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The cost-benefit of using soft silicone multilayered foam dressings to prevent sacral and heel pressure ulcers in trauma and critically ill patients: a within-trial analysis of the Border Trial.

Santamaria,Nick, Liu,Wei, Gerdtz,Marie, Sage,Sarah, McCann,Jane, Freeman,Amy, Vassiliou,Theresa, Devincentis,Stephanie, Ng,Ai W, Manias,Elizabeth, Knott,Jonathan and Liew,Danny 2015, The cost-benefit of using soft silicone multilayered foam dressings to prevent sacral and heel pressure ulcers in trauma and critically ill patients: a within-trial analysis of the Border Trial., International wound journal, vol. 12, no. 3, pp. 344-350, doi: 10.1111/iwj.12160.

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Title The cost-benefit of using soft silicone multilayered foam dressings to prevent sacral and heel pressure ulcers in trauma and critically ill patients: a within-trial analysis of the Border Trial.
Author(s) Santamaria,Nick
Liu,Wei
Gerdtz,Marie
Sage,Sarah
McCann,Jane
Freeman,Amy
Vassiliou,Theresa
Devincentis,Stephanie
Ng,Ai W
Manias,ElizabethORCID iD for Manias,Elizabeth orcid.org/0000-0002-3747-0087
Knott,Jonathan
Liew,Danny
Journal name International wound journal
Volume number 12
Issue number 3
Start page 344
End page 350
Total pages 7
Publisher Wiley
Place of publication London, Eng.
Publication date 2015
ISSN 1742-481X
Keyword(s) Cost-benefit
Pressure ulcers
Prophylactic dressings
Summary Little is known about the cost-benefit of soft silicone foam dressings in pressure ulcer (PU) prevention among critically ill patients in the emergency department (ED) and intensive care unit (ICU). A randomised controlled trial to assess the efficacy of soft silicone foam dressings in preventing sacral and heel PUs was undertaken among 440 critically ill patients in an acute care hospital. Participants were randomly allocated either to an intervention group with prophylactic dressings applied to the sacrum and heels in the ED and changed every 3 days in the ICU or to a control group with standard PU prevention care provided during their ED and ICU stay. The results showed a significant reduction of PU incidence rates in the intervention group (P = 0·001). The intervention cost was estimated to be AU$36·61 per person based on an intention-to-treat analysis, but this was offset by lower downstream costs associated with PU treatment (AU$1103·52). Therefore, the average net cost of the intervention was lower than that of the control (AU$70·82 versus AU$144·56). We conclude that the use of soft silicone multilayered foam dressings to prevent sacral and heel PUs among critically ill patients results in cost savings in the acute care hospital.
Language eng
DOI 10.1111/iwj.12160
Field of Research 111099 Nursing not elsewhere classified
Socio Economic Objective 920210 Nursing
HERDC Research category C1.1 Refereed article in a scholarly journal
Copyright notice ©2015, Wiley
Persistent URL http://hdl.handle.net/10536/DRO/DU:30069638

Document type: Journal Article
Collections: Faculty of Health
School of Nursing and Midwifery
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