Effects of Multilayer Silicone Foam Dressings for the Prevention of Pressure Ulcers in High-Risk Patients: A Randomized Clinical Trial.

Objective: To determine whether multilayer silicone foam dressings can prevent pressure ulcers arising in the sacrum and coccyx of patients with persistent severe diarrhea and/or fragile skin. Approach: This randomized, 14-day controlled trial included 600 hospitalized patients with persistent sever...

Descripción completa

Detalles Bibliográficos
Publicado en:Advances in Wound Care (2162-1918) Vol. 9; no. 12; pp. 649 - 657
Autores principales: Oe, Makoto, Sasaki, Sanae, Shimura, Tomoko, Takaki, Yoshie, Sanada, Hiromi
Formato: research tables/charts randomized controlled trial Journal Article
Publicado: Mary Ann Liebert, Inc. Dec2020
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=146737547&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 146737547
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        21621918
        EGZ0
      jtl: Advances in Wound Care (2162-1918)
      issn: 21621918
      maglogo: N
    pubinfo:
      dt: Dec2020
      vid: 9
      iid: 12
      pid: 1365
      pub: Mary Ann Liebert, Inc.
      place: New Rochelle, New York
    artinfo:
      ui:
        146737547
        146737547
        146737547
        10.1089/wound.2019.1002
        146737547
      ppf: 649
      ppct: 8
      formats:
      tig:
        atl: Effects of Multilayer Silicone Foam Dressings for the Prevention of Pressure Ulcers in High-Risk Patients: A Randomized Clinical Trial.
      aug:
        au:
          Oe, Makoto
          Sasaki, Sanae
          Shimura, Tomoko
          Takaki, Yoshie
          Sanada, Hiromi
        affil: Global Nursing Research Center, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
      sug:
        subj:
          Silicones Therapeutic Use
          Foam Dressings
          Sacrum
          Coccyx
          Pressure Ulcer Prevention and Control
          Special Populations
          Treatment Outcomes Evaluation
          Human
          Randomized Controlled Trials
          Inpatients
          Pressure Ulcer
          Japan
          Random Assignment
          Descriptive Statistics
          Data Analysis Software
          Comparative Studies
          Pressure Ulcer Japan
          Incidence
          Diarrhea
          Skin Diseases
      ab: Objective: To determine whether multilayer silicone foam dressings can prevent pressure ulcers arising in the sacrum and coccyx of patients with persistent severe diarrhea and/or fragile skin. Approach: This randomized, 14-day controlled trial included 600 hospitalized patients with persistent severe diarrhea and/or fragile skin who were at high risk of developing pressure ulcers. All participants were enrolled from three Japanese institutions. Participants meeting all inclusion and exclusion criteria were randomized using the Excel program to receive standard care (control; n = 300) recommended by Japanese guidelines or multilayer silicone foam dressings applied to the sacrum and coccyx (intervention; n = 300). Results: Significantly more participants in the control than the intervention group developed pressure ulcers (22 vs. 5, p = 0.001). Innovation: The incidence of pressure ulcers remains high in hospitalized patients at high risk of developing pressure ulcers. The present findings might contribute to novel preventive strategies for patients at high risk of developing pressure ulcers. Conclusion: Multilayer silicone foam dressings can prevent pressure ulcers of the sacrum and coccyx in patients with persistent severe diarrhea and/or fragile skin.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        randomized controlled trial
        Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N