Prevention of heel pressure ulcers among older patients - from ambulance care to hospital discharge: A multi-centre randomized controlled trial

Carina Bååth, Maria Engström, Lena Gunningberg, Åsa Muntlin Athlin

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

The aim was to investigate the effect of an early intervention, a heel suspension device boot, on the incidence of heel pressure ulcers among older patients (aged 70 +).

Background

Pressure ulcers are a global healthcare issue; furthermore, the heel is an exposed location. Research indicates that preventive nursing interventions starting during the ambulance care and used across the acute care delivery chain are seldom used.

Methods

A multi-centre randomized control study design was used. Five ambulance stations, two emergency departments and 16 wards at two Swedish hospitals participated. Altogether, 183 patients were transferred by ambulance to the emergency department and were thereafter admitted to one of the participating wards.

Results

Significantly fewer patients in the intervention group (n=15 of 103; 14.6%) than the control group (n=24 of 80; 30%) developed heel pressure ulcers during their hospital stay (p=0.017).

Conclusions

Pressure ulcer prevention should start early in the acute care delivery chain to increase patient safety.

Original languageEnglish
Pages (from-to)170-175
Number of pages6
JournalAPPLIED NURSING RESEARCH
Volume30
DOIs
Publication statusPublished - May 2016

Keywords

  • Acute care delivery chain
  • Ambulance care
  • Emergency department
  • Heel pressure ulcer
  • Prevention
  • RCT

Fingerprint Dive into the research topics of 'Prevention of heel pressure ulcers among older patients - from ambulance care to hospital discharge: A multi-centre randomized controlled trial'. Together they form a unique fingerprint.

  • Cite this