Pressure Ulcer Clinical Trial
Official title:
Impact of Skin Dressings Compared With Cream for Skin Lubrication in the Prevention of Pressure Ulcers in Patients at High or Very High Risk: A Multicenter Randomized Trial
Study purpose:
To assess if - in adult patients admitted to hospital with surgical or medical conditions at
high/very high risk of developing pressure ulcers (PU) according to Braden scale - using skin
dressing protection versus conventional care (lubricant or moisturizer cream) may prevent the
incidence of in-hospital PU
Participants will receive, in addition to the experimental/control interventions, background
skin care measures, including anti- bedsore mattresses; body position changes every two
hours, and shear/friction reduction.
Trained nurses will review all participants' charts and verify any report of PU until the
first ambulation, discharge or death. Patients with a verified PU are referred to the
institutional wound care group.
For the purpose of outcome adjudication, study personnel will email digital pictures to 2
independent, blinded outcome assessors (experts in skin care). Skin lesions will be rated in
4-level scale (EPUAP/NPUAP). In case of disagreement, a single, independent referee will
confirm the presence/absence of any potential PU.
The unit for analysis will be patients developing (first occurrence, in a time-to-event
analysis) PUs in the areas covered by the interventions.
See further details on eligibility, interventions and study outcomes below
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