Honaker JS, Forston MR, Davis EA, Weisner MM, Morgan JA, Sacca E, et al.
Wound repair and regeneration : official publication of the Wound Healing Society [and] the Eur.... Date of publication 2016 Nov 1;volume 24(6):1081-1088.
1. Wound Repair Regen. 2016 Nov;24(6):1081-1088. doi: 10.1111/wrr.12479. Epub 2016
Nov 21.
The effect of adjunctive noncontact low frequency ultrasound on deep tissue
pressure injury.
Honaker JS(1), Forston MR(2), Davis EA(3), Weisner MM(2), Morgan JA(2), Sacca
E(2).
Author information:
(1)Department of Dermatology, School of Medicine, Case Western Reserve
University, Cleveland, Ohio.
(2)Department of Rehabilitative Services, Baptist Health Lexington, Lexington,
Kentucky.
(3)Department of Nursing Education, Baptist Health Lexington, Lexington,
Kentucky.
The optimal treatment for deep tissue pressure injuries has not been determined.
Deep tissue pressure injuries represent a more ominous early stage pressure
injury that may evolve into full thickness ulceration despite implementing the
standard of care for pressure injury. A longitudinal prospective historical case
control study design was used to determine the effectiveness of noncontact low
frequency ultrasound plus standard of care (treatment group) in comparison to
standard of care (control group) in reducing deep tissue pressure injury
severity, total surface area, and final pressure injury stage. The Honaker
Suspected Deep Tissue Injury Severity Scale (range 3-18[more severe]) was used to
determine deep tissue pressure injury severity at enrollment (Time 1) and
discharge (Time 2). A total of 60 subjects (Treatment = 30; Control= 30) were
enrolled in the study. In comparison to the control group mean deep tissue
pressure injury total surface area change at Time 2 (0.3 cm2 ), the treatment
group had a greater decrease (8.8 cm2 ) that was significant (t = 2.41,
p = 0.014, r2 = 0.10). In regards to the Honaker Suspected Deep Tissue Injury
Severity Scale scores, the treatment group had a significantly lower score (7.6)
in comparison to the control group (11.9) at time 2, with a mean difference of
4.6 (t = 6.146, p = 0.0001, r2 = 0.39). When considering the final pressure
ulcer stage at Time 2, the control group were mostly composed of unstageable
pressure ulcer (57%) and deep tissue pressure injury severity (27%). In contrast,
the treatment group final pressure ulcer stages were less severe and were mostly
composed of stage 2 pressure injury (50%) and deep tissue pressure injury
severity (23%) were the most common at time 2. The results of this study have
shown that deep tissue pressure injury severity treated with noncontact low
frequency ultrasound within 5 days of onset and in conjunction with standard of
care may improve outcomes as compared to standard of care only.
© 2016 by the Wound Healing Society.
DOI: 10.1111/wrr.12479
PMID: 27672011 [Indexed for MEDLINE]
