential aged care facilities were enrolled in this Commonwealth-funded study. The findings suggest that the PRIME intervention significantly reduced pressure ulcer prevalence risk by 52% (p<0.001) and highlighted the association between cachexia, Braden sub-scales for activity, nutrition, friction/shear and pressure ulcer risk. The study also demonstrated that following the PRIME intervention, the use of appropriate pressure ulcer risk reducing equipment was significantly increased. Overall, the results suggest that an integrated approach combining the elements of the PRIME intervention is effective in reducing pressure ulcer prevalence in the frail elderly population in residential aged care facilities.
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spelling curtin-20.500.11937-127832017-01-30T11:32:49Z Reducing pressure ulcer prevalence in residential aged care: results from phase II of the PRIME trial Santamaria, Nick Carville, Keryln Prentice, Jenny Ellis, Isabelle Ellis, T. Lewin, Gill Newall, Nelly Haslehurst, Paula Bremner, A. 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- and post-intervention study designed to investigate the effectiveness of an integrated pressure ulcer management system consisting of pressure ulcer risk assessment tools, Australian Wound Management Association (AWMA) guidelines, digital imaging and clinical education in reducing pressure ulcer prevalence in residential aged care facilities. A total of 1228 residents from 23 residential aged care facilities were enrolled in this Commonwealth-funded study. The findings suggest that the PRIME intervention significantly reduced pressure ulcer prevalence risk by 52% (p<0.001) and highlighted the association between cachexia, Braden sub-scales for activity, nutrition, friction/shear and pressure ulcer risk. The study also demonstrated that following the PRIME intervention, the use of appropriate pressure ulcer risk reducing equipment was significantly increased. Overall, the results suggest that an integrated approach combining the elements of the PRIME intervention is effective in reducing pressure ulcer prevalence in the frail elderly population in residential aged care facilities. 2009 Journal Article http://hdl.handle.net/20.500.11937/12783 http://www.awma.com.au/journal/1701_03.pdf Cambridge Media restricted
spellingShingle Santamaria, Nick
Carville, Keryln
Prentice, Jenny
Ellis, Isabelle
Ellis, T.
Lewin, Gill
Newall, Nelly
Haslehurst, Paula
Bremner, A.
Reducing pressure ulcer prevalence in residential aged care: results from phase II of the PRIME trial
title Reducing pressure ulcer prevalence in residential aged care: results from phase II of the PRIME trial
title_full Reducing pressure ulcer prevalence in residential aged care: results from phase II of the PRIME trial
title_fullStr Reducing pressure ulcer prevalence in residential aged care: results from phase II of the PRIME trial
title_full_unstemmed Reducing pressure ulcer prevalence in residential aged care: results from phase II of the PRIME trial
title_short Reducing pressure ulcer prevalence in residential aged care: results from phase II of the PRIME trial
title_sort reducing pressure ulcer prevalence in residential aged care: results from phase ii of the prime trial
url http://www.awma.com.au/journal/1701_03.pdf
http://hdl.handle.net/20.500.11937/12783