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. 2023 Oct;20(8):2953-2963.
doi: 10.1111/iwj.14121. Epub 2023 Aug 2.

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

Suzanne Kapp  1   2 , Marie Gerdtz  1 , Charne Miller  1   3 , Amit Gefen  4 , William Padula  5   6 , Lauren Wilson  7 , Michael Woodward  8   9 , Nick Santamaria  1
Affiliations

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

Suzanne Kapp et al. Int Wound J. 2023 Oct.

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.

Keywords: aged care; implementation research; pilot randomised controlled trial; pressure ulcer; protocol.

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Conflict of interest statement

SK has received research funds for investigator initiated studies and has been invited by Mölnlycke Health Care to speak at conferences and symposia.

NS and AG are consultants to Mölnlycke Health Care, members of its Global Pressure Ulcer/Injury Advisory Board and have received research funds from Mölnlycke. Mölnlycke has not controlled (or regulated) the research carried out by NS and AG.

BP declares Personal Fees and Equity Holdings with Monument Analytics, LLC.

Figures

FIGURE 1
FIGURE 1
Template for Intervention Description and Replication (TIDieR) checklist (references cited in this figure are given in Endnotes).
FIGURE 2
FIGURE 2
Primary and secondary study outcomes and data collection (references cited in this figure are given in Endnotes).
FIGURE 3
FIGURE 3
Other outcomes and data collection (references cited in this figure are given in Endnotes).
See this image and copyright information in PMC

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