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- Title
A randomised controlled trial to evaluate the incremental effectiveness of a prophylactic dressing and fatty acids oil in the prevention of pressure injuries.
- Authors
Aloweni, F.; Lim, M. L.; Chua, T. L.; Tan, S. B.; Lian, S. B.; Ang, S. Y.
- Abstract
Background: Pressure injuries lead to lower quality of life and incur substantial health care resources and costs. Pressure injury prevention is reported to be much cheaper than treatment of the condition itself. Aim: To evaluate the incremental effectiveness of silicone foam dressing and fatty acids oil spray, in addition to standard care, in preventing sacral pressure injuries among high-risk patients. Method: A randomised controlled trial (RCT) was conducted. Using simple random sampling, patients were allocated into one of the three groups: (1) Silicone foam dressing plus standard care; (2) fatty acids oil spray plus standard care; (3) standard care only. Results: Four hundred and sixty-one patients were recruited. Of these, 3.9% (n=5) developed pressure injuries in the silicone foam dressing group, 5.4% (n=7) developed pressure injuries in the fatty acids oil group and 5% (n=10) developed pressure injuries in the standard care group. The difference was not statistically significant. However, significant statistical differences were found between the silicone foam dressing and standard care group (p=0.04) and between the fatty acids oil and standard care group (p=0.048) for patients with Braden score ≤ 12. Conclusion: Additional preventive measures seem to be clinically beneficial in reducing sacral pressure injuries among very high-risk patients in the general ward acute care setting.
- Subjects
SINGAPORE; BEDSORES prevention; FATTY acids; TREATMENT effectiveness; ACADEMIC medical centers; BEDSORE risk factors; CHI-squared test; FISHER exact test; FOAMED materials; RESEARCH; RESEARCH funding; STATISTICAL sampling; SILICONES; SURGICAL dressings; RANDOMIZED controlled trials; DESCRIPTIVE statistics; TERTIARY care; THERAPEUTICS
- Publication
Wound Practice & Research, 2017, Vol 25, Issue 1, p24
- ISSN
1837-6304
- Publication type
Article