Pressure Ulcer Risk Reduction Tool for Out Patients after Spinal Injurues

压力性溃疡是NHS的一个大问题，英国每年有412，000人可能会患上压力性溃疡。NHS的治疗费用估计在14亿至21亿英镑之间，其中大部分是护士时间。这不包括医疗干预的费用（1）这些溃疡是由于身体骨突出部位持续受到压力而引起的;脊髓损伤患者由于缺乏活动性和感觉而面临更大的风险。英国在这一领域领先的研究慈善机构脊柱研究，记录了英国每年约有1000人遭受脊髓损伤;他们主要是年轻的成年人，其中80%是男性。我们的项目通过在一个不存在诊断工具的环境中提供一种诊断工具来解决这个问题，这将是“处方”给脊髓损伤门诊患者，使他们能够拍摄他们皮肤的照片记录，以确定有感染风险的区域。这些图像可以被用来触发预防措施的建议，以帮助减少溃疡的风险，通过移动的应用程序提供。该应用程序将包含有关减轻压疮风险的结构化建议，并汇总溃疡发展的匿名证据库，以供进一步研究，从而开发更好的建议和技术，进一步降低风险。将在稍后阶段开发向顾问提供数据该项目包括一个软件解决方案、一个诊断程序、一个知识传播工具、一个服务提供改进和一个分析现行程序有效性的方法。最初，我们需要评估应用程序是否是患者的有效交付机制。（1）班尼特G.迪利角Posnett J.英国压力性溃疡的成本。年龄与老龄化vol.33 2004

Pressure ulcers are a huge problem for the NHS with 412,000 people in the UK likely todevelop a pressure ulcer annually. The cost to the NHS of treatment is estimated at between£1.4 and 2.1 billion pa, most of which is nurse time. This excludes the cost of surgicalintervention(1)These ulcers are caused by continued pressure on a part of the body where there is a bonyprominence; spinal cord injury patients are at increased risk due to their lack of mobility andsensation.Spinal Research, the UK’s leading research charity in this field, documents that around 1000people in the UK suffer a spinal cord injury annually; they are primarily young adults, 80% ofwhich are male.Our project addresses this issue by providing a diagnostic tool in an environment where onedoes not exist, which will be “prescribed” to spinal cord injury outpatients enabling them totake a photographic record of their skin to identify areas that are at risk of infection. Theseimages can then be used to trigger advice on preventative measures to help reduce the risk ofulcers, delivered via a mobile app.The app will contain structured advice on mitigating the risk of pressure ulcers and alsoaggregates a repository of anonymous evidence of ulcer development for further research todevelop improved advice and techniques to reduce the risk still further.The delivery of data to consultants will be developed at a later stage taking into account theworkflow needs of the consultants to help it seamlessly merge into their current practices andimprove the effectiveness and efficiency of the solution.The project encompasses a software solution, a diagnostic process, a knowledgedissemination tool, service delivery improvement and a method for analysing effectiveness ofcurrent procedures. Initially we need to assess whether an app would be an effective deliverymechanism for the patient.(1)Bennett G. Dealey C. Posnett J. The cost of pressure ulcers in the UK. Age and Ageing vol.33 2004