Use of polyurethane foam inside plaster casts to prevent the onset of heel sores in the population at risk. A controlled clinical study

Cristiana Forni, Loretta Loro, Morena Tremosini, Sandra Mini, Elettra Pignotti, Ombretta Bigoni, Giuseppe Guzzo, Laura Bellini, Carmela Trofa, Anna M. Di Cataldo, Marilena Guzzi

Research output: Contribution to journalArticlepeer-review

Abstract

Aims: The aim of this study was to test the effectiveness of polyurethane foam in contact with the heel inside a plaster cast to decrease the rate of pressure sores in the population at most risk. Background: The rate of pressure sores caused by the plaster cast is reported to be 14-15% in the paediatric population, 33·3% in patients having undergone chemotherapy for bone tumours and 43% in orthopaedic patients who already have sore skin when the cast is applied (grade 1 lesion) to the heel. Design: Controlled clinical trial. Methods: From November 2007-January 2009, all consecutive subjects requiring lower limb casts having undergone chemotherapy and/or presenting heel soreness received polyurethane foam in contact with the skin of the heel before applying the cast. The results were compared with those of patients with the same risk factors but were not administered the foam and were enrolled from May 2005-August 2006. Results: In total, 156 patients were enrolled, 85 in the control group and 71 in the experimental group. In the experimental group, 2 of the 56 patients (3·6%) with sore skin developed a pressure sore compared with 21 of 49 (42·9%) in the control group without polyurethane foam (p

Original languageEnglish
Pages (from-to)675-680
Number of pages6
JournalJournal of Clinical Nursing
Volume20
Issue number5-6
DOIs
Publication statusPublished - Mar 2011

Keywords

  • Heel
  • Nurses
  • Nursing
  • Plaster casts
  • Polyurethane foam
  • Pressure sores

ASJC Scopus subject areas

  • Nursing(all)

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