title: The prevention of heel pressure ulcers using a hydropolymer dressing in surgical patients.
abstract: OBJECTIVE
  A trial of a self-adhesive hydropolymer foam dressing (Tielle, Johnson & Johnson) demonstrated that it prevented the development of friction-generated pressure ulcers on the heels of ICU patients. Following the trial, use of the foam dressing became a standard preventive measure in the ICU and the prevalence of heel ulcers decreased by 72% in two years. This follow-up study evaluated the foam's effectiveness in preventing heel pressure ulcers in surgical patients.
  
  
  METHODS
  A total of 140 surgical patients were screened over a four-month period. They were assigned to one of two groups, depending on their pressure ulcer risk score and the anticipated length of the surgical procedure. The foam dressing was used as a barrier on the heels, depending on the patient's risk status, which was assessed using a modified Norton scale, and the duration of their surgery. Heels were inspected on a daily basis for up to 10 days. All 23 patients in the group whose surgery lasted less than 90 minutes dropped out of the study as they were discharged with insufficient data.
  
  
  RESULTS
  A 76.7% reduction in heel pressure ulcers was achieved with this preventive measure.
  
  
  CONCLUSIONS
  Use of an adhesive foam dressing on surgical patients can prevent heel ulcers. Research is needed on the effects of friction on the heel during the transfer and movement of surgical patients.
  
  
  BACKGROUND
  This study was sponsored by Johnson & Johnson Medical.
authors.affiliation: Onze Lieve Vrouwe Gasthuis General Hospital, Amsterdam, The Netherlands. t.c.m.bots@olvg.nl
authors.forename: Th C M
authors.initials: TC
authors.lastname: Bots
authors.forename: B F G
authors.initials: BF
authors.lastname: Apotheker
mesh_terms: D047070:Bandages, Hydrocolloid / Q000592:standards*; D015400:Clinical Nursing Research; D003422:Critical Care / Q000379:methods; D005500:Follow-Up Studies; D006365:Heel; D006801:Humans; D007103:Immobilization / Q000009:adverse effects; D009426:Netherlands / Q000453:epidemiology; D009730:Nursing Assessment; D011182:Postoperative Care / Q000295:instrumentation* / Q000451:nursing; D011183:Postoperative Complications / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D003668:Pressure Ulcer / Q000453:epidemiology / Q000209:etiology / Q000517:prevention & control*; D015995:Prevalence; D018570:Risk Assessment; D012307:Risk Factors; D017592:Skin Care / Q000295:instrumentation* / Q000451:nursing; D014945:Wound Healing