AI Article Synopsis
- The study aimed to compare the effectiveness of two treatment options for deep-tissue pressure injuries (DTPIs) in long-term care residents, focusing on clinical outcomes and risk factors.
- Researchers conducted a chart audit of 40 DTPIs across 33 residents in two facilities, analyzing the outcomes of polymeric membrane dressings (PMDs) versus skin barrier film.
- Results showed that PMDs were associated with a lower deterioration rate to more severe pressure injuries compared to skin barrier film, even though patients treated with PMDs exhibited more clinical risk factors; further research is needed to confirm these findings.
Article Abstract
Objective: To retrospectively examine clinical outcomes from a feasibility study that compared two treatment options for deep-tissue pressure injuries (DTPIs), including the clinical indicators increasing the risk of deteriorating DTPIs among long-term care residents.
Methods: A retrospective chart audit of 40 DTPIs from 33 long-term care residents in two long-term care facilities was conducted to compare (1) polymeric membrane dressings (PMDs) with offloading and (2) a skin barrier film with offloading.
Results: Of the 13 DTPIs treated with PMDs, only 23% deteriorated to a stage 3 or 4 pressure injury (PI), whereas of the 27 DTPIs treated with skin barrier film, 41% deteriorated to a stage 3 or 4 PI. The clinical factors found to increase the risk of developing and deteriorating DTPIs included weight loss, hypoalbuminemia, debility, dementia, coronary artery disease, and cerebrovascular disease.
Conclusions: The PMD group's DTPIs evolved into fewer open PIs despite having higher percentages of clinical indicators for DTPIs. The project findings support the use of PMD dressings for DTPIs; however, more robust research is warranted.
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| http://dx.doi.org/10.1097/01.ASW.0000695780.20213.fa | DOI Listing |
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