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Wagner-Cox P, Duhame HM, Jamison CR, Jackson RR, Fehr ST, et al.
Journal of wound, ostomy, and continence nursing : official publication of The Wound, Ostomy an.... Date of publication 2017 Jul 1;volume 44(4):336-342.
1. J Wound Ostomy Continence Nurs. 2017 Jul/Aug;44(4):336-342. doi: 10.1097/WON.0000000000000342. Use of Noncontact Low-Frequency Ultrasound in Deep Tissue Pressure Injury: A Retrospective Analysis. Wagner-Cox P(1), Duhame HM, Jamison CR, Jackson RR, Fehr ST. Author information: (1)Pamela Wagner-Cox, BSN, RN-BC, CWON, WOC Nurse, formerly of Inova Alexandria Hospital, Alexandria, Virginia. Heather M. Duhame, MSN, NP-C, CWCN, WOC Nurse, Nursing Administration, Inova Alexandria Hospital, Alexandria, Virginia. Christina R. Jamison, BSN, RN, CWON, WOC Nurse, formerly of Inova Alexandria Hospital, Alexandria, Virginia. Robin R. Jackson, MSN, RN-BC, CCRN, CCNS, CHTP, Inova Alexandria Hospital, Alexandria, Virginia. Suzy T. Fehr, PhD, RN-BC, NE-BC, formerly of Inova Alexandria Hospital, Alexandria, Virginia. PURPOSE: The purpose of this study was to examine the effect of noncontact low-frequency ultrasound (NLFU) on deep tissue pressure injury (DTPI), both hospital-acquired and those present on admission (POA). DESIGN: Retrospective, descriptive study. SAMPLE AND SETTING: Medical records from 44 adult patients with a DTPI treated with NLFU were reviewed; 22 had a hospital-acquired DTPI (HADTPI) and 22 had DTPI POA. Their mean age was 71.3 ± 16.3 years (mean ± SD); 52% were male. The study setting was a 318-bed community hospital in the Mid-Atlantic region of the United States. METHODS: Data were collected from the medical records including demographic and relevant clinical characteristics, DTPI measurements, and DTPI evolution/resolution. Data were summarized and examined using descriptive statistics (eg, frequencies and percentages and means and standard deviations). Differences between groups were examined using paired t tests or the Mann-Whitney U test and the chi-square test as appropriate. In addition, the heel DTPI subgroup (N = 8) was examined separately due to the small sample size. RESULTS: All patients with HADTPI and DTPI POA treated with NLFU exhibited a statistically significant decrease in injury size from initiation to discontinuation of NLFU therapy (24.6 cm vs 14.4 cm, P = .02). No statistically significant difference in wound resolution was found between HADTPI versus DTPI POA (27% vs 18%, P = .47). Mean size of both HADTPI and DTPI POA decreased significantly from 15.9 to 13.4 cm (P = .045) by NLFU therapy. Wounds were classified as resolved at completion of treatment in 23% (10 out of 44) of all treated patients. Of all patients with the potential to be resolved (not discharged early or expired) 63% (10 out of 16) had wounds classified as resolved. CONCLUSION: Study findings suggest that NLFU is a viable and promising treatment option for both HADTPI and DTPI POA. Future studies are needed to confirm these results and to examine efficacy and feasibility of DTPI across care settings. DOI: 10.1097/WON.0000000000000342 PMID: 28549050 [Indexed for MEDLINE]
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Cellular and/or Tissue Based Products
Pressure Ulcers/Injuries - Treatment