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A randomised controlled trial of the effectiveness of soft silicone multi-layered foam dressings in the prevention of sacral and heel pressure ulcers in trauma and critically ill patients: The border trial

Santamaria,N, Gerdtz,M, Sage,S, Mccann,J, Freeman,A, Vassiliou,T, De Vincentis,S, Ng,AW, Manias,E, Liu,W and Knott,J 2015, A randomised controlled trial of the effectiveness of soft silicone multi-layered foam dressings in the prevention of sacral and heel pressure ulcers in trauma and critically ill patients: The border trial, International Wound Journal, vol. 12, no. 3, pp. 302-308, doi: 10.1111/iwj.12101.

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Title A randomised controlled trial of the effectiveness of soft silicone multi-layered foam dressings in the prevention of sacral and heel pressure ulcers in trauma and critically ill patients: The border trial
Author(s) Santamaria,N
Gerdtz,M
Sage,S
Mccann,J
Freeman,A
Vassiliou,T
De Vincentis,S
Ng,AW
Manias,EORCID iD for Manias,E orcid.org/0000-0002-3747-0087
Liu,W
Knott,J
Journal name International Wound Journal
Volume number 12
Issue number 3
Start page 302
End page 308
Publisher Wiley
Place of publication England
Publication date 2015-06
ISSN 1742-4801
1742-481X
Keyword(s) Pressure ulcers
Prevention
Silicone foam dressings
Summary The prevention of hospital acquired pressure ulcers in critically ill patients remains a significant clinical challenge. The aim of this trial was to investigate the effectiveness of multi-layered soft silicone foam dressings in preventing intensive care unit (ICU) pressure ulcers when applied in the emergency department to 440 trauma and critically ill patients. Intervention group patients (n = 219) had Mepilex® Border Sacrum and Mepilex® Heel dressings applied in the emergency department and maintained throughout their ICU stay. Results revealed that there were significantly fewer patients with pressure ulcers in the intervention group compared to the control group (5 versus 20, P = 0·001). This represented a 10% difference in incidence between the groups (3·1% versus 13·1%) and a number needed to treat of ten patients to prevent one pressure ulcer. Overall there were fewer sacral (2 versus 8, P = 0·05) and heel pressure ulcers (5 versus 19, P = 0·002) and pressure injuries overall (7 versus 27, P = 0·002) in interventions than in controls. The time to injury survival analysis indicated that intervention group patients had a hazard ratio of 0·19 (P = 0·002) compared to control group patients. We conclude that multi-layered soft silicone foam dressings are effective in preventing pressure ulcers in critically ill patients when applied in the emergency department prior to ICU transfer.
Language eng
DOI 10.1111/iwj.12101
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:30073500

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