Efficacy of a heel offloading boot in reducing heel pressure injuries in patients in Australian intensive care units: A single-blinded randomised controlled trial

Barakat‐Johnson, Michelle; Lai, Michelle; Stephenson, John; Buhr, Heidi; Campbell, Jenny; Dolton, Ashleigh; Jones, Sarah L.; Leong, Thomas K.; Reddy, Nazmeen; Coyer, Fiona

doi:10.1016/j.iccn.2022.103205

Cited by 5 publications

(18 citation statements)

References 29 publications

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“…This report includes 1 overview of reviews with an NMA, 1 5 SRs [14][15][16][17][18] (2 with meta-analyses 16,18 ), 2 RCTs, 19,20 and 6 non-randomized studies. [21][22][23][24][25][26] There was some overlap of studies included in the overview of reviews and SRs, and the degree of overlap is summarized in Appendix 5.…”

Section: Methodsmentioning

confidence: 99%

“…Two SRs 16,18 had broader inclusion criteria than this report: 1 SR had 8 relevant RCTs, 16 and the other SR had 29 relevant RCTs. 18 The 2 RCTs were published in 2022 19 and 2020, 20 and the non-randomized studies were published in 2021 21,22 and 2020. [23][24][25][26] Within the non-randomized studies, study designs included cross-sectional, 21 before-after cohort, 22,25 retrospective observational cohort using health administrative data, 23 prospective observational cohort, 24 and prospective observational cohort with a historical control.…”

Section: Methodsmentioning

confidence: 99%

“…One overview of reviews with a network meta-analysis (NMA), 1 5 SRs 14-18 including 2 with meta-analyses, 16,18 2 RCTs, 19,20 and 6 non-randomized studies [21][22][23][24][25][26] were included in this report.…”

Section: Summary Of Study Characteristicsmentioning

confidence: 99%

“…15 The primary studies included in these reviews came from Australia, Belgium, Brazil, Canada, China, Denmark, Finland, France, Germany, Iran, Italy, Japan, Netherlands, South Korea, Sweden, Turkey, the UK, and the US. 1,16,18 The RCTs were conducted in and enrolled patients from Australia 19 and China, 20 and the non-randomized studies were conducted in and enrolled patients from Belgium, 22 Denmark, 25 Finland, 23 Taiwan, 24 the UK, 21 and the US. 26…”

Section: Country Of Originmentioning

confidence: 99%

“…This SR 17 also focused on patients who remained seated for extended periods of time. Two SRs, 14,16 1 RCT, 19 and 2 non-randomized studies 23,24 focused on patients in the ICU. One SR 18 and 2 non-randomized studies 21,25 focused on patients in acute hospital settings.…”

Section: Patient Populationmentioning

confidence: 99%

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Therapeutic Support for Pressure Injuries

Vu¹,

Askin²

2022

cjht

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Reactive air surfaces, alternating-pressure (active) air surfaces, and reactive gel surfaces may be more effective at preventing pressure injuries compared to foam surfaces. The clinical effectiveness of therapeutic support surfaces to prevent pressure injuries may be influenced by the care setting (e.g., long-term care, acute care, intensive care units) as well as follow-up time. An overview of reviews with a network meta-analysis did not find any significant differences between different types of support surfaces on time to pressure injury. However, limited evidence suggests there may be a difference between foam surfaces, compared to other types of foam surfaces. Specialized skin protection cushions may also help to prevent pressure injuries compared to standard foam cushions, though there may be no difference between different types of air cushions. It was unclear if there are significant differences between support surfaces for the treatment of pressure injuries. Authors of an overview of reviews stated that reactive air surfaces may be more effective than foam surfaces, but this was not statistically significant. Limited evidence was identified regarding adverse events and health-related quality of life, as well as for pediatric patients. Limited evidence was identified for support surfaces other than mattresses, beds, and overlays (e.g., cushions), as well as therapeutic small devices for prevention of pressure injuries. No studies were identified for therapeutic small devices for treatment.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Summary Of Study Characteristicsmentioning

confidence: 99%

Section: Country Of Originmentioning

confidence: 99%

Section: Patient Populationmentioning

confidence: 99%

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Therapeutic Support for Pressure Injuries

Vu¹,

Askin²

2022

cjht

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Incidence, characteristics, and associated factors of pressure injuries acquired in intensive care units over a 12-month period: A secondary analysis of a quality improvement project

Flæten,

Stafseth,

Vinje

et al. 2024

Intensive and Critical Care Nursing

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The pressure injury prevalence and practice improvements (PIPPI) study: A multiple methods evaluation of pressure injury prevention practices in an acute‐care hospital

Sim,

Wilson,

Tuqiri

2024

International Wound Journal

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Pressure injuries are a significant problem for immobile patients in acute care and can have a profound impact on patients' health and well‐being, putting pressure on healthcare systems and strain on the healthcare economy. Nurses play a pivotal role in preventing pressure injuries. A study using multiple methods was conducted to explore pressure injury prevention practices in four inpatient units within a tertiary‐level Australian Hospital. Quantitative and qualitative methods were used to gather data across a 9‐month period. Observations, audits, surveys and interviews were used to collect data across five time points. Statistical analysis of the quantitative data was undertaken, and thematic analysis was used to analyse qualitative data. Data were integrated using a realist evaluation framework. Ethical approval for the study was granted. The quantitative results demonstrated significant reductions in pressure injury prevalence from 11.5% at commencement to 4.8% at completion of the study. Hospital‐acquired pressure injuries also reduced from 4.6% to 1.9%. These results were achieved even though nursing knowledge and attitudes did not increase during the study period. Three qualitative themes were identified: Making Nursing Care Visible, Understanding the ‘Why’ and Engagement is Key. This study demonstrates that pressure injuries can be prevented with improvements in nursing care processes. Nurses' knowledge and attitudes towards pressure injury prevention did not change throughout this study and further research is required on how nurses' knowledge and attitudes contribute towards pressure injury prevention practices.

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Efficacy of a heel offloading boot in reducing heel pressure injuries in patients in Australian intensive care units: A single-blinded randomised controlled trial

Cited by 5 publications

References 29 publications

Therapeutic Support for Pressure Injuries

Therapeutic Support for Pressure Injuries

Incidence, characteristics, and associated factors of pressure injuries acquired in intensive care units over a 12-month period: A secondary analysis of a quality improvement project

The pressure injury prevalence and practice improvements (PIPPI) study: A multiple methods evaluation of pressure injury prevention practices in an acute‐care hospital

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