1. The incidence of intraoperatively acquired pressure injuries in the park‐bench position was reduced by applying soft silicone multilayer foam dressings.
- Author
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Yoshimura, Mine, Kohno, Michihiro, Okamoto, Yukako, Tsuchiya, Sakura, Ogawa, Kyoko, Fukuma, Akane, Kurihara, Chie, Miyama, Mari, and Matsumura, Hajime
- Subjects
PREVENTION of surgical complications ,INDUCED hypothermia ,ELECTIVE surgery ,RESEARCH ,STATISTICS ,SURGICAL blood loss ,WOUND healing ,BODY temperature ,ACADEMIC medical centers ,CONFIDENCE intervals ,HEMOGLOBINS ,SCIENTIFIC observation ,PRESSURE ulcers ,NEUROSURGERY ,MULTIPLE regression analysis ,MULTIVARIATE analysis ,TIME ,POSTOPERATIVE care ,DISEASE incidence ,HEALTH status indicators ,ACQUISITION of data ,FISHER exact test ,MANN Whitney U Test ,RISK assessment ,SERUM albumin ,MEDICAL protocols ,T-test (Statistics) ,SEX distribution ,BRAIN tumors ,TREATMENT effectiveness ,COMPARATIVE studies ,SURGICAL site ,RESEARCH funding ,DESCRIPTIVE statistics ,MEDICAL records ,CHI-squared test ,ODDS ratio ,RECEIVER operating characteristic curves ,DATA analysis ,DATA analysis software ,PATIENT positioning ,SURGICAL dressings ,FOAMED materials ,LONGITUDINAL method ,BEDSORE risk factors ,DISEASE risk factors - Abstract
The Park‐Bench Position (PBP) is associated with a high incidence rate of intraoperatively acquired pressure injuries (IAPIs). Preventive measures must be established to prevent the development of IAPIs. We investigated the risk factors for PBP by applying a soft silicone multilayered foam dressing (SMD) under core temperature management to prevent IAPIs. We conducted a prospective, single‐centre, open‐label observational study of patients undergoing elective neurosurgery operations using PBP in a university hospital in Japan. The incidence rate of IAPIs in this study was compared with that in our two previous studies, in which a film dressing was applied and core temperature management was not performed. IAPIs developed in 90 patients (6.7%); in the lateral thoracic region in five patients and the iliac crest region in one patient. The operative time (every 1 h: p = 0.0001, OR: odds ratio 3.62, 95% CI: confidence interval 1.73–11.42) was significantly associated with the incidence of IAPIs. In our two previous studies, the incidence rate of IAPIs was 11.0% and 24.1%, respectively, when film dressing was used. SMD may weaken the involvement of risk factors in IAPIs. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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