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      Overview on pressure ulcers studies based on bibliometric methods Translated title: Resumen de estudios sobre úlceras por presión basados en métodos bibliométricos

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          Abstract

          Abstract Introduction: Pressure ulcers (PU) are a major health problem, causing increased health costs as well as workload of health workers. In this study, we aimed to analyze the developments in PUs and to add perspective to future studies by examining the research articles published on PUs, which is an increasing health problem worldwide. Material and methods: Bibliometric analysis method was used in this study. The data was obtained by searching the Elsevier Scopus database with using the keywords “pressure ulcer” or “bedsore” or “decubitus ulcer” or “decubitus” or “pressure sore”. Results: 4,361 articles were analyzed in terms of study criteria. The first article was published in the year 1849 and 52.94 % of articles were published after the year 2011. Most of the articles were written in English (87.6%) language. The majority 29.32%) of articles were from the United States of America (USA). USA, United Kingdom and Japan were the top three publishing countries. Most of the articles were in the area of medicine [n =2896(66.4%)] and nursing [n=1903(43.63%)]. The highest number of articles on PUs were published in the journals of Ostomy Wound Management (n=177), Journal of Wound Care (n=156), International Wound Journal (n=144), Journal of Wound Ostomy And Continence Nursing (n=141) and Journal of Tissue Viability (n=126). Conclusions: As the number of immobile and debiliated patients increase globally, the publications on PUs seem to be increase too. Studies outside of Europe and the USA should also be supported and the number of publications should be increased, especially from developing countries.

          Translated abstract

          Resumen Introducción: Las úlceras por presión (UPP) son un importante problema de salud, provocando un aumento de los costes sanitarios y de la carga de trabajo de los trabajadores sanitarios. En este estudio, nuestro objetivo fue analizar los desarrollos en UPP y agregar perspectiva a estudios futuros mediante el examen de los artículos de investigación publicados sobre UPP, que es un problema de salud creciente en todo el mundo. Material y métodos: En este estudio se utilizó el método de análisis bibliométrico. Los datos se obtuvieron mediante una búsqueda en la base de datos de Elsevier Scopus con las palabras clave “úlcera por presión” o “úlcera por decúbito” o “úlcera por decúbito” o “úlcera por decúbito” o “úlcera por presión”. Resultados: Se analizaron 4.361 artículos en función de los criterios de estudio. El primer artículo se publicó en el año 1849 y el 52,94% de los artículos se publicaron después del año 2011. La mayoría de los artículos fueron escritos en idioma inglés (87,6%). La mayoría (29,32%) de los artículos procedían de los Estados Unidos de América (EE. UU.). Estados Unidos, Reino Unido y Japón fueron los tres principales países editores. La mayoría de los artículos fueron del área de medicina [n = 2896 (66,4%)] y enfermería [n = 1903 (43,63%)]. El mayor número de artículos sobre UPP se publicaron en las revistas de Ostomy Wound Management (n = 177), Journal of Wound Care (n = 156), International Wound Journal (n = 144), Journal of Wound Ostomy And Continence Nursing (n = 141) y Journal of Tissue Viability (n = 126). Conclusiones: A medida que aumenta el número de pacientes inmóviles y debilitados a nivel mundial, las publicaciones sobre UPP parecen estar aumentando también. También deberían apoyarse los estudios fuera de Europa y Estados Unidos y debería incrementarse el número de publicaciones, especialmente de países en desarrollo.

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          The cost of pressure ulcers in the UK.

          To estimate the annual cost of treating pressure ulcers in the UK. Costs were derived from a bottom-up methodology, based on the daily resources required to deliver protocols of care reflecting good clinical practice. Health and social care system in the UK. Patients developing a pressure ulcer. A bottom-up costing approach is used to estimate treatment cost per episode of care and per patient for ulcers of different grades and level of complications. Also, total treatment cost to the health and social care system in the UK. The cost of treating a pressure ulcer varies from pound 1,064 (Grade 1) to pound 10,551 (Grade 4). Costs increase with ulcer grade because the time to heal is longer and because the incidence of complications is higher in more severe cases. The total cost in the UK is pound 1.4- pound 2.1 billion annually (4% of total NHS expenditure). Most of this cost is nurse time. Pressure ulcers represent a very significant cost burden in the UK. Without concerted effort this cost is likely to increase in the future as the population ages. To the extent that pressure ulcers are avoidable, pressure damage may be indicative of clinical negligence and there is evidence that litigation could soon become a significant threat to healthcare providers in the UK, as it is in the USA.
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            Pressure Ulcers: Pathophysiology, Epidemiology, Risk Factors, and Presentation

            Though preventable in most cases, pressure ulcers continue to pose a major burden to the individual and society, affecting ≤3 million adults annually in the United States alone. Despite increased national attention over the past 20 years, the prevalence of pressure ulcers has largely remained unchanged, while the associated costs of care continue to increase. Dermatologists can play a significant role in pressure ulcer prevention by becoming aware of at-risk populations and implementing suitable preventive strategies. Moreover, dermatologists should be able to recognize early changes that occur before skin breakdown and to properly identify and stage pressure ulcers to prevent delay of appropriate care. The aim of the first article in this continuing medical education series is to discuss the pathophysiology, risk factors, epidemiology, social and economic burdens, and clinical presentation of pressure ulcers.
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              Comparison of negative pressure wound therapy using vacuum-assisted closure with advanced moist wound therapy in the treatment of diabetic foot ulcers: a multicenter randomized controlled trial.

              The purpose of this study was to evaluate safety and clinical efficacy of negative pressure wound therapy (NPWT) compared with advanced moist wound therapy (AMWT) to treat foot ulcers in diabetic patients. This multicenter randomized controlled trial enrolled 342 patients with a mean age of 58 years; 79% were male. Complete ulcer closure was defined as skin closure (100% reepithelization) without drainage or dressing requirements. Patients were randomly assigned to either NPWT (vacuum-assisted closure) or AMWT (predominately hydrogels and alginates) and received standard off-loading therapy as needed. The trial evaluated treatment until day 112 or ulcer closure by any means. Patients whose wounds achieved ulcer closure were followed at 3 and 9 months. Each study visit included closure assessment by wound examination and tracings. A greater proportion of foot ulcers achieved complete ulcer closure with NPWT (73 of 169, 43.2%) than with AMWT (48 of 166, 28.9%) within the 112-day active treatment phase (P = 0.007). The Kaplan-Meier median estimate for 100% ulcer closure was 96 days (95% CI 75.0-114.0) for NPWT and not determinable for AMWT (P = 0.001). NPWT patients experienced significantly (P = 0.035) fewer secondary amputations. The proportion of home care therapy days to total therapy days for NPWT was 9,471 of 10,579 (89.5%) and 12,210 of 12,810 (95.3%) for AMWT. In assessing safety, no significant difference between the groups was observed in treatment-related complications such as infection, cellulitis, and osteomyelitis at 6 months. NPWT appears to be as safe as and more efficacious than AMWT for the treatment of diabetic foot ulcers.
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                Author and article information

                Journal
                ijm
                Iberoamerican Journal of Medicine
                Iberoam J Med
                Hospital San Pedro (Logroño, La Rioja, Spain )
                2695-5075
                2695-5075
                2022
                : 4
                : 1
                : 18-23
                Affiliations
                [1] Bitlis orgnameBitlis Eren University School of Health Sciences orgdiv1Department of Nursing Turquía
                [2] Canakkale orgnameCanakkale Onsekiz Mart University Faculty of Medicine orgdiv1Infectious Disease Department Turquía
                [3] Canakkale orgnameUniversity Canakkale Onsekiz Mart University Faculty of Medicine orgdiv1Department of General Surgery Turquía
                Article
                S2695-50752022000100004 S2695-5075(22)00400100004
                10.53986/ibjm.2022.0004
                f7c22e40-39b4-4878-ae7b-e28e48a05d21

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 20 October 2021
                : 25 November 2021
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 32, Pages: 6
                Product

                SciELO Spain

                Categories
                Original Article

                Métodos bibliométricos,Base de datos Scopus,Pressure ulcers,Bibliometric method,Scopus database,Úlceras por presión

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