Prevention of pressure injury in the operating room: Heels operating room pressure injury trial

The objective was to evaluate the efficacy of multi‐layered silicone foam (intervention) compared with transparent polyurethane film (control) in preventing heel pressure injuries caused by surgical positioning of individuals undergoing elective surgery. It was designed an intra‐patient, open, paral...

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Published in:International wound journal 2021-06, Vol.18 (3), p.359-366
Main Authors: Eberhardt, Thaís Dresch, Lima, Suzinara Beatriz Soares, Avila Soares, Rhea Silvia, Silveira, Lidiana Batista Teixeira Dutra, Rossarola Pozzebon, Bruna, Reis, Cassia Ribeiro, Santos, Karla Priscilla Paulino, Alves, Paulo Jorge Pereira
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Language:English
Subjects:
bandages
Data collection
Elective surgery
Health care
heel
Injuries
Intervention
Original
Patients
perioperative nursing
pressure ulcer
Preventive medicine
randomised controlled trial
Silicones
Survival analysis
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cited_by cdi_FETCH-LOGICAL-c4728-fccfe832809fcb76a898ab1918a29469cc9b04fc95d859103af10149623e5f9a3
cites cdi_FETCH-LOGICAL-c4728-fccfe832809fcb76a898ab1918a29469cc9b04fc95d859103af10149623e5f9a3
container_end_page 366
container_issue 3
container_start_page 359
container_title International wound journal
container_volume 18
creator Eberhardt, Thaís Dresch
Lima, Suzinara Beatriz Soares
Avila Soares, Rhea Silvia
Silveira, Lidiana Batista Teixeira Dutra
Rossarola Pozzebon, Bruna
Reis, Cassia Ribeiro
Santos, Karla Priscilla Paulino
Alves, Paulo Jorge Pereira
description The objective was to evaluate the efficacy of multi‐layered silicone foam (intervention) compared with transparent polyurethane film (control) in preventing heel pressure injuries caused by surgical positioning of individuals undergoing elective surgery. It was designed an intra‐patient, open, parallel, randomised controlled trial was conducted in a university hospital in southern Brazil, from March 2019 to February 2020, with patients undergoing elective surgeries of cardiac and gastrointestinal specialties. The patients who met the selection criteria constituted, simultaneously, a single group receiving the intervention and active control, through paired analysis of the cutaneous sites (right heel and left heel). The outcome was the occurrence of PI, within the follow‐up period was 72 hours. Brazilian Registry of Clinical Trials: RBR‐5GKNG5. There was analysis of 135 patients/270 heels, with an overall incidence of 36.7%. The pressure injury incidence was significantly lower in the intervention group (26.7%), compared with the control group (P = .001); relative risk of 0.57. In the intervention group, the estimated pressure injury‐free time (survival) was 57.5 hours and in the control group, 43.9 hours. It was concluded that Multi‐layered silicone foam (intervention) is more efficacious than transparent polyurethane film (control) in the prevention of pressure injuries caused by surgical positioning of individuals undergoing elective surgery.
doi_str_mv 10.1111/iwj.13538
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subjects bandages
Data collection
Elective surgery
Health care
heel
Injuries
Intervention
Original
Patients
perioperative nursing
pressure ulcer
Preventive medicine
randomised controlled trial
Silicones
Survival analysis
title Prevention of pressure injury in the operating room: Heels operating room pressure injury trial
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