Costa Matt L, Greenwood Clare, Nixon Jane
Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Science, University of Oxford, Oxford, UK.
Leeds Teaching Hospitals, St James's University Hospital, Leeds, UK.
Bone Joint J. 2025 Feb 1;107-B(2):135-138. doi: 10.1302/0301-620X.107B2.BJJ-2024-0635.R1.
Hip fractures commonly occur in older patients, with high levels of frailty and comorbidity. Many of these patients have limited mobility before their fracture, and even after surgery, their mobility may remain limited. It is therefore not surprising that they are at a high risk of developing pressure sores, particularly on their heels, and a variety of devices and interventions have been proposed to reduce this risk. Foam or air mattresses, designed to reduce contact pressure on the patient's whole body, are now routinely used in many healthcare systems. However, there is wide variation in their design. We developed the WHiTE 14;PRESSURE 3 trial to address the lack of evidence in this area. This is a three-arm multicentre randomized trial including health economic evaluation and recruiting patients from NHS hospitals in the UK. The trial compares standard strategies for the prevention of pressure sores with standard care plus a constant low-pressure device and with standard care plus a heel off-loading device. This annotation describes the development of this trial.
髋部骨折常见于老年患者，这些患者虚弱程度高且合并多种疾病。这些患者中的许多人在骨折前行动能力就有限，甚至在手术后，其行动能力可能仍然受限。因此，他们发生压疮的风险很高，尤其是在足跟部位，也就不足为奇了，并且已经提出了各种设备和干预措施来降低这种风险。旨在减轻患者全身接触压力的泡沫床垫或气垫床，现在在许多医疗系统中都经常使用。然而，它们的设计差异很大。我们开展了WHiTE 14;PRESSURE 3试验，以解决该领域缺乏证据的问题。这是一项三臂多中心随机试验，包括卫生经济学评估，招募来自英国国民保健服务（NHS）医院的患者。该试验将预防压疮的标准策略与标准护理加持续低压设备以及标准护理加足跟减压设备进行比较。本注释描述了该试验的开展情况。
