Gould LJ, Alderden J, Aslam R, Barbul A, Bogie KM, El Masry M, Graves LY, White-Chu EF, Ahmed A, Boanca K, Brash J, Brooks KR, Cockron W, Kennerly SM, Livingston AK, Page J, Stephens C, West V, Yap TL, et al.
Wound repair and regeneration : official publication of the Wound Healing Society [and] the Eur.... Date of publication 2024 Jan 1;volume 32(1):6-33.
1. Wound Repair Regen. 2024 Jan-Feb;32(1):6-33. doi: 10.1111/wrr.13130. Epub 2023
Dec 20.
WHS guidelines for the treatment of pressure ulcers-2023 update.
Gould LJ(1)(2), Alderden J(3), Aslam R(4), Barbul A(5), Bogie KM(6)(7)(8), El
Masry M(9)(10), Graves LY(6)(11), White-Chu EF(12)(13), Ahmed A(14), Boanca
K(13), Brash J(11), Brooks KR(15), Cockron W(11), Kennerly SM(16), Livingston
AK(13), Page J(11), Stephens C(11), West V(17), Yap TL(15).
Author information:
(1)South Shore Hospital, Weymouth, Massachusetts, USA.
(2)Chairperson WHS Pressure Ulcer Guideline Working Group.
(3)School of Nursing, Boise State University, Boise, Idaho, USA.
(4)School of Medicine, Yale University, New Haven, Connecticut, USA.
(5)Vanderbilt University, Nashville, Tennessee, USA.
(6)Louis Stokes Cleveland VA Medical Center, Cleveland, Ohio, USA.
(7)Case Western Reserve University, Cleveland, Ohio, USA.
(8)Chairperson WHS Education Committee.
(9)McGowan Institute for Regenerative Medicine, Department of Surgery, School of
Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
(10)Department of Plastic Surgery, Zagazig University, Zagazig, Egypt.
(11)School of Nursing, The University of Texas Medical Branch, Galveston, Texas,
USA.
(12)VA Portland Health Care System, Portland, Oregon, USA.
(13)Oregon Health and Science University, Portland, Oregon, USA.
(14)School of Medicine, Zagazig University, Zagazig, Egypt.
(15)Duke University School of Nursing, Durham, North Carolina, USA.
(16)East Carolina University College of Nursing, Greenville, North Carolina,
USA.
(17)Michael E. DeBakey VA Medical Center, Houston, Texas, USA.
The major populations at risk for developing pressure ulcers are older adults
who have multiple risk factors that increase their vulnerability, people who are
critically ill and those with spinal cord injury/disease. The reported
prevalence of pressure ulcers in the United States is 2.5 million. However, this
estimate is derived from acute care facilities and does not include people who
are living at home or in nursing facilities. Despite the implementation of
hospital and facility-based preventive measures, the incidence of pressure
ulcers has not decreased in decades. In addition to the burden of pain,
infection and death, it is estimated that hospital-acquired pressure ulcers cost
the health system $26.8 billion annually with over 50% of the cost attributed to
treating Stage 3 and 4 pressure injuries. Thus, it is critical to examine the
literature and develop guidelines that will improve the outcomes of this complex
and costly condition. This guideline update is a compendium of the best
available evidence for the treatment of Pressure Ulcers published since the last
update in 2015 and includes a new section based on changing demographics
entitled 'Palliative wound care for seriously ill patients with pressure
ulcers'. The overall goal of the Wound Healing Society Guideline project is to
present clear, concise and commercial free guidelines that clinicians can use to
guide care, that researchers can use to develop studies that will improve
treatment and that both clinicians and researchers can use to understand the
gaps in our knowledge base.
© 2023 The Authors. Wound Repair and Regeneration published by Wiley Periodicals
LLC on behalf of The Wound Healing Society.
DOI: 10.1111/wrr.13130
PMID: 37970711 [Indexed for MEDLINE]