Nancy Chaiken1. 1. Swedish Covenant Hospital, Chicago, Illinois 60625, USA. nchaiken@schosp.org
Abstract
PURPOSE: We sought to determine if a silicone border foam dressing could decrease the incidence of sacral pressure ulcers in an intensive care unit. SUBJECTS AND SETTING: The study setting was an intensive care unit located in a 303-bed hospital with a designation of level 2 trauma. The unit specializes in the care of critically ill medical and postoperative adults. Two hundred seventy-three patients participated in the study; their mean age was 65 years (range, 18-105 years). METHODS: Baseline sacral hospital-acquired pressure ulcer (HAPU) incidence was determined during a period of 35 months; skin care representatives examined all patients in our critical care unit for HAPUs on a monthly basis. Based on this baseline incidence, we studied the effect of application of a silicone-bordered foam dressing applied to the sacrum. The observation period for our study intervention was 6 months; the sacral area was examined twice daily during this period. RESULTS: The average baseline sacral HAPU prevalence during the 35-month observation was 13.6% as compared to an incidence of 1.8% during a 6-month prospective study. Three of the 5 patients developed suspected deep tissue injuries and subsequently expired. The remaining 2 subjects developed stage 2 pressure ulcers, one of whom also expired. CONCLUSION: Following application of a silicone-bordered foam dressing, we were able to achieve a HAPU of 1.8%.
PURPOSE: We sought to determine if a silicone border foam dressing could decrease the incidence of sacral pressure ulcers in an intensive care unit. SUBJECTS AND SETTING: The study setting was an intensive care unit located in a 303-bed hospital with a designation of level 2 trauma. The unit specializes in the care of critically ill medical and postoperative adults. Two hundred seventy-three patients participated in the study; their mean age was 65 years (range, 18-105 years). METHODS: Baseline sacral hospital-acquired pressure ulcer (HAPU) incidence was determined during a period of 35 months; skin care representatives examined all patients in our critical care unit for HAPUs on a monthly basis. Based on this baseline incidence, we studied the effect of application of a silicone-bordered foam dressing applied to the sacrum. The observation period for our study intervention was 6 months; the sacral area was examined twice daily during this period. RESULTS: The average baseline sacral HAPU prevalence during the 35-month observation was 13.6% as compared to an incidence of 1.8% during a 6-month prospective study. Three of the 5 patients developed suspected deep tissue injuries and subsequently expired. The remaining 2 subjects developed stage 2 pressure ulcers, one of whom also expired. CONCLUSION: Following application of a silicone-bordered foam dressing, we were able to achieve a HAPU of 1.8%.
Authors: Evan Call; Justin Pedersen; Brian Bill; Joyce Black; Paulo Alves; C Tod Brindle; Carol Dealey; Nick Santamaria; Michael Clark Journal: Int Wound J Date: 2013-07-30 Impact factor: 3.315
Authors: Joyce Black; Michael Clark; Carol Dealey; Christopher T Brindle; Paulo Alves; Nick Santamaria; Evan Call Journal: Int Wound J Date: 2014-03-03 Impact factor: 3.315
Authors: Nick Santamaria; Marie Gerdtz; Sarah Sage; Jane McCann; Amy Freeman; Theresa Vassiliou; Stephanie De Vincentis; Ai Wei Ng; Elizabeth Manias; Wei Liu; Jonathan Knott Journal: Int Wound J Date: 2013-05-27 Impact factor: 3.315
Authors: Michael Clark; Joyce Black; Paulo Alves; Ct Brindle; Evan Call; Carol Dealey; Nick Santamaria Journal: Int Wound J Date: 2014-01-29 Impact factor: 3.315
Authors: C Marshall; J Shore; M Arber; M Cikalo; T Oladapo; A Peel; R McCool; Michelle Jenks Journal: Appl Health Econ Health Policy Date: 2019-08 Impact factor: 2.561
Authors: Stéphanie F Bernatchez; Golie E Mengistu; Bruce P Ekholm; Shilpi Sanghi; Steven D Theiss Journal: Adv Wound Care (New Rochelle) Date: 2015-12-01 Impact factor: 4.730