title: A Pilot Randomized Controlled Trial Using Prophylactic Dressings to Minimize Sacral Pressure Injuries in High-Risk Hospitalized Patients.
abstract: This pilot randomized controlled trial examined the effect of prophylactic dressings to minimize sacral pressure injuries (PIs) in high-risk hospitalized patients and assessed feasibility criteria to inform a larger study. Eighty patients were recruited at admission points (the emergency department and surgical care unit) or directly from participating wards in the general medical-surgical setting following the assessment of high risk of sacral PI. Participants were randomized into either the routine care or routine care and silicone foam border dressing group. Outcome assessment comprised digital photographs of each participant's sacrum every 72 hr for evaluation by a blind-to-intervention assessor. Sixty-seven participants had at least one sacral photograph taken and assessed by a blind-to-intervention assessor. Three participants were assessed as having a Stage I PI. Although the use of photography was effective, feasibility criteria identified challenges related to bias, blinding, weight assessment, preparation of nursing staff, and sample size estimation.
authors.affiliation: 1 Griffith University, Nathan, Australia.|2 Princess Alexandra Hospital, Brisbane, Australia.
authors.forename: Rachel
authors.initials: R
authors.lastname: Walker
authors.affiliation: 2 Princess Alexandra Hospital, Brisbane, Australia.
authors.forename: Leisa
authors.initials: L
authors.lastname: Huxley
authors.affiliation: 2 Princess Alexandra Hospital, Brisbane, Australia.
authors.forename: Melanie
authors.initials: M
authors.lastname: Juttner
authors.affiliation: 1 Griffith University, Nathan, Australia.|2 Princess Alexandra Hospital, Brisbane, Australia.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Burmeister
authors.affiliation: 3 The University of Queensland, Brisbane, Australia.
authors.forename: Justin
authors.initials: J
authors.lastname: Scott
authors.affiliation: 1 Griffith University, Nathan, Australia.|2 Princess Alexandra Hospital, Brisbane, Australia.|4 City University London, UK.
authors.forename: Leanne M
authors.initials: LM
authors.lastname: Aitken
mesh_terms: D000368:Aged; D001458:Bandages; D005260:Female; D006760:Hospitalization; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D010865:Pilot Projects; D003668:Pressure Ulcer / Q000517:prevention & control*; D012447:Sacrum; D012828:Silicones
chemical_list: D012828:Silicones
keywords: acute care setting; clinical research prevention; pressure injury/ulcer; quantitative; randomized controlled trial study; silicone foam border dressing