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The incidence of intraoperatively acquired pressure injuries in the park‐bench position was reduced by applying soft silicone multilayer foam dressings.
- Source :
- International Wound Journal; Feb2024, Vol. 21 Issue 2, p1-9, 9p
- Publication Year :
- 2024
-
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]
- 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
Subjects
Details
- Language :
- English
- ISSN :
- 17424801
- Volume :
- 21
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- International Wound Journal
- Publication Type :
- Academic Journal
- Accession number :
- 175669990
- Full Text :
- https://doi.org/10.1111/iwj.14407