Open AccessPrevention of pressure injury in the operating room: Heels operating room pressure injury trial
Author(s) -
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
Publication year - 2021
Publication title -
international wound journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.867
H-Index - 63
eISSN - 1742-481X
pISSN - 1742-4801
DOI - 10.1111/iwj.13538
Subject(s) - medicine , heel , incidence (geometry) , pressure injury , surgery , randomized controlled trial , clinical trial , negative pressure wound therapy , elective surgery , anesthesia , physical therapy , physics , alternative medicine , pathology , optics , anatomy
Abstract 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.