The clinical and cost effectiveness of remote expert wound nurse consultation for healing of pressure injuries among residential aged care patients: A protocol for a prospective pilot parallel cluster randomised controlled trial

被引：0
|
作者：
Kapp, Suzanne [1 ,2 ]
Gerdtz, Marie [1 ]
Miller, Charne [1 ,3 ]
Gefen, Amit [4 ]
Padula, William [5 ,6 ]
Wilson, Lauren [7 ]
Woodward, Michael [8 ,9 ]
Santamaria, Nick [1 ]
机构：
[1] Univ Melbourne, Fac Med, Melbourne Sch Hlth Sci, Dept Nursing, Carlton, Vic, Australia
[2] Regis Aged Care Pty Ltd, Camberwell, Vic, Australia
[3] Trobe Univ, Sch Nursing & Midwifery, Melbourne, Vic, Australia
[4] Tel Aviv Univ, Fac Engn, Herbert J Berman Chair Vasc Bioengn, Dept Biomed Engn, Tel Aviv, Israel
[5] Univ Southern Calif, Sch Pharm, Dept Pharmaceut & Hlth Econ, Los Angeles, CA USA
[6] Univ Southern Calif, Schaeffer Ctr Hlth Policy & Econ, Los Angeles, CA USA
[7] Community Nursing & Residential Aged Care, Geelong, Vic, Australia
[8] Austin Hlth, Chron Wound Management Serv, Heidelberg, Vic, Australia
[9] Univ Melbourne, Fac Med Dent & Hlth Sci, Melbourne, Vic, Australia
来源：
INTERNATIONAL WOUND JOURNAL | 2023年 / 20卷 / 08期
关键词：
aged care; implementation research; pilot randomised controlled trial; pressure ulcer; protocol;
D O I：
10.1111/iwj.14121
中图分类号：
R75 [皮肤病学与性病学];
学科分类号：
100206 ;
摘要：
Pressure injuries affect 1 to 46% of residents in aged care (long term) facilities and cause a substantial economic burden on health care systems. Remote expert wound nurse consultation has the potential to improve pressure injury outcomes; however, the clinical and cost effectiveness of this intervention for healing of pressure injuries in residential aged care require further investigation. We describe the remote expert wound nurse consultation intervention and the method of a prospective, pilot, cluster randomised controlled trial. The primary outcome is number of wounds healed. Secondary outcomes are wound healing rate, time to healing, wound infection, satisfaction, quality of life, cost of treatment and care, hospitalisations, and deaths. Intervention group participants receive the intervention over a 12-week period and all participants are monitored for 24 weeks. A wound imaging and measurement system is used to analyse pressure injury images. A feasibility and fidelity evaluation will be concurrently conducted. The results of the trial will inform the merit of and justification for a future definitive trial to evaluate the clinical and cost effectiveness of remote expert wound nurse consultation for the healing of pressure injuries in residential aged care.
引用
收藏
页码：2953 / 2963
页数：11
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