Clinical and Cost-Effectiveness Analysis of a Silicone Multilayer Foam Dressing for Pressure Injury Prevention: A Systematic Literature Review and Meta-Analysis.
Supplemental Digital Content is Available in the Text. PURPOSE: The purpose of this systematic review was to determine the clinical and economic impact of using a silicone multilayer foam dressing in the prevention of sacral pressure injuries (PIs) in at-risk patients. METHOD: Systematic literature...
| Publicado en: | Journal of Wound, Ostomy & Continence Nursing Vol. 53; no. 3; pp. 205 - 213 |
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| Autores principales: | , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Lippincott Williams & Wilkins
May/Jun2026
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| 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=193864813&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193864813 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10715754 4CQ jtl: Journal of Wound, Ostomy & Continence Nursing issn: 10715754 maglogo: N pubinfo: dt: May/Jun2026 vid: 53 iid: 3 pid: 433 pub: Lippincott Williams & Wilkins place: Baltimore, Maryland artinfo: ui: 193864813 193864813 193864813 10.1097/WON.0000000000001286 193864813 ppf: 205 ppct: 8 formats: tig: atl: Clinical and Cost-Effectiveness Analysis of a Silicone Multilayer Foam Dressing for Pressure Injury Prevention: A Systematic Literature Review and Meta-Analysis. aug: au: Pittman, Joyce Constable, Stephanie Costa, Ben Askew, Neil Atkinson, Lloyd affil: Joyce Pittman, PhD, ANP-BC, FNP-BC, CWOCN, WOCNF, FAAN, College of Nursing, University of South Alabama, Mobile, Alabama. sug: subj: Cost Benefit Analysis Evaluation Silicones Therapeutic Use Foam Dressings Economics Sacrum Injuries Pressure Ulcer Prevention and Control Treatment Outcomes Human Funding Source Systematic Review Meta Analysis Italy Australia Embase PubMed Cochrane Library Checklists Odds Ratio Confidence Intervals Cost Savings Health Care Costs Pressure Ulcer Risk Factors Risk Assessment ab: Supplemental Digital Content is Available in the Text. PURPOSE: The purpose of this systematic review was to determine the clinical and economic impact of using a silicone multilayer foam dressing in the prevention of sacral pressure injuries (PIs) in at-risk patients. METHOD: Systematic literature review and meta-analysis. SEARCH STRATEGY: Literature was obtained through EMBASE, PubMed, and Cochrane Library between January 2010 and October 2023. Inclusion criteria were randomized controlled trials that compared a silicone multilayer foam dressing with standard prevention (SP) care in the intervention arm, or SP alone as a comparator in the control arm. Study quality and risk of bias were assessed using the Risk of Bias 2 (RoB2) instrument. FINDINGS: A total of 781 records were identified, and data were extracted from 3 studies. The pooled sample comprised 589 participants receiving SP versus 561 patients receiving SP plus multilayer dressing across various hospital settings. Meta-analysis revealed a 66% reduction in the odds of PI among patients receiving SP plus the dressing when compared with SP alone (odds ratio, 0.34, 95% confidence interval, 0.22-0.54). Subanalysis of stage 1 and stage ≥2 PIs confirmed the stability of these findings and resulted in an estimated cost saving of $1,925 per patient; this finding was stable under both one-way and probabilistic sensitivity analyses. IMPLICATIONS: Findings from this meta-analysis supports the clinical and economic benefits of implementing multilayer foam dressings into existing care bundles in the prevention of PIs in at-risk patients. pubtype: Academic Journal doctype: meta analysis research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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