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Latest important health research summarised

Lady in bed

NIHR Signal Two commonly used pressure redistributing mattresses are similar for preventing pressure ulcers but differ on price

The choice of mattress used in hospital makes no difference to whether adults develop pressure ulcers, or how quickly, but differ on price. This large NIHR-funded trial included 2,029 participants at high risk of developing pressure ulcers and found fewer pressure ulcers overall than expected (7.9%).

Half of about 2,000 participants in this... Read More

  • 22 January 2020
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Hospital

NIHR Signal Impact of a national quality improvement programme for hospital wards is unclear

The Productive Ward quality improvement programme has shown some procedural changes on hospital wards in England in the 10 years since it was introduced. But evidence to show any sustained changes to the experiences of staff or patients is hard to find.

This NIHR-funded study used quantitative and qualitative methods to evaluate the programme... Read More

  • 22 January 2020
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NIHR Signal Fewer infections with antibiotic-impregnated shunts for hydrocephalus

Antibiotic-impregnated shunt catheters led to fewer infections than standard catheters in this study, although the overall rate of shunt revision remained about the same.

In hydrocephalus, a shunt is a device consisting in part of a long catheter (a tube) that relieves the raised pressure of fluid in the ventricles of the brain. It is inserted... Read More

  • 22 January 2020
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NIHR Signal Computerised speech and language therapy can help people with aphasia find words following a stroke

People with aphasia caused by a stroke show improvements in retrieving words when they use self-managed computerised speech and language therapy in addition to usual care from a speech and language therapist. No improvements are seen in patients’ conversational abilities or their quality of life.

Aphasia is a complex language... Read More

  • 22 January 2020
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CBT

NIHR Signal Group cognitive behavioural courses may reduce fatigue from rheumatoid arthritis

Fatigue can be one of the most difficult symptoms to cope with for people with rheumatoid arthritis and this study found that group cognitive behavioural courses may help.

This NIHR-funded study compared six weekly group sessions plus a booster session with a single brief one-to-one meeting. Both groups also received an educational booklet. It... Read More

  • 15 January 2020
  • Signal

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