Methods: This was an observational cohort at U.S. academic medical centers of the University Health System Consortium (UHC). Patients included in the study were adults 18 years or older hospitalized for 5+ days. Pressure injury cases were flagged by Patient-Safety Indicator #3 (PSI-03). We characterized adoption patterns of prophylactic dressings by hospital-quarter for 38 academic hospitals between 2010-2015. Mixed-effects negative-binomial regression tested the longitudinal association of prophylactic dressings on pressure injury rates, adjusted for hospital case-mix and Medicare payments rules.
Results: Significant pressure injury rate reductions in U.S. academic hospitals between 2010-2015 were associated with the adoption of prophylactic dressings within a prevention protocol, (-1.0 cases/quarter; p=0.002) and changes to Medicare payment rules in 2014 (-1.13 cases/quarter; p=0.035).
Conclusions: Prophylactic dressings may be an effective component of a pressure injury prevention bundle by relieving pressure, friction and shear on the skin to reduce incidence and slowing progression of full-thickness wounds.
To cite this abstract:Padula, WV . THE REAL-WORLD EFFECTIVENESS OF SACRAL DRESSINGS TO PREVENT HOSPITAL-ACQUIRED PRESSURE INJURIES IN ACADEMIC MEDICAL CENTERS: AN OBSERVATIONAL COHORT STUDY. Abstract published at Hospital Medicine 2017, May 1-4, 2017; Las Vegas, Nev. Abstract 87. Journal of Hospital Medicine. 2017; 12 (suppl 2). https://www.shmabstracts.com/abstract/the-real-world-effectiveness-of-sacral-dressings-to-prevent-hospital-acquired-pressure-injuries-in-academic-medical-centers-an-observational-cohort-study/. Accessed July 22, 2019.