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https://ahro.austin.org.au/austinjspui/handle/1/33485| Title: | The clinical and cost effectiveness of remote expert wound nurse consultation for healing of pressure injuries among residential aged care patients: A protocol for a prospective pilot parallel cluster randomised controlled trial. | Austin Authors: | Kapp, Suzanne;Gerdtz, Marie;Miller, Charne;Gefen, Amit;Padula, William;Wilson, Lauren;Woodward, Michael M ;Santamaria, Nick | Affiliation: | Department of Nursing, Melbourne School of Health Sciences, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Carlton, Victoria, Australia.;Regis Aged Care Pty Ltd, Camberwell, Victoria, Australia. School of Nursing and Midwifery, La Trobe University, Melbourne, Victoria, Australia. The Herbert J. Berman Chair in Vascular Bioengineering, Department of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel. Department of Pharmaceutical & Health Economics, School of Pharmacy, University of Southern California, Los Angeles, California, USA.;Schaeffer Center for Health Policy & Economics, University of Southern California, Los Angeles, California, USA. Community Nursing and Residential Aged Care, Geelong, Victoria, Australia. Chronic Wound Management Service, Austin Health, Heidelberg, Victoria, Australia. Department of Nursing, Melbourne School of Health Sciences, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Carlton, Victoria, Australia. Geriatric Medicine Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia. |
Issue Date: | Oct-2023 | Date: | 2023 | Publication information: | International Wound Journal 2023-10; 20(8) | Abstract: | Pressure injuries affect 1 to 46% of residents in aged care (long term) facilities and cause a substantial economic burden on health care systems. Remote expert wound nurse consultation has the potential to improve pressure injury outcomes; however, the clinical and cost effectiveness of this intervention for healing of pressure injuries in residential aged care require further investigation. We describe the remote expert wound nurse consultation intervention and the method of a prospective, pilot, cluster randomised controlled trial. The primary outcome is number of wounds healed. Secondary outcomes are wound healing rate, time to healing, wound infection, satisfaction, quality of life, cost of treatment and care, hospitalisations, and deaths. Intervention group participants receive the intervention over a 12-week period and all participants are monitored for 24 weeks. A wound imaging and measurement system is used to analyse pressure injury images. A feasibility and fidelity evaluation will be concurrently conducted. The results of the trial will inform the merit of and justification for a future definitive trial to evaluate the clinical and cost effectiveness of remote expert wound nurse consultation for the healing of pressure injuries in residential aged care. | URI: | https://ahro.austin.org.au/austinjspui/handle/1/33485 | DOI: | 10.1111/iwj.14121 | ORCID: | 0000-0002-5438-8384 0000-0002-2100-994X 0000-0002-4344-685X 0000-0002-0223-7218 0000-0003-1161-6954 0000-0002-8524-1940 0000-0001-5270-6943 |
Journal: | International Wound journal | PubMed URL: | 37529854 | ISSN: | 1742-481X | Type: | Journal Article | Subjects: | aged care implementation research pilot randomised controlled trial pressure ulcer protocol |
| Appears in Collections: | Journal articles |
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