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Effectiveness of a multi-layer foam dressing in preventing sacral pressure ulcers for the early acute care of patients with a traumatic spinal cord injury: comparison with the use of a gel mattress: Prevention of sacral pressure ulcers in spinal cord injured patients

Résumé Individuals with spinal cord injury are at risk of sacral pressure ulcers due to, among other reasons, prolonged immobilisation. The effectiveness of a multi-layer foam dressing installed pre-operatively in reducing sacral pressure ulcer occurrence in spinal cord injured patients was compared to that of using a gel mattress, and stratified analyses were performed on patients with complete tetraplegia and paraplegia. Socio-demographic
and clinical data were collected from 315 patients admitted in a level-I trauma centre
following a spinal cord injury between April 2010 and March 2016. Upon arrival to
the emergency room and until surgery, patients were transferred on a foam stretcher
pad with a viscoelastic polymer gel mattress (before 1 October 2014) or received a
multi-layer foam dressing applied to their sacral-coccygeal area (after 1 October 2014).
The occurrence of sacral pressure ulcer during acute hospitalisation was similar irre-
spective of whether patients received the dressing or the gel mattress. It was found that
82% of patients with complete tetraplegia receiving the preventive dressing developed
sacral ulcers as compared to only 36% of patients using the gel mattress. Although
multi-layer dressings were suggested to improve skin protection and decrease pressure
ulcer occurrence in critically ill patients, such preventive dressings are not superior to gel
mattresses in spinal cord injured patients and should be used with precaution, especially
in complete tetraplegia
AuteursAndréane Richard-Denis, Cynthia Thompson et Jean-Marc Mac-Thiong
Titre de revue/journal, volume et numéro
International Wound Journal, volume 14, numéro 5.
Langue de la publication et/ou de traductionAnglais (langue d’origine)
Année de parution 2017
Institutions affiliéesHôpital du Sacré-Cœur de Montréal, Université de Montréal, CHU Sainte-Justine
Lien vers la publicationhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7949770/
Type d’accès à la publicationGratuit
Mots clésDressing, Pressure ulcer, Sacrum, Spinal cord injury, Tetraplegia
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