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Πέμπτη 30 Μαΐου 2019

Pressure Ulcer Summit 2018: An Interdisciplinary Approach to Improve Our Understanding of the Risk of Pressure‐Induced Tissue Damage
Lisa J. Gould MD, PhD, FACS  Gregory Bohn MD, UHM/ABPM, MAPWCA, FACHM  Ruth Bryant PhD, MS, RN, CWOCN  Tim Paine PT  Kara Couch MS, CRNP, CWS, CWCN‐AP … See all authors
First published: 23 May 2019 https://doi.org/10.1111/wrr.12730
This article has been accepted for publication and undergone full peer review but has not been through the copyediting, typesetting, pagination and proofreading process, which may lead to differences between this version and the Version of Record. Please cite this article as doi: 10.1111/wrr.12730.
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Abstract
Pressure ulcers affect approximately 2.5 million patients and account for 60,000 deaths annually. They are associated with an additional annual cost of $43,000 per related hospital stay and a total cost to the US health care system as high as $25 billion. Despite the implementation of national and international pressure ulcer prevention guidelines and toolkits, rates of facility‐acquired pressure ulcers and pressure ulcers in people with spinal cord injury are still high. A new paradigm is needed that distinguishes between prevention and treatment research methods and includes not only the causative factors of pressure and tissue deformation, but also patient specific anatomical differences and the concomitant biological cellular processes, including reperfusion injury, toxic metabolites, ischemia, cell distortion, impaired lymphatic drainage, and impaired interstitial fluid flow that compound existing tissue damage. The purpose of this article is to summarize the highlights from the first annual Pressure Ulcer Summit held February 9–10, 2018 in Atlanta, Georgia (sponsored by the Association for the Advancement of Wound Care in partnership with multiple professional organizations). This international, interdisciplinary summit brought together key stakeholders in wound care and pressure ulcer prevention and management to highlight advances in pathophysiology of pressure‐induced tissue damage; explore challenges in current terminologies, documentation, and data collection; describe innovations in clinical care; and identify research opportunities to advance the science of pressure ulcer prevention and management.

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