RCT on Wheeled Mobility for Preventing Pressure Ulcers

摘要 对于越来越多的老年人来说，压疮是一个重大的医疗问题 美国和世界各地的长期护理(LTC)居民。压疮 降低生活质量，造成毁灭性的功能丧失，增加死亡风险 老年人口和提高医疗保健成本。管理压力的成本 美国的溃疡每年可能超过64亿美元，患病率约为 在LTC高危人群中占12%。在皮特，我们一直在研究座椅的影响 坐垫对压疮的发病率有影响，并发现当坐垫有皮肤保护时 坐垫与适当安装的轮椅一起使用，显著减少了 发病率。我们的数据现在让我们怀疑，是否有一个合适的 轮椅对压疮的发生率也有显著影响。来调查这件事 问题，我们正在提出一项新的研究，RCT轮椅2(RCT-WC2)，在其中 受试者将被随机分成对照组，接受皮肤保护垫 和轮椅培训，用于他们设施提供的轮椅，或治疗组 接受皮肤保护垫，轮椅培训和新的定制安装 轮椅。我们预计治疗组的压力发生率会更低。 溃疡。

Abstract Pressure ulcers are a significant healthcare problem for the growing number of older long-term care (LTC) residents in the United States and around the world. Pressure ulcers diminish quality of life, exact a devastating loss of function, increase the risk of death in geriatric populations and raise healthcare costs. Costs for the management of pressure ulcers in the US likely exceeds $6.4 billion annually, with a prevalence of approximately 12% in the high risk LTC population. At Pitt, we have been studying the effects of seat cushions on pressure ulcer incidence and have found that when a skin protection seat cushion is used with a properly fitted wheelchair there is a significant reduction in incidence. Our data has now led us to question whether having a properly fitted wheelchair also has a significant effect on pressure ulcer incidence. To investigate this question, we are proposing a new study, RCT Wheelchair 2 (RCT-WC2), in which subjects will be randomized into a control group that receives a skin protection cushion and wheelchair training for use in their facility supplied wheelchair, or a treatment group that receives a skin protection cushion, wheelchair training and a new custom-fitted wheelchair. We expect that the treatment group will have a lower incidence of pressure ulcers.