Effectiveness of using a new polyurethane foam multi-layerdressing

in the sacral area to prevent the onset of pressure ulcerin the elderly with hip fractures: A pragmatic randomisedcontrolled trial


Hip fractures in the elderly are a serious problem for the health service due to the highrate of complications. One of these complications is pressure ulcers that, according to the literature, occur in 8.8% to 55% of patients and mainly arise in the sacral area.The present randomised controlled trial tests whether applying a new innovativemulti-layer polyurethane foam dressing (ALLEVYN LIFEā„¢), reduces the onset ofpressure ulcers in the sacral area. From March to December 2016, 359 fragility hipfracture patients were randomly divided into 2 groups: 182 in the control group and177 in the experimental group. Pressure ulcers occurred overall in 36 patients (10%):8 patients (4.5%) in the experimental group compared to 28 (15.4%) in the controlgroup:P= 0.001, relative risk 0.29 (95% CI 0.14-0.61) with NNT of 9 (95% CI 6-21). In the experimental group the onset of pressure ulcers occurred on average onthe 6th day compared to the 4th day in the control group (HR 4.4). Using polyure-thane foam is effective at reducing the rate of pressure ulcers in the sacrum in elderlypatients with hip fracture. The adhesiveness of this device also enables costs to be kept down … read more