TY - JOUR
T1 - The clinical and cost effectiveness of remote expert wound nurse consultation for healing of pressure injuries among residential aged care patients
T2 - A protocol for a prospective pilot parallel cluster randomised controlled trial
AU - Kapp, Suzanne
AU - Gerdtz, Marie
AU - Miller, Charne
AU - Gefen, Amit
AU - Padula, William
AU - Wilson, Lauren
AU - Woodward, Michael
AU - Santamaria, Nick
N1 - Publisher Copyright:
© 2023 The Authors. International Wound Journal published by Medicalhelplines.com Inc and John Wiley & Sons Ltd.
PY - 2023/10
Y1 - 2023/10
N2 - 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.
AB - 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.
KW - aged care
KW - implementation research
KW - pilot randomised controlled trial
KW - pressure ulcer
KW - protocol
UR - http://www.scopus.com/inward/record.url?scp=85166619842&partnerID=8YFLogxK
U2 - 10.1111/iwj.14121
DO - 10.1111/iwj.14121
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C2 - 37529854
AN - SCOPUS:85166619842
SN - 1742-4801
VL - 20
SP - 2953
EP - 2963
JO - International Wound Journal
JF - International Wound Journal
IS - 8
ER -