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A pilot randomised controlled trial using prophylactic dressings to minimise sacral pressure injuries in high risk hospitalised patients

Walker, R., Huxley, L., Juttner, M., Burmeister, E., Scott, J. and Aitken, L. M. (2016). A pilot randomised controlled trial using prophylactic dressings to minimise sacral pressure injuries in high risk hospitalised patients. Clinical Nursing Research, doi: 10.1177/1054773816629689

Abstract

This pilot randomised controlled trial examined the effect of prophylactic dressings to minimise sacral pressure injuries in high-risk hospitalised patients and assessed feasibility criteria to inform a larger study. Eighty patients were recruited at admission points (the Emergency Department and Surgical Care Unit) or directly from participating wards in the general medical surgical setting following assessment of high risk for sacral pressure injury. Participants were randomised into either the routine care or routine care and silicone foam border dressing group. Outcome assessment comprised digital photographs of each participant’s sacrum every 72 hours for evaluation by a blind-to-intervention assessor. Sixty-seven participants had at least one sacral photograph taken and assessed by a blind-to-intervention assessor. Three participants were assessed as having a Stage I pressure injury. While the use of photography was effective, feasibility criteria identified challenges related to bias, blinding, weight assessment, preparation of nursing staff and sample size estimation.

Publication Type: Article
Additional Information: Copyright Sage 2016
Publisher Keywords: Acute Care Setting, Clinical Research, Quantitative, Pressure Ulcers
Subjects: R Medicine > RC Internal medicine
Departments: School of Health Sciences
URI: http://openaccess.city.ac.uk/id/eprint/13799
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