Evidence map›Paper›PMID 23711244›Full record

Trial reportInternational wound journal2015

A randomised controlled trial of the effectiveness of soft silicone multi-layered foam dressings in the prevention of sacral and heel pressure ulcers in trauma and critically ill patients: the border trial.

Nick Santamaria, Marie Gerdtz, Sarah Sage, Jane McCann, Amy Freeman, Theresa Vassiliou, Stephanie De Vincentis, Ai Wei Ng, Elizabeth Manias, Wei Liu and 1 more

2 registry-linked trialsOpen access · bronzeAbstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in International wound journal, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 63 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
63citing papers in PubMed, 6 pooled it
29.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT04165395 naunknown statusnot on this mapstarted 2019, after this paper: background citation

A Randomized Controlled Trial of the Effectiveness of a Five-layer Foam Dressing and the Heelmedix Boot for the Acute Prevention of Sacral and Heel Pressure Ulcers After Spinal Cord Injury

TypeinterventionalSponsorCentre Integre Universitaire de Sante et Services Sociaux du Nord de l'ile de MontrealRan2019 to 2021Enrolled165ConditionsSpinal Cord InjuriesArmsFive-layer foam dressing, Heelmedix boot
NCT06128005 naunknown statusnot on this mapstarted 2020, after this paper: background citation

Evaluate Knowledge Translation Care Plan on Knowledge, Attitude, and Practice of Caregivers and Care Effects of Patients With Pressure Injury

TypeinterventionalSponsorYi-Syuan LaiRan2020 to 2024Enrolled70ConditionsPressure Injury, Pressure UlcerArmsknowledge translation in nursing for pressure injury care
3 · Its place in the literature

Who cites it

63 citing papers in PubMed, 6 syntheses or guidelines pooled it, 194 citations in OpenAlex.

  1. Pooled it
  2. Dressings and topical agents for preventing pressure ulcers.The Cochrane database of systematic reviews · 2024
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  5. Dressings and topical agents for preventing pressure ulcers.The Cochrane database of systematic reviews · 2018
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3 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 1 country.

Nick SantamariaNursing Research, University of Melbourne & Royal Melbourne Hospital, Melbourne, VIC, Australia.
Marie GerdtzEmergency Department, University of Melbourne & Royal Melbourne Hospital, Melbourne, VIC, Australia.
Sarah SageNursing, Royal Park Hospital, Melbourne, VIC, Australia.
Jane McCannNursing, Royal Park Hospital, Melbourne, VIC, Australia.
Amy FreemanDepartment of Podiatry, Western Health, Melbourne, VIC, Australia.
Theresa VassiliouEmergency Department, Royal Melbourne Hospital, Melbourne, VIC, Australia.
Stephanie De VincentisNursing, Royal Melbourne Hospital, Melbourne, VIC, Australia.
Ai Wei NgNursing, Royal Park Hospital, Melbourne, VIC, Australia.
Elizabeth ManiasNursing, University of Melbourne, Melbourne, VIC, Australia.
Wei LiuEmergency Department, University of Melbourne & Royal Melbourne Hospital, Melbourne, VIC, Australia.
Jonathan KnottEmergency Department, University of Melbourne & Royal Melbourne Hospital, Melbourne, VIC, Australia.
The Royal Melbourne Hospital · AUThe University of Melbourne · AUWestern Health · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The prevention of hospital acquired pressure ulcers in critically ill patients remains a significant clinical challenge. The aim of this trial was to investigate the effectiveness of multi-layered soft silicone foam dressings in preventing intensive care unit (ICU) pressure ulcers when applied in the emergency department to 440 trauma and critically ill patients. Intervention group patients (n = 219) had Mepilex(®) Border Sacrum and Mepilex(®) Heel dressings applied in the emergency department and maintained throughout their ICU stay. Results revealed that there were significantly fewer patients with pressure ulcers in the intervention group compared to the control group (5 versus 20, P = 0·001). This represented a 10% difference in incidence between the groups (3·1% versus 13·1%) and a number needed to treat of ten patients to prevent one pressure ulcer. Overall there were fewer sacral (2 versus 8, P = 0·05) and heel pressure ulcers (5 versus 19, P = 0·002) and pressure injuries overall (7 versus 27, P = 0·002) in interventions than in controls. The time to injury survival analysis indicated that intervention group patients had a hazard ratio of 0·19 (P = 0·002) compared to control group patients. We conclude that multi-layered soft silicone foam dressings are effective in preventing pressure ulcers in critically ill patients when applied in the emergency department prior to ICU transfer.

Indexed as

BandagesCritical IllnessSiliconesAdultAgedEquipment DesignFemaleFollow-Up StudiesHeelHumansIncidenceIntensive Care UnitsMaleMiddle AgedPressure UlcerProspective StudiesSiliconesPressure ulcersPreventionSilicone foam dressings

Identifiers

PMID23711244
PMCPMC7950350
OpenAlexW1797269756

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.