Participants
skin disease, a malignant disease
SKIN DISEASE, FUNGAL INFECTION, MAY, SYNDROMES, MULTIPLE SCLEROSIS
We included adult patients with SCI or similar syndromes (e.g., multiple sclerosis) presenting with a stage III/IV PI according to the EPUAP classification over the ischium, sacrum, or trochanter who were admitted for inpatient treatment, including plastic surgery. Patients with a malignant disease, a local skin disease (e.g., fungal infection), or who denied use of their data were excluded.All patients meeting the inclusion criteria between July 2016 and May 2017 were randomly assigned by the admission case management team to standard care or to treatment by specially trained teams using the CDSS. Three out of six teams in the clinic in different wards were trained to use the CDSS. The admission case management team, whose members were not informed about the CDSS use, simply assigned patients to “free” beds and distributed the workload equally among the nursing wards. The admission case management team was blinded to the assignment of patients to wards, and the research team was not involved in the ward assignment process.