Online citations, reference lists, and bibliographies.

Clinical Effectiveness Of A Silicone Foam Dressing For The Prevention Of Heel Pressure Ulcers In Critically Ill Patients: Border II Trial.

N. Santamaria, M. Gerdtz, W. Liu, S. Rakis, S. Sage, A. W. Ng, H. Tudor, J. McCann, T. Vassiliou, F. Morrow, K. Smith, J. Knott, D. Liew
Published 2015 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
OBJECTIVE Critically ill patients are at high risk of developing pressure ulcers (PU), with the sacrum and heels being highly susceptible to pressure injuries. The objective of our study was to evaluate the clinical effectiveness of a new multi-layer, self-adhesive soft silicone foam heel dressing to prevent PU development in trauma and critically ill patients in the intensive care unit (ICU). METHOD A cohort of critically ill patients were enrolled at the Royal Melbourne Hospital. Each patient had the multi-layer soft silicone foam dressing applied to each heel on admission to the emergency department. The dressings were retained with a tubular bandage for the duration of the patients' stay in the ICU. The skin under the dressings was examined daily and the dressings were replaced every three days. The comparator for our cohort study was the control group from the recently completed Border Trial. RESULTS Of the 191 patients in the initial cohort, excluding deaths, loss to follow-up and transfers to another ward, 150 patients were included in the final analysis. There was no difference in key demographic or physiological variables between the cohorts, apart from a longer ICU length of stay for our current cohort. No PUs developed in any of our intervention cohort patients compared with 14 patients in the control cohort (n=152; p<0.001) who developed a total of 19 heel PUs. CONCLUSION We conclude, based on our results, that the multi-layer soft silicone foam dressing under investigation was clinically effective in reducing ICU-acquired heel PUs. The findings also support previous research on the clinical effectiveness of multi-layer soft silicone foam dressings for PU prevention in the ICU.
This paper references
10.1111/iwj.12123
Enhancing pressure ulcer prevention using wound dressings: what are the modes of action?
E. Call (2015)
Relationship between Braden scale score
S. Iranmanesh (2015)
10.12968/JOWC.2012.21.6.261
The cost of pressure ulcers in the United Kingdom.
C. Dealey (2012)
10.7326/0003-4819-152-11-201006010-00232
CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomized Trials
K. Schulz (2010)
Systematic review of the use of prophylactic
J. Black (2005)
10.1097/00006416-198801000-00010
The Braden Scale for Predicting Pressure Sore Risk
N. Bergstrom (1987)
10.1016/S0965-206X(01)80025-5
Morphological architecture and distribution of blood capillaries and elastic fibres in the human skin.
S. Hagisawa (2001)
10.1111/j.1742-481X.2012.01025.x
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)
10.1111/iwj.12101
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)
10.1097/01.ASW.0000411403.11392.10
The Braden Scale for Predicting Pressure Sore Risk: reflections after 25 years.
Barbara J Braden (2012)
dressings in preventing heel ulcers
E. Call (2015)
10.1111/J.1365-4632.2005.02636.X
Decubitus ulcers: a review of the literature.
Cheryl Bansal (2005)
10.1016/j.jtv.2015.01.001
The biomechanical efficacy of dressings in preventing heel ulcers.
A. Levy (2015)
10.1111/iwj.12212
Systematic review of the use of prophylactic dressings in the prevention of pressure ulcers.
Michael Clark (2014)
10.1111/iwj.12160
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.
Nick Santamaria (2015)
10.1111/J.1067-1927.2005.00066.X
Modeling the economic losses from pressure ulcers among hospitalized patients in Australia.
N. Graves (2005)
Outliers to the braden scale: identifying high-risk icu patients and the results of prophylactic dressing use
C. T. Brindle (2010)
10.2967/jnumed.108.057489
Cost-Effectiveness Analysis
R. Chisin (2009)
10.1111/j.1742-481X.2011.00852.x
Relationship between Braden scale score and pressure ulcer development in patients admitted in trauma intensive care unit.
Sedigheh Iranmanesh (2012)
10.1111/iwj.12107
Challenges in pressure ulcer prevention.
C. Dealey (2015)
10.1016/j.surg.2011.03.002
Support surfaces for intraoperative prevention of pressure ulcers in patients undergoing surgery: a cost-effectiveness analysis.
B. Pham (2011)
10.1111/j.1365-2702.2010.03458.x
Use of polyurethane foam inside plaster casts to prevent the onset of heel sores in the population at risk. A controlled clinical study.
Cristiana Forni (2011)
Preventing pressure ulcers on the heel: a Canadian cost study.
Joan-Enric Torra i Bou (2009)
10.1111/iwj.12111
Use of wound dressings to enhance prevention of pressure ulcers caused by medical devices.
J. Black (2015)
10.1097/WON.0b013e3181c68b4b
Stop Them at the Door: Should a Pressure Ulcer Prevention Protocol Be Implemented in the Emergency Department?
Abby S. Denby (2010)
10.1097/00003246-198608000-00027
APACHE II--a severity of disease classification system.
J. Legall (1986)



This paper is referenced by
10.1097/WON.0000000000000358
Effectiveness and Value of Prophylactic 5-Layer Foam Sacral Dressings to Prevent Hospital-Acquired Pressure Injuries in Acute Care Hospitals
W. Padula (2017)
10.1097/WON.0000000000000411
Factors Associated With Pediatric Hospital-Acquired Pressure Injuries
Ivy S Razmus (2018)
10.1007/s40258-019-00465-8
Mepilex Border Sacrum and Heel Dressings for the Prevention of Pressure Ulcers: A NICE Medical Technology Guidance
C. Marshall (2019)
10.1111/jocn.14691
The Standardized Pressure Injury Prevention Protocol for improving nursing compliance with best practice guidelines
W. Padula (2019)
10.1111/iwj.13147
Effectiveness on hospital-acquired pressure ulcers prevention: a systematic review.
Susana Gaspar (2019)
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)
10.1007/978-1-4471-7413-4_17
Innovation in Pressure Ulcer Prevention and Treatment
K Harding (2018)
10.12968/bjon.2017.26.Sup20.S62
Why is the heel particularly vulnerable to pressure ulcers?
Amit Gefen (2017)
Pressure Ulcer Prevention With Application of Silicone FoamDressing in Intensive Care Unit: A Systematic Review
Rosyida Umam Esa (2018)
10.26481/dis.20190222lw
New insights in the development of pressure ulcers
Luuk de Wert (2019)
10.17533/udea.iee.v36n1e11
Use of Hydrocolloid Dressings in Preventing Pressure Ulcers in High-risk Patients: a Retrospective Cohort.
Olga L Cortes (2018)
10.1111/iwj.13309
An integrated experimental-computational study of the microclimate under dressings applied to intact weight-bearing skin.
D. Schwartz (2020)
10.1136/bmjopen-2018-026727
Efficacy of pressure ulcer prevention interventions in adult intensive care units: a protocol for a systematic review and network meta-analysis
Yixiu Du (2019)
Use of an interventional patient skin integrity care bundle in the intensive care unit
N. Tayyib (2016)
10.1111/iwj.13174
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)
10.1111/iwj.13137
Release of sodium pyruvate from sacral prophylactic dressings: A computational model.
Ayelet Levy (2019)
10.1016/j.jtcvs.2019.12.101
Commentary: Low hanging fruit-reducing hospital-acquired pressure injuries associated with cardiac surgery.
D. Engelman (2020)
10.1016/j.clinbiomech.2016.08.005
Clinical and biomechanical perspectives on pressure injury prevention research: The case of prophylactic dressings.
A. Gefen (2016)
10.1097/WON.0000000000000400
Do Prophylactic Foam Dressings Reduce Heel Pressure Injuries?
Janet M Ramundo (2018)
10.3389/fmed.2020.571493
COVID-19 Cross-Infection and Pressured Ulceration Among Healthcare Workers: Are We Really Protected by Respirators?
K. Zheng (2020)
10.1097/WON.0000000000000461
Sacral Soft Tissue Deformations When Using a Prophylactic Multilayer Dressing and Positioning System: MRI Studies
Lea Peko Cohen (2018)
10.1111/iwj.12869
Subepidermal moisture detection of heel pressure injury: The pressure ulcer detection study outcomes
Barbara Bates-Jensen (2018)
10.1111/iwj.12821
The contribution of a directional preference of stiffness to the efficacy of prophylactic sacral dressings in protecting healthy and diabetic tissues from pressure injury: computational modelling studies
A. Levy (2017)
10.1111/iwj.13435
Protecting prone positioned patients from facial pressure ulcers using prophylactic dressings: A timely biomechanical analysis in the context of the COVID‐19 pandemic
Lea Peko (2020)
10.1111/wvn.12177
Effectiveness of Pressure Ulcer Prevention Strategies for Adult Patients in Intensive Care Units: A Systematic Review.
N. Tayyib (2016)
10.1111/iwj.12747
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)
10.1097/01.ASW.0000553111.55505.84
Silicone Foam Dressing for Prevention of Sacral Deep Tissue Injuries Among Cardiac Surgery Patients
Robyn P. Strauss (2019)
10.1111/iwj.13390
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)
10.1089/wound.2019.1042
Heel Pressure Injuries: Consensus-Based Recommendations for Assessment and Management
Massimo Rivolo (2020)
10.1016/j.jtcvs.2019.12.108
How to keep patients un-HAPI: Cardiac surgery and sacral pressure injuries: Invited expert opinion: Hospital-acquired pressure injuries.
Charles M. Geller (2020)
10.12968/jowc.2020.29.2.120
A multilayer polyurethane foam dressing for pressure ulcer prevention in older hip fracture patients: an economic evaluation.
Cristiana Forni (2020)
10.1111/iwj.13101
Dressings cut to shape alleviate facial tissue loads while using an oxygen mask.
Lea Peko Cohen (2019)
See more
Semantic Scholar Logo Some data provided by SemanticScholar