Title |
Pressure ulcer multidisciplinary teams via telemedicine: a pragmatic cluster randomized stepped wedge trial in long term care
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Published in |
BMC Health Services Research, February 2014
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DOI | 10.1186/1472-6963-14-83 |
Pubmed ID | |
Authors |
Anita Stern, Nicholas Mitsakakis, Mike Paulden, Shabbir Alibhai, Josephine Wong, George Tomlinson, Ann-Sylvia Brooker, Murray Krahn, Merrick Zwarenstein |
Abstract |
The study was conducted to determine the clinical and cost effectiveness of enhanced multi-disciplinary teams (EMDTs) vs. 'usual care' for the treatment of pressure ulcers in long term care (LTC) facilities in Ontario, Canada METHODS: We conducted a multi-method study: a pragmatic cluster randomized stepped-wedge trial, ethnographic observation and in-depth interviews, and an economic evaluation. Long term care facilities (clusters) were randomly allocated to start dates of the intervention. An advance practice nurse (APN) with expertise in skin and wound care visited intervention facilities to educate staff on pressure ulcer prevention and treatment, supported by an off-site hospital based expert multi-disciplinary wound care team via email, telephone, or video link as needed. The primary outcome was rate of reduction in pressure ulcer surface area (cm2/day) measured on before and after standard photographs by an assessor blinded to facility allocation. Secondary outcomes were time to healing, probability of healing, pressure ulcer incidence, pressure ulcer prevalence, wound pain, hospitalization, emergency department visits, utility, and cost. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 1 | 33% |
United States | 1 | 33% |
Unknown | 1 | 33% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 3 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Spain | 2 | <1% |
United States | 2 | <1% |
Canada | 1 | <1% |
Switzerland | 1 | <1% |
Unknown | 335 | 98% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 40 | 12% |
Student > Master | 40 | 12% |
Student > Bachelor | 40 | 12% |
Student > Ph. D. Student | 33 | 10% |
Student > Doctoral Student | 24 | 7% |
Other | 93 | 27% |
Unknown | 71 | 21% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 91 | 27% |
Nursing and Health Professions | 76 | 22% |
Social Sciences | 21 | 6% |
Unspecified | 17 | 5% |
Psychology | 11 | 3% |
Other | 45 | 13% |
Unknown | 80 | 23% |