Prevención de las úlceras de talón en un hospital de media estancia. Estudio comparativo de vendaje clásico almohadillado respecto a las taloneras hidrocelulares de poliuretano / Comparison of efficacy of heel ulcer prevention between classic padded bandage and polyurethane heel in a medium-stay hospital: Randomized controlled trial

Introducción. El presente estudio tiene como objetivo comparar la incidencia de úlceras por presión de talón (UPPT) de 2 sistemas de prevención para UPPT: el vendaje clásico almohadillado y las taloneras de poliuretano. Material y métodos. Estudio de intervención prospectivo controlado y aleatorizado en un hospital de media-larga estancia de todas las personas ingresadas que no presentaban UPPT y tenían riesgo de desarrollar UPPT según la escala de Braden o criterio clínico. Los pacientes fueron aleatorizados al tratamiento con vendaje clásico almohadillado o taloneras de poliuretano. La variable resultado fue la incidencia de UPPT para cada grupo de estudio, que se registró cada 15 días o si hubo cambios clínicos. Resultados. De los 940 pacientes evaluados, 409 fueron incluidos en el estudio, con una edad media de 80,5 años; 59,1% eran mujeres; el 78% tenía Barthel≤30; el 28,6% demencia, el 37,6% síndrome confusional; el 27,6% diabetes, y el 19,6% otras UPP. La incidencia global de UPPT fue del 2,9%; 2,49% en el grupo de almohadillado clásico y, 3,37% en el grupo de talonera de poliuretano (p=0,82). Conclusiones. No se han observado diferencias estadísticamente significativas entre el grupo de vendaje clásico y el de taloneras de poliuretano. La utilización de múltiples medidas para la prevención de UPPT consigue una baja incidencia de las mismas(AU)

Introduction. The aim of the study is to determine the incidence of heel pressure ulcers (UPPT) and to compare the two systems for UPPT prevention: classic padded bandage and polyurethane heel. Material and methods. Prospective intervention study in a medium-long hospital stay of all people admitted that had no UPPT but had a risk of UPPT according to the Braden Scale or clinical judgment. The patients were randomized to prevention with classic padded bandage or polyurethane heel. The outcome variable was the incidence of UPPT for each study group, which was recorded every 15 days or when there were clinical changes. Results. Of the 940 patients evaluated, 409 with a mean age of 80.5 years and 59.1% women,were included in the study. Of these, 78% had Barthel score ≤30; 28.6% dementia; delirium 37.6%; 27.6% diabetes; and 19.6% other UPP. The overall incidence was 2.9% UPPT; 2.49% in the classic padded bandage and 3.37% in the polyurethane heel group (p=0.82). Conclusions. No statistically significant differences were observed between the group with the classical dressing and the group with the polyurethane heel dressing. The use of multiple measures to prevent UPPT achieved a low incidence of these(AU)

[Comparison of efficacy of heel ulcer prevention between classic padded bandage and polyurethane heel in a medium-stay hospital: randomized controlled trial]. / Prevención de las úlceras de talón en un hospital de media estancia. Estudio comparativo de vendaje clásico almohadillado respecto a las taloneras hidrocelulares de poliuretano.

INTRODUCTION: The aim of the study is to determine the incidence of heel pressure ulcers (UPPT) and to compare the two systems for UPPT prevention: classic padded bandage and polyurethane heel. MATERIAL AND METHODS: Prospective intervention study in a medium-long hospital stay of all people admitted that had no UPPT but had a risk of UPPT according to the Braden Scale or clinical judgment. The patients were randomized to prevention with classic padded bandage or polyurethane heel. The outcome variable was the incidence of UPPT for each study group, which was recorded every 15 days or when there were clinical changes. RESULTS: Of the 940 patients evaluated, 409 with a mean age of 80.5 years and 59.1% women,were included in the study. Of these, 78% had Barthel score ≤30; 28.6% dementia; delirium 37.6%; 27.6% diabetes; and 19.6% other UPP. The overall incidence was 2.9% UPPT; 2.49% in the classic padded bandage and 3.37% in the polyurethane heel group (p=0.82). CONCLUSIONS: No statistically significant differences were observed between the group with the classical dressing and the group with the polyurethane heel dressing. The use of multiple measures to prevent UPPT achieved a low incidence of these.