NewsThe year of proof: results from randomised control trial

The year of proof: results from randomised control trial

Research

The year of proof: results from randomised control trialTraditional pressure ulcer prevention protocols, including using special support surfaces, patient rotation, improved nutrition and, of course, regular skin inspections may still result in pressure ulcer prevalence of around 13%.

A study by Professor Nick Santamaria of the University of Melbourne & Royal Melbourne Hospital, recently published in the International Wound Journal4, has now demonstrated the important role that silicone foam dressings such as Mölnlycke Health Care's Mepilex® Border Sacrum and Mepilex Heel® play in preventing the development of pressure ulcers in an ED and ICU environment.

The study followed 440 trauma and critically ill patients who were admitted to the emergency department and subsequently transferred to the intensive care unit.  Mepilex Border Sacrum and Heel dressings were applied to patients in the intervention group (221 patients) on admission to the ED, inspected daily and changed every three days in the ICU.  The control group patients (219) were subjected to standard pressure ulcer prevention procedures.

Of the patients in the intervention group five developed pressure ulcers, an incidence of 3.1%.  In the control group, 20 developed patients pressure ulcers, an incidence of 13.1%.

In addition to the reduction in pressure ulcers, researchers also reported that the treatment was cost-effective.  The total cost for treating patients in the control group was $25,173 whilst the total treatment costs for the intervention group was only $6,920, over 70% lower. 

Professor Nick Santamaria from the University of Melbourne & Royal Melbourne Hospital comments on the results of his study:

"The results of this large RCT demonstrate that by intervening as soon as the patient reaches the hospital we are able to protect this vulnerable group throughout their stay in hospital.  This includes time spent in the Imaging Department and the Operating Room.  The dressings from Mölnlycke Health Care offer clinicians an important additional preventative treatment for stopping hospital acquired pressure ulcers."

 

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