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Prospective, Nonrandomized Controlled Trials to Compare the Effect of a Silk-Like Fabric to Standard Hospital Linens on the Rate of Hospital-acquired Pressure Ulcers

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Section: 
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Author(s): 
Joseph Coladonato, MD; Annette Smith, RN, MSN; Nancy Watson, BSN, RN, CMSRN; Anne T. Brown, RN, MSN, PCCN; Laurie L. McNichol, RN, MSN, GNP, CWOCN; Amy Clegg, MSN, RN, CWOCN; Tracy Griffin, BSB; Lora McPhail, RN, BSN; and Terry G. Montgomery, PhD

Index: Ostomy Wound Manage. 2012;58(10):14–31.

Abstract

  Hospital bedding and gowns influence skin moisture, temperature, friction, and shear, which in turn may affect the development of pressure ulcers. To evaluate the effect of a new silk-like synthetic fabric on the incidence of pressure ulcers in an acute care setting, two consecutive 6-month clinical trials were conducted among 307 consecutively admitted patients in a Medical Renal Unit (August 2008 and March 2010) and in 275 patients admitted to a Surgical Intensive Care Unit (ICU) (September 2009 to March 2010). During the first 8 weeks, all patients used standard hospital bed linens, reusable underpads, and gowns. During the second 8 weeks, all admitted patients used the intervention linens (a silk-like fabric) followed by another 8 weeks of control (standard linen) use. Demographic variables and the prevalence of pressure ulcers on admission were statistically similar for control and intervention groups in both study populations with the exception of gender in the Renal Unit study (13% higher proportion of men in intervention group).

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