The Experts below are selected from a list of 78 Experts worldwide ranked by ideXlab platform
Marie Backeberg - One of the best experts on this subject based on the ideXlab platform.
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How compression of Tubular Bandage could be of assistance in 6-year-old venous ulcers : wound care/stoma care
Professional Nursing Today, 2020Co-Authors: Marie BackebergAbstract:In wound care, the management of leg ulcers requires that the clinician must always consider a venous, arterial or mixed aetiology. Most wound care practitioners are also familiar with the ever present challenge of patients who need to wear compression, but are non-adherent. A common belief in the community and even among clinicians is that patients with leg ulcers need to wear "tight stockings" for optimal healing of wounds, without taking the vascular status into consideration.
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how compression of Tubular Bandage could be of assistance in 6 year old venous ulcers
Wound Healing Southern Africa, 2016Co-Authors: Marie BackebergAbstract:In wound care, the management of leg ulcers requires that the clinician must always consider a venous, arterial or mixed aetiology. Most wound care practitioners are also familiar with the ever present challenge of patients who need to wear compression, but are non-adherent. A common belief in the community and even among clinicians is that patients with leg ulcers need to wear “tight stockings” for optimal healing of wounds, without taking the vascular status into consideration.
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how compression of Tubular Bandage could be of assistance in 6 year old venous ulcers case study
Wound Healing Southern Africa, 2016Co-Authors: Marie BackebergAbstract:In wound care, the management of leg ulcers requires that the clinician must always consider a venous, arterial or mixed aetiology. Most wound care practitioners are also familiar with the ever present challenge of patients who need to wear compression, but are non-adherent. A common belief in the community and even among clinicians is that patients with leg ulcers need to wear "tight stockings" for optimal healing of wounds, without taking the vascular status into consideration.
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how compression of Tubular Bandage could be of assistance in 6 year old venous ulcers wound care stoma care
Professional Nursing Today, 2016Co-Authors: Marie BackebergAbstract:In wound care, the management of leg ulcers requires that the clinician must always consider a venous, arterial or mixed aetiology. Most wound care practitioners are also familiar with the ever present challenge of patients who need to wear compression, but are non-adherent. A common belief in the community and even among clinicians is that patients with leg ulcers need to wear "tight stockings" for optimal healing of wounds, without taking the vascular status into consideration.
F. Morrow - One of the best experts on this subject based on the ideXlab platform.
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Clinical effectiveness of a silicone foam dressing for the prevention of heel pressure ulcers in critically ill patients: Border II Trial
Journal of Wound Care, 2015Co-Authors: Nick Santamaria, M. Gerdtz, S. Rakis, S. Sage, A.w. Ng, H. Tudor, T. Vassiliou, J. Mccann, F. MorrowAbstract:Objective: Critically ill patients are at high risk of developing pressure ulcers (PU), with the sacrum and heels being highly susceptible to pressure injuries. The objective of our study was to evaluate the clinical effectiveness of a new multi-layer, self-adhesive soft silicone foam heel dressing to prevent PU development in trauma and critically ill patients in the intensive care unit (ICU). Method: A cohort of critically ill patients were enrolled at the Royal Melbourne Hospital. Each patient had the multi-layer soft silicone foam dressing applied to each heel on admission to the emergency department. The dressings were retained with a Tubular Bandage for the duration of the patients’ stay in the ICU. The skin under the dressings was examined daily and the dressings were replaced every three days. The comparator for our cohort study was the control group from the recently completed Border Trial. Results: Of the 191 patients in the initial cohort, excluding deaths, loss to follow-up and transfers to an...
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Clinical effectiveness of a silicone foam dressing for the prevention of heel pressure ulcers in critically ill patients: Border II Trial
Journal of Wound Care, 2015Co-Authors: Nick Santamaria, M. Gerdtz, S. Rakis, S. Sage, A.w. Ng, H. Tudor, T. Vassiliou, Wei Liu, J. Mccann, F. MorrowAbstract:* Objective: Critically ill patients are at high risk of developing pressure ulcers (PU), with the sacrum and heels being highly susceptible to pressure injuries. The objective of our study was to evaluate the clinical effectiveness of a new multi-layer, self-adhesive soft silicone foam heel dressing to prevent PU development in trauma and critically ill patients in the intensive care unit (ICU). * Method: A cohort of critically ill patients were enrolled at the Royal Melbourne Hospital. Each patient had the multi-layer soft silicone foam dressing applied to each heel on admission to the emergency department. The dressings were retained with a Tubular Bandage for the duration of the patients' stay in the ICU. The skin under the dressings was examined daily and the dressings were replaced every three days. The comparator for our cohort study was the control group from the recently completed Border Trial. * Results: Of the 191 patients in the initial cohort, excluding deaths, loss to follow-up and transfers to another ward, 150 patients were included in the final analysis. There was no difference in key demographic or physiological variables between the cohorts, apart from a longer ICU length of stay for our current cohort. No PUs developed in any of our intervention cohort patients compared with 14 patients in the control cohort (n= 152; p
Sarah E Lamb - One of the best experts on this subject based on the ideXlab platform.
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48 The Effects Of Different Types Of Ankle Support On Gait: A Randomised Cross-over Study
British Journal of Sports Medicine, 2014Co-Authors: David J Keene, Keith Willett, Sarah E LambAbstract:Introduction Ankle supports are routinely issued to patients following ankle injury and surgery [Lin et al. 2010]. Patients may be advised to use Tubigrip (elasticated Tubular Bandage), a stirrup brace or a type of removable walker boot (Figure 1). The primary differences in support design are the extent and direction of mechanical limitation to ankle joint motion. One of the main aims of the initial phase of rehabilitation after injury or surgery is to optimise the recovery of a normalised walking gait pattern. Aim To determine the effects of ankle supports on gait symmetry in healthy adults. Methods Participants were 18 healthy adult volunteers. This study was a randomised three-treatment, three-period, cross-over design. The order of ankle supports tested was balanced using Latin squares. Outcomes: 1) step length and single limb support time symmetry indices (SI). SI are an expression of the relationship between the injured and uninjured limb [Hodt-Billington et al. 2011]. The SI have a minimum of 0 (perfect symmetry) and 0.1 is equivalent to 10% asymmetry, 0.5 is 50% asymmetry and so on. 2) step width (cm). These temporo-spatial gait parameters were measured on the GAITRite® electronic walkway system (CIR Symptoms, Havertown, PA, USA). The concurrent validity of GAITRite® has been established against the VICON® system [Webster et al. 2005]. Participants walked across the electronic walkway six times in each support (twice at slow, preferred and fast walking speeds). Gait outcomes were normalised for walking velocity by use of multilevel modelling. Results Participants were on average 42 (SD 13) years old and 88% were female. The walker boot resulted in gait abnormalities compared with Tubigrip. There was greater asymmetry in step length in the walker boot when compared to Tubigrip by a 10% margin (95% CI 9 to 12%, p Discussion Walker boots induce step length and single limb support time asymmetry and widen step width compared with Tubigrip in non-pathological gait. There are no important differences in gait in an ankle stirrup brace compared with Tubigrip. Further research is required to directly compare the effects of these ankle supports in clinical populations to further inform clinical decision making. References Alfredson, H. et al., Am J Sport Med. 1998;26(3):360–366 Jarvinen, T. A. et al., Foot Ankle Clin. 2005;10(2):255–266 Malliaras, P. et al., Sports Medicine (Auckland, N. Z.), 43(4):267–286
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Modelling treatment, age- and gender-specific recovery inacute injury studies
2010Co-Authors: Mouna Akacha, Jane L. Hutton, Sarah E LambAbstract:Background: Acute injury studies often measure physical ability repeatedly over time through scores that have a finite range. This can result in a faster score change at the beginning of the study than towards the end, motivating the investigation of the rate of change. Additionally, the bounds of the score and their dependence on covariates are often of interest. Methods: We argue that transforming bounded data is not satisfactory in some settings. Motivated by the Collaborative Ankle Support Trial (CAST), which investigated different methods of immobilisation for severe ankle sprains, we developed a model under the assumption that the recovery rate at a specific time is proportional to the current score and the remaining score. This model enables a direct interpretation of the covariate effects. We have re-analyzed the CAST data using these improved methods, and explored novel relationships between age, gender and recovery rate. Results: We confirm that using below knee cast is advantageous compared with a Tubular Bandage in relation with the recovery rate. An age and gender effect on the recovery rate and the maximum achievable score is demonstrated, with older female patients recovering less fast (age-effect: -0.21, 95% confidence interval (CI) [-0.28,- 0.14]; gender effect: -0.06, CI [-0.12,-0.004]) and achieving a lower maximum score (age-effect: -8.07, CI [-11.68,-4.01]; gender-effect: -5.34, CI [-8.18, -2.50]) than younger male patients. Conclusions: Our model is able to accurately model repeated measurements on the original scale, while accounting for the bounded nature of a score. We demonstrate that recovery in acute injury trials can differ substantially by age and gender. Older female patients are less likely to recover well from a sprain.
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treatment of severe ankle sprain a pragmatic randomised controlled trial comparing the clinical effectiveness and cost effectiveness of three types of mechanical ankle support with Tubular Bandage the cast trial
Health Technology Assessment, 2009Co-Authors: Matthew Cooke, Jane L. Hutton, Jennifer Marsh, Michael Clark, Rachel A Nakash, R M Jarvis, Ala Szczepura, Susan R Wilson, Sarah E LambAbstract:To estimate (1) The clinical effectiveness of three different methods of ankle support (below knee plaster cast, Kendall ankle support, Bledsoe boot) in comparison to Tubigrip in the recovery of mobility and function after Grade II and III sprains of the ankle joint. (2) The cost-effectiveness of the three different methods of ankle support in comparison to Tubigrip only. The economic analysis will be conducted from a societal perspective. Tubigrip has been chosen as the reference (status quo) treatment; it is the cheapest, but is likely to be least effective (ref 1). The Bledsoe boot is a factor of 30 times more expensive (US$50 usual,assuming no re-use), and its clinical effectiveness is yet to be proven. The below knee plaster cast will be Scotch Cast (cost £5). There are a range of ankle supports available. We have selected the Kendall Gel Brace (£19 per brace), which is the cheapest and. in our experience is as clinically effective as other brands. All treatments will be provided in the NHS, in a manner consistent with current national practice.
Nick Santamaria - One of the best experts on this subject based on the ideXlab platform.
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Clinical effectiveness of a silicone foam dressing for the prevention of heel pressure ulcers in critically ill patients: Border II Trial
Journal of Wound Care, 2015Co-Authors: Nick Santamaria, M. Gerdtz, S. Rakis, S. Sage, A.w. Ng, H. Tudor, T. Vassiliou, J. Mccann, F. MorrowAbstract:Objective: Critically ill patients are at high risk of developing pressure ulcers (PU), with the sacrum and heels being highly susceptible to pressure injuries. The objective of our study was to evaluate the clinical effectiveness of a new multi-layer, self-adhesive soft silicone foam heel dressing to prevent PU development in trauma and critically ill patients in the intensive care unit (ICU). Method: A cohort of critically ill patients were enrolled at the Royal Melbourne Hospital. Each patient had the multi-layer soft silicone foam dressing applied to each heel on admission to the emergency department. The dressings were retained with a Tubular Bandage for the duration of the patients’ stay in the ICU. The skin under the dressings was examined daily and the dressings were replaced every three days. The comparator for our cohort study was the control group from the recently completed Border Trial. Results: Of the 191 patients in the initial cohort, excluding deaths, loss to follow-up and transfers to an...
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Clinical effectiveness of a silicone foam dressing for the prevention of heel pressure ulcers in critically ill patients: Border II Trial
Journal of Wound Care, 2015Co-Authors: Nick Santamaria, M. Gerdtz, S. Rakis, S. Sage, A.w. Ng, H. Tudor, T. Vassiliou, Wei Liu, J. Mccann, F. MorrowAbstract:* Objective: Critically ill patients are at high risk of developing pressure ulcers (PU), with the sacrum and heels being highly susceptible to pressure injuries. The objective of our study was to evaluate the clinical effectiveness of a new multi-layer, self-adhesive soft silicone foam heel dressing to prevent PU development in trauma and critically ill patients in the intensive care unit (ICU). * Method: A cohort of critically ill patients were enrolled at the Royal Melbourne Hospital. Each patient had the multi-layer soft silicone foam dressing applied to each heel on admission to the emergency department. The dressings were retained with a Tubular Bandage for the duration of the patients' stay in the ICU. The skin under the dressings was examined daily and the dressings were replaced every three days. The comparator for our cohort study was the control group from the recently completed Border Trial. * Results: Of the 191 patients in the initial cohort, excluding deaths, loss to follow-up and transfers to another ward, 150 patients were included in the final analysis. There was no difference in key demographic or physiological variables between the cohorts, apart from a longer ICU length of stay for our current cohort. No PUs developed in any of our intervention cohort patients compared with 14 patients in the control cohort (n= 152; p
Charles N. Mccollum - One of the best experts on this subject based on the ideXlab platform.
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The role of compression in the management of soft tissue ankle injuries: a systematic review
European Journal of Orthopaedic Surgery & Traumatology, 2015Co-Authors: Vivak Hansrani, Mustafa Khanbhai, Sahil Bhandari, Anand Pillai, Charles N. MccollumAbstract:Background Ankle sprains are very common injuries which can lead to long-term pain, swelling and instability. Compression is often used in the treatment of these common injuries but is it effective and how best is it delivered? Methods MEDLINE (1966-current), EMBASE (1980-current), Cochrane Library (2011:1) and MEDION were included in our search. Studies evaluating compression in the treatment of ankle sprains were included. Two authors independently reviewed potential studies according to a set eligibility criteria. Results Twelve studies including 1,701 patients with ankle sprains were identified (level of evidence: four grade 1b; five grade 2b; three grade 4). Intermittent pneumatic compression (IPC), elastic Tubular Bandage and compression bandaging were all evaluated. Five of the 12 studies reported that compression therapy improves recovery after ankle injury, of which one evaluated IPC, and the remaining four elastic Bandages (Elastoplast, class II elastic stockings, wool and crepe, focal compression with air stirrup). Five studies evaluating Tubigrip in ankle sprains concluded that Tubigrip has no positive effect on functional recovery and may increase the requirement for analgesia compared with no intervention. Conclusion Compression may be an effective tool in the management of ankle injuries and has been shown to reduce swelling and improve quality of life in single studies. Definitive conclusions are hampered by the poor quality of evidence and the variety of treatments used. The most effective form of compression to treat ankle sprains or is yet to be determined. Adequately designed randomized control trials are clearly needed.
