Joan Webster
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View article: Closed incision negative pressure wound therapy versus standard dressings in obese women undergoing caesarean section: multicentre parallel group randomised controlled trial
Closed incision negative pressure wound therapy versus standard dressings in obese women undergoing caesarean section: multicentre parallel group randomised controlled trial Open
Objective To determine the effectiveness of closed incision negative pressure wound therapy (NPWT) compared with standard dressings in preventing surgical site infection (SSI) in obese women undergoing caesarean section. Design Multicentre…
View article: Peripheral intravenous catheter non‐infectious complications in adults: A systematic review and meta‐analysis
Peripheral intravenous catheter non‐infectious complications in adults: A systematic review and meta‐analysis Open
Aims The aim of this systematic review and meta‐analysis was to summarize and quantify peripheral intravenous catheter‐related complications. Design This systematic review is reported by means of the Cochrane process for randomized control…
View article: Pressure ulcer healing with an intensive nutrition intervention in an acute setting: a pilot randomised controlled trial
Pressure ulcer healing with an intensive nutrition intervention in an acute setting: a pilot randomised controlled trial Open
Objective: To investigate the feasibility of recruitment, retention, intervention delivery and outcome measurement in a nutritional intervention to promote pressure ulcer healing in an acute setting. Method: Some 50 tertiary hospital patie…
View article: Table of Contents and Advertisements
Table of Contents and Advertisements Open
AHR explores major national and international health issues and questions. Our readership includes managers, policy makers and clinical staff in health organisations including government departments, hospitals, community centres and aged-c…
View article: ICE volume 40 issue 10 Cover and Front matter
ICE volume 40 issue 10 Cover and Front matter Open
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View article: A systematic review of central-line–associated bloodstream infection (CLABSI) diagnostic reliability and error
A systematic review of central-line–associated bloodstream infection (CLABSI) diagnostic reliability and error Open
Objective: To establish the reliability of the application of National Health and Safety Network (NHSN) central-line–associated bloodstream infection (CLABSI) criteria within established reporting systems internationally. Design: Diagnosti…
View article: “Just in case”. Use of large-bore peripheral intravenous catheters in parturient women: A global study
“Just in case”. Use of large-bore peripheral intravenous catheters in parturient women: A global study Open
Objective: The aim of the current study was to map a global picture of the practice of inserting large-bore peripheral intravenous catheters in parturient women.\nMethods: We analysed a sub-set of data from a prospective, multi-centre, int…
View article: Negative pressure wound therapy for surgical wounds healing by primary closure
Negative pressure wound therapy for surgical wounds healing by primary closure Open
Despite the addition of 25 trials, results are consistent with our earlier review, with the evidence judged to be of low or very low certainty for all outcomes. Consequently, uncertainty remains about whether NPWT compared with a standard …
View article: Clinically-indicated replacement versus routine replacement of peripheral venous catheters
Clinically-indicated replacement versus routine replacement of peripheral venous catheters Open
Background: US Centers for Disease Control guidelines recommend replacement of peripheral intravenous catheters (PIVC) no more frequently than every 72 to 96 hours. Routine replacement is thought to reduce the risk of phlebitis and bloodst…
View article: Dressings and topical agents for preventing pressure ulcers
Dressings and topical agents for preventing pressure ulcers Open
Background: \nPressure ulcers, localised injuries to the skin or underlying tissue, or both, occur when people cannot reposition themselves to relieve pressure on bony prominences. These wounds are difficult to heal, painful, expensive to …
View article: Hydrocolloid dressings for treating pressure ulcers
Hydrocolloid dressings for treating pressure ulcers Open
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows: To assess the effects of hydrocolloid wound dressings for healing pressure ulcers in people in any care setting.
View article: Observational Study of Peripheral Intravenous Catheter Outcomes in Adult Hospitalized Patients: A Multivariable Analysis of Peripheral Intravenous Catheter Failure
Observational Study of Peripheral Intravenous Catheter Outcomes in Adult Hospitalized Patients: A Multivariable Analysis of Peripheral Intravenous Catheter Failure Open
BACKGROUND Almost 70% of hospitalized patients require a peripheral intravenous catheter (PIV), yet up to 69% of PIVs fail prior to completion of therapy. OBJECTIVE To identify risk factors associated with PIV failure. DESIGN A single cent…
View article: Peripherally InSerted CEntral catheter dressing and securement in patients with cancer: the PISCES trial. Protocol for a 2x2 factorial, superiority randomised controlled trial
Peripherally InSerted CEntral catheter dressing and securement in patients with cancer: the PISCES trial. Protocol for a 2x2 factorial, superiority randomised controlled trial Open
Introduction Around 30% of peripherally inserted central catheters (PICCs) fail from vascular, infectious or mechanical complications. Patients with cancer are at highest risk, and this increases morbidity, mortality and costs. Effective P…
View article: Hydrocolloid dressings for donor sites of split thickness skin grafts
Hydrocolloid dressings for donor sites of split thickness skin grafts Open
This is a protocol for a Cochrane Review (Intervention). The objectives are as follows:\nTo assess the effects of hydrocolloid dressings on the healing of donor sites of split thickness skin grafts (STSGs).
View article: The RELIABLE trial (RELiable Intravenous Access by Line Experts): A pilot randomised controlled trial protocol of expert versus generalist peripheral intravenous catheter insertion
The RELIABLE trial (RELiable Intravenous Access by Line Experts): A pilot randomised controlled trial protocol of expert versus generalist peripheral intravenous catheter insertion Open
Peripheral intravenous catheters (PVCs) are essential for the administration of intravenous fluids and medications for the treatment of hospitalised patients. They are the most commonly used of all vascular access devices (VADS) with annua…
View article: Gauze and tape and transparent polyurethane dressings for central venous catheters
Gauze and tape and transparent polyurethane dressings for central venous catheters Open
This review has been withdrawn as the topic is covered by Ullman AJ, Cooke ML, Mitchell M, Lin F, New K, Long DA, Mihala G, Rickard CM. Dressings and securement devices for central venous catheters (CVC). Cochrane Database of Systematic Re…
View article: End-of-life care pathways for improving outcomes in caring for the dying
End-of-life care pathways for improving outcomes in caring for the dying Open
There is limited available evidence concerning the clinical, physical, psychological or emotional effectiveness of end-of-life care pathways.
View article: Frequency of dressing changes for central venous access devices on catheter-related infections
Frequency of dressing changes for central venous access devices on catheter-related infections Open
The best available evidence is currently inconclusive regarding whether longer intervals between CVAD dressing changes are associated with more or less catheter-related infection, mortality or pain than shorter intervals.
View article: ADding negative pRESSure to improve healING (the DRESSING trial): a RCT protocol
ADding negative pRESSure to improve healING (the DRESSING trial): a RCT protocol Open
Introduction Obese women are more likely to develop a surgical site infection (SSI) following caesarean section (CS) than non-obese women. Negative pressure wound therapy (NPWT) is increasingly being used to reduce SSI with limited evidenc…