objective to evaluate the effectiveness of specialized nurse-led care of patients with chronic wounds, provided both during hospitalization and postdischarge, on wound healing and readmission rates. methods an unblinded randomized controlled trial was conducted. participants were patients with chronic wounds, randomly assigned to either the experimental group (cared for by wound care nurses both during hospitalization and postdischarge) or to the control group (cared for according to standard practice). wound healing was identified as the primary outcome. results overall, 1,570 patients were randomized, 1,298 of whom were included in the per-protocol analysis (707 in the experimental group and 591 in the control group). nurse-led wound care quadrupled the probability of healing and reduced the number of treatment weeks and hospital readmissions.conclusions chronic wound care that was entrusted to specialized nurses improved outcomes in terms of wound healing, repair and regeneration, length of treatment, and rate of readmission, compared with standard practice. future studies should evaluate the impact of care provided by specialized wound care nurses on patients' quality of life and healthcare costs. nurse managers should promote the implementation of chronic wound clinical-care pathways entrusted to specialized nurses to improve patients' clinical outcomes and reduce hospital readmissions.

Sili, A., Zaghini, F., Monaco, D., Dal Molin, A., Mosca, N., Piredda, M., et al. (2023). Specialized Nurse-led Care of Chronic Wounds During Hospitalization and After Discharge: A Randomized Controlled Trial. ADVANCES IN SKIN & WOUND CARE, 36(1), 24-29 [10.1097/01.asw.0000897444.78712.fb].

Specialized Nurse-led Care of Chronic Wounds During Hospitalization and After Discharge: A Randomized Controlled Trial

Zaghini, Francesco;Monaco, Dario;Fiorini, Jacopo
2023-01-01

Abstract

objective to evaluate the effectiveness of specialized nurse-led care of patients with chronic wounds, provided both during hospitalization and postdischarge, on wound healing and readmission rates. methods an unblinded randomized controlled trial was conducted. participants were patients with chronic wounds, randomly assigned to either the experimental group (cared for by wound care nurses both during hospitalization and postdischarge) or to the control group (cared for according to standard practice). wound healing was identified as the primary outcome. results overall, 1,570 patients were randomized, 1,298 of whom were included in the per-protocol analysis (707 in the experimental group and 591 in the control group). nurse-led wound care quadrupled the probability of healing and reduced the number of treatment weeks and hospital readmissions.conclusions chronic wound care that was entrusted to specialized nurses improved outcomes in terms of wound healing, repair and regeneration, length of treatment, and rate of readmission, compared with standard practice. future studies should evaluate the impact of care provided by specialized wound care nurses on patients' quality of life and healthcare costs. nurse managers should promote the implementation of chronic wound clinical-care pathways entrusted to specialized nurses to improve patients' clinical outcomes and reduce hospital readmissions.
1-gen-2023
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore MED/45
Settore MEDS-24/C - Scienze infermieristiche generali, cliniche, pediatriche e ostetrico-ginecologiche e neonatali
English
chronic wound
wound care specialists
nurse specialist
outpatient clinic
hospital
transitional care
wound healing
Sili, A., Zaghini, F., Monaco, D., Dal Molin, A., Mosca, N., Piredda, M., et al. (2023). Specialized Nurse-led Care of Chronic Wounds During Hospitalization and After Discharge: A Randomized Controlled Trial. ADVANCES IN SKIN & WOUND CARE, 36(1), 24-29 [10.1097/01.asw.0000897444.78712.fb].
Sili, A; Zaghini, F; Monaco, D; Dal Molin, A; Mosca, N; Piredda, M; Fiorini, J
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/388472
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