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- Title
Parafricta bootees compared with standard care to prevent heel pressure ulcers: a multicentre pragmatic randomised controlled trial.
- Authors
CLEVES, ANDREW; IVINS, NICOLA; CLARK, MICHAEL; CAROLAN-REES, GRACE; JONES, NIA; WHITE, JUDITH; MORRIS, RHYS
- Abstract
Background: Parafricta bootees are made of low friction material intended to prevent heel pressure ulcers (PU). Aims: To compare, in hospitalised patients, whether the bootees, added to standard care (SC), prevent heel PU compared with SC alone. Methods: Patients with Waterlow score ≥20 and no heel PUs at baseline were randomly allocated to either bootees plus SC, or SC alone. Target sample size was 450 patients. Patients' heels were clinically assessed for heel PUs at day 3 and day 14. Results: Slow recruitment stopped the study early. In 31 recruited patients there were zero incident heel PUs (intervention group, 0%) versus 1 (SC group, 6%) at day 3 and no new heel pressure ulcers at Day 14. Conclusion: This study failed to reach sufficient statistical power to assess the efficacy of the bootees in preventing heel PUs. No adverse events were related to the bootees. Only 1 patient in the SC group developed a heel PU.
- Subjects
ENGLAND; RESEARCH; PRESSURE ulcers; SKIN care; POINT-of-care testing; PROTECTIVE clothing; PATIENT satisfaction; RANDOMIZED controlled trials; DESCRIPTIVE statistics; PHOTOGRAPHY; STATISTICAL sampling; LOGISTIC regression analysis; HEEL (Anatomy); POISSON distribution
- Publication
Wounds UK, 2022, Vol 18, Issue 2, p30
- ISSN
1746-6814
- Publication type
Article