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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.

N. Santamaria, W. Liu, M. Gerdtz, S. Sage, J. McCann, Amy Freeman, T. Vassiliou, Stephanie DeVincentis, A. Ng, E. Manias, J. Knott, D. Liew
Published 2015 · Medicine

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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.
This paper references
Woundswest: Identifying the prevalence of wounds within western Australia's public health system
Nick Santamaria (2009)
High cost of stage IV pressure ulcers.
H. Brem (2010)
Modeling the economic losses from pressure ulcers among hospitalized patients in Australia.
N. Graves (2005)
The cost of pressure ulcers in the United Kingdom.
C. Dealey (2012)
Improving the Quality of Pressure Ulcer Care With Prevention: A Cost-Effectiveness Analysis
W. Padula (2011)
CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomized Trials
K. Schulz (2010)
CONSORT 2010 Statement: updated guidelines for reporting parallel group randomised trials
K. Schulz (2010)
Pressure ulcers: guideline development and economic modelling.
R. Legood (2005)
Innovation in Pressure Ulcer Prevention and Management
K. Harding (2006)
port surfaces for intraoperative prevention of pressure ulcers in patients undergoing surgery : a cost - effectiveness analysis
B Pham (2011)
Support surfaces for intraoperative prevention of pressure ulcers in patients undergoing surgery: a cost-effectiveness analysis.
B. Pham (2011)
A prospective, randomized clinical trial to assess the cost-effectiveness of a modern foam dressing versus a traditional saline gauze dressing in the treatment of stage II pressure ulcers.
W. Payne (2009)
Standardisation of costs: the Dutch Manual for Costing in economic evaluations.
J. Oostenbrink (2002)
Early prevention of pressure ulcers among elderly patients admitted through emergency departments: a cost-effectiveness analysis.
B. Pham (2011)
Outliers to the Braden Scale: identifying high-risk ICU patients and the results of prophylactic dressing use
CT Brindle (2010)
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.
N. Santamaria (2015)
The cost of pressure ulcers in the UK.
G. Bennett (2004)
Preventing pressure ulcers on the heel: a Canadian cost study.
Joan-Enric Torra i Bou (2009)
Taking the pressure off in the Emergency Department: evaluation of the prophylactic application of a low shear, soft silicon sacral dressing on high risk medical patients.
Katrina A Cubit (2013)

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Pressure Ulcers: Prevention and Management.
Joshua S Mervis (2019)
A review on equipped hospital beds with wireless sensor networks for reducing bedsores
Sima Ajami (2015)
Five-Layered Soft Silicone Foam Dressing to Prevent Pressure Ulcers in the Intensive Care Unit.
P. Kalowes (2016)
Role of multi-layer foam dressings with Safetac in the prevention of pressure ulcers: a review of the clinical and scientific data.
Phil J Davies (2016)
An estimate of the potential budget impact of using prophylactic dressings to prevent hospital-acquired PUs in Australia.
Nick Santamaria (2014)
Effectiveness of prophylactic sacral protective dressings to prevent pressure injury: A systematic review and meta-analysis.
Paul Fulbrook (2019)
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Zohreh Karimi (2020)
A randomised controlled trial of the clinical effectiveness of multi‐layer silicone foam dressings for the prevention of pressure injuries in high‐risk aged care residents: The Border III Trial
N. Santamaria (2018)
Comment on 'Effectiveness of a multi-layer foam dressing in preventing sacral pressure ulcers for the early acute care of patients with a traumatic spinal cord injury: comparison with the use of a gel mattress'.
Amit Gefen (2017)
Preventing pressure injuries in the emergency department: Current evidence and practice considerations.
Nick Santamaria (2019)
The national cost of hospital-acquired pressure injuries in the United States.
W. Padula (2019)
Five‐layer border dressings as part of a quality improvement bundle to prevent pressure injuries in US skilled nursing facilities and Australian nursing homes: A cost‐effectiveness analysis
William V. Padula (2019)
Dressings and topical agents for preventing pressure ulcers
Z. Moore (2017)
How to keep patients un-HAPI: Cardiac surgery and sacral pressure injuries: Invited expert opinion: Hospital-acquired pressure injuries.
Charles M. Geller (2020)
Evidence summary: Pressure injuries: Preventing heel pressure injuries with prophylactic dressings
E. Haesler (2017)
Hospital Acquired Pressure Injury Gap Analysis
Mary Lou Hall (2018)
The role of dressings in the prevention of pressure ulcers.
Julie Watson Brown (2016)
Clinical effectiveness of a silicone foam dressing for the prevention of heel pressure ulcers in critically ill patients: Border II Trial.
N. Santamaria (2015)
Use of Thermal Imaging to Identify Deep-Tissue Pressure Injury on Admission Reduces Clinical and Financial Burdens of Hospital-Acquired Pressure Injuries
Suzanne Koerner (2019)
Cost‐effectiveness of multi‐layered silicone foam dressings for prevention of sacral and heel pressure ulcers in high‐risk intensive care unit patients: An economic analysis of a randomised controlled trial
M. El Genedy (2020)
Use of a Comprehensive Program to Reduce the Incidence of Hospital-Acquired Pressure Ulcers in an Intensive Care Unit.
Katie A. Swafford (2016)
The Standardized Pressure Injury Prevention Protocol for improving nursing compliance with best practice guidelines
W. Padula (2019)
Hypoxia-Inducible Factor-1&agr; Gene Expression and Apoptosis in Ischemia–Reperfusion Injury: A Rat Model of Early-Stage Pressure Ulcer
Yanyan Wang (2016)
The biomechanical efficacy of dressings in preventing heel ulcers.
A. Levy (2015)
Systematic review of the use of prophylactic dressings in the prevention of pressure ulcers.
Michael Clark (2014)
The role of leadership in implementing change
Sue Creehan (2017)
Acute Skin Failure in the Critical Care Patient
Barbara Delmore (2019)
Prevention of Pressure Ulcers in the Acute Care Setting: New Innovations and Technologies
Jacquelynn P. Tran (2016)
Deep Tissue Pressure Injury: A Clinical Review.
Ave Maria Preston (2017)
Innovation in Pressure Ulcer Prevention and Treatment
K Harding (2018)
Effectiveness and Value of Prophylactic 5-Layer Foam Sacral Dressings to Prevent Hospital-Acquired Pressure Injuries in Acute Care Hospitals
W. Padula (2017)
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