Soft Foam Dressings for Pressure Injury Prevention of Cardiac Surgery
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: CONVAFoam Hydrofiber Dressing, Standard Pressure Injury Prevention Care.
- Кому может быть актуально
- Состояния в реестре: CAD - Coronary Artery Disease, CABG, Valve Disease, Heart, Aortic Diseases. Базовые параметры: от 18 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Список центров уточняется — проверьте первичный протокол.
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
Не всё понятно в терминах? Прочитайте наш гид для пациентов →
Официальное название
Effectiveness of Using Soft Foam Dressings in Preventing Pressure Injuries During Cardiac Surger
Обзор
The purpose of this study is to evaluate whether the application of soft foam dressings can reduce the occurrence of surgery-related pressure injuries among patients undergoing cardiac surgery. Specifically, this research aims to investigate differences in pressure injury outcomes before and after the intervention, and to assess the preventive effectiveness of soft foam dressings as an adjunctive skin-protection strategy.
Подробное описание
The goal of this clinical trial is to learn if applying soft foam dressings (AQUACEL Foam Hydrofiber Dressing) can prevent surgery-related pressure injuries in adult patients (≥18 years) undergoing cardiac surgery under general anesthesia with cardiopulmonary bypass (CPB). The main questions it aims to answer are:
Does the use of soft foam dressings reduce the incidence of perioperative pressure injuries compared with routine skin protection measures alone? Does the intervention delay the time to pressure injury development and improve postoperative skin integrity during the first 5 postoperative days? Researchers will compare the intervention group (routine prevention + AQUACEL Foam applied to high-risk pressure areas) to the control group (routine prevention only) to see if the foam dressing intervention reduces pressure injury occurrence after cardiac surgery.
Participants will:
Be screened for eligibility and provide written informed consent Receive either routine pressure injury prevention care alone (control group) or routine care plus AQUACEL Foam dressings (intervention group) applied to pressure-prone areas (e.g., heels, sacrococcygeal region, and hallux bony prominence) Complete a demographic questionnaire (approximately 10 minutes; self-completed or assisted by the researcher)
Undergo skin assessments 6 times:
T0: during preoperative preparation T1: immediately after surgery T2-T5: once daily for 4 consecutive days after ICU transfer Have perioperative and clinical data collected from medical records (e.g., surgical duration, CPB time/temperature, laboratory values such as albumin, Hb, RBC, Hct, BUN, creatinine)
Вмешательства
- Устройство CONVAFoam Hydrofiber Dressing
Add prophylactic application of CONVAFoam dressing to high-risk pressure areas (heels, sacrococcygeal region, hallux prominence) - Другое Standard Pressure Injury Prevention Care
Routine perioperative pressure injury prevention measures including pressure-relieving pads, heel pads, positioning support, and cotton/towel separation according to institutional protocol.
Первичные конечные точки
- Incidence of surgery-related pressure injuries [Срок оценки: From preoperative baseline (before surgery) to postoperative day 5]
Вторичные конечные точки (2)
- Time to development of pressure injury [Срок оценки: From end of surgery to postoperative day 5]
- Severity stage of pressure injuries [Срок оценки: Postoperative day 1 to postoperative day 5]
Критерии участия
Критерии включения
- Adults aged 18 years or older
- Scheduled to undergo cardiac surgery under general anesthesia
- Use of cardiopulmonary bypass (CPB) during surgery
- Expected surgical duration greater than 4 hours
- Intact skin without pre-existing pressure injury prior to surgery
Критерии исключения
- Surgical position other than supine
- Long-term bedridden status prior to hospital admission
- Altered consciousness or inability to cooperate
- History of stroke with residual limb weakness
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Простое слепое
- Основная цель
- Профилактика
Центры проведения
Список центров уточняется — проверьте первичный протокол.
Идентификаторы
NCT: NCT07379294 · KMUHIRB-F(I)-20250378