Risk Assessment and Prevention of Pressure Ulcers: Clinical Practice Guideline (American College of Physicians Risk Assessment and Prevention of Pressure Ulcers / Annals of Internal Medicine / Wounds UK)

Summary

The American College of Physicians (ACP) has issued a clinical guideline on risk assessment and prevention for pressure ulcers. Two related articles, published in Annals of Internal Medicine, cover recommendations for the prevention of pressure ulcers, and assess the comparative effectiveness of various treatments for pressure ulcers.

The American College of Physicians’ clinical practice guideline; Part 1:

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Reference

Qaseem, A, Mir, TP. Starkey, M. [and] Denberg, TD.; Clinical Guidelines Committee of the American College of Physicians (2015). Risk assessment and prevention of pressure ulcers: a clinical practice guideline from the American College of Physicians Risk Assessment and Prevention of Pressure Ulcers. Annals of Internal Medicine. March 3^rd 2015; 162(5): 359-69. The PubMed abstract.

Part 2:

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Reference

Qaseem, A. Humphrey, LL. [and] Forciea, MA. [et al]; Clinical Guidelines Committee of the American College of Physicians (2015). Treatment of pressure ulcers: a clinical practice guideline from the American College of Physicians Treatment of Pressure Ulcers. Annals of Internal Medicine. March 3^rd 2015; 162(5): 370-9. The PubMed abstract.

Related editorial comment:

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Reference

Black, J. (2015). Pressure ulcer prevention and management: a dire need for good science. Annals of Internal Medicine. March 3^rd 2015; 162(5): 387-8. The PubMed record.

Going to the Mattresses: Local Research on Pressure Ulcers

Possibly of interest, some recent local research:

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Reference

Jones, L. [and] Fletcher, J. (2014). Improved patient experience and outcomes using the Dyna-Form™ Mercury Advance mattress. Wounds UK. November 2014, Vol.10(4), pp.97-101.

NICE: On the Need For Better Evidence

NICE comments on the multitude of dressings available, and the absence of good quality evidence on which to base recommendations for national guidelines:

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Reference

Chronic wounds: advanced wound dressings and antimicrobial dressings- evidence summaries medicines and prescribing briefings (ESMPB2). London: National Institute for Health and Care Excellence, March 2016.