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Advisor(s)
Abstract(s)
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.
Description
Keywords
Bandages Heel Perioperative nursing Pressure ulcer Randomised controlled trial
Pedagogical Context
Citation
Eberhardt, T. D., Lima, S. B. S. D., Soares, R. S. D. A., Silveira, L. B. T. D., Pozzebon, B. R., Reis, C. R., Santos, K. P. P. D., & Alves, P. J. P. (2021). Prevention of pressure injury in the operating room: heels operating room pressure injury trial. International Wound Journal, 18(3), 359-366. https://doi.org/10.1111/iwj.13538
