A retrospective, nonrandomized, beforeand-after study of the effect of linens constructed of synthetic silk-like fabric on pressure ulcer incidence

Annette Smith, Laurie L. McNichol, Mary Anne Amos, Gayle Mueller, Tracy Griffin, Joe Davis, Lora McPhail, Terry G. Montgomery, Jill Cox, Hai Yan Huang, Hong Lin Chen, Xu Juan Xu, Sharon Rolnick, Donna Z. Bliss, Jody M. Jackson, Casey Arntson, Jean Mullins, Kenneth Hepburn, Nancy Collins, Colleen Sloan & 1 others Nancy Muller

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

A new, synthetic, silk-like fabric was developed for the purpose of providing bedding and patient gowns that manage moisture, friction, and shear when used between the patient and the healthcare support surface that may affect the development of pressure ulcers (PUs). A retrospective study was conducted to compare the incidence of hospital-acquired PUs in patients admitted to Telemetry, Urology, and Intensive Care Units before and after hospital linens were changed from standard to the synthetic (intervention) linens. Patient medical record data were abstracted for a period 12 weeks before (control) and 12 weeks following the linen change (intervention). Patient demographic information, Braden Risk Scale score, and PU status and stage were abstracted for a total of 659 patients in the control and 768 patients in the intervention groups. No significant differences in patient weight, age, gender distribution, PU risk (Braden scale scores), or proportion of PUs on admission between groups were found. The most common comorbidity was hypertension (n ≤ 981, 68.7%). On admission, the percentage of patients with PUs in the control and intervention groups was 9.9% (σ ≤ 0.3) and 8.7% (σ ≤ 0.3), respectively (P ≤ 0.23). Average length of stay was 5.6 days in the control and 5.2 days in the intervention groups (P ≤ 0.08). Sixty-eight (68) of 659 patients (10.3%) in the control and 19 out of 768 patients in the intervention group (2.5%) developed one or more PUs (P <0.001) for an incidence of 11.5% in the control and 3.1% in the intervention group. At discharge, 136 PUs were present in the control and 64 were present in the intervention group (P <0.001). The significant differences in the incidence of hospital-acquired PUs between the two groups suggest that linen type affects PU risk. Additional controlled clinical studies in high-risk patient populations are warranted.

Original languageEnglish (US)
JournalOstomy Wound Management
Volume59
Issue number4
StatePublished - Jan 1 2013

Fingerprint

Silk
Pressure Ulcer
Incidence
Bedding and Linens
Telemetry
Friction
Age Distribution
Urology
Medical Records
Intensive Care Units
Comorbidity
Length of Stay
Retrospective Studies
Demography

All Science Journal Classification (ASJC) codes

  • Gastroenterology
  • Nursing(all)
  • Internal Medicine

Cite this

Smith, Annette ; McNichol, Laurie L. ; Amos, Mary Anne ; Mueller, Gayle ; Griffin, Tracy ; Davis, Joe ; McPhail, Lora ; Montgomery, Terry G. ; Cox, Jill ; Huang, Hai Yan ; Chen, Hong Lin ; Xu, Xu Juan ; Rolnick, Sharon ; Bliss, Donna Z. ; Jackson, Jody M. ; Arntson, Casey ; Mullins, Jean ; Hepburn, Kenneth ; Collins, Nancy ; Sloan, Colleen ; Muller, Nancy. / A retrospective, nonrandomized, beforeand-after study of the effect of linens constructed of synthetic silk-like fabric on pressure ulcer incidence. In: Ostomy Wound Management. 2013 ; Vol. 59, No. 4.
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title = "A retrospective, nonrandomized, beforeand-after study of the effect of linens constructed of synthetic silk-like fabric on pressure ulcer incidence",
abstract = "A new, synthetic, silk-like fabric was developed for the purpose of providing bedding and patient gowns that manage moisture, friction, and shear when used between the patient and the healthcare support surface that may affect the development of pressure ulcers (PUs). A retrospective study was conducted to compare the incidence of hospital-acquired PUs in patients admitted to Telemetry, Urology, and Intensive Care Units before and after hospital linens were changed from standard to the synthetic (intervention) linens. Patient medical record data were abstracted for a period 12 weeks before (control) and 12 weeks following the linen change (intervention). Patient demographic information, Braden Risk Scale score, and PU status and stage were abstracted for a total of 659 patients in the control and 768 patients in the intervention groups. No significant differences in patient weight, age, gender distribution, PU risk (Braden scale scores), or proportion of PUs on admission between groups were found. The most common comorbidity was hypertension (n ≤ 981, 68.7{\%}). On admission, the percentage of patients with PUs in the control and intervention groups was 9.9{\%} (σ ≤ 0.3) and 8.7{\%} (σ ≤ 0.3), respectively (P ≤ 0.23). Average length of stay was 5.6 days in the control and 5.2 days in the intervention groups (P ≤ 0.08). Sixty-eight (68) of 659 patients (10.3{\%}) in the control and 19 out of 768 patients in the intervention group (2.5{\%}) developed one or more PUs (P <0.001) for an incidence of 11.5{\%} in the control and 3.1{\%} in the intervention group. At discharge, 136 PUs were present in the control and 64 were present in the intervention group (P <0.001). The significant differences in the incidence of hospital-acquired PUs between the two groups suggest that linen type affects PU risk. Additional controlled clinical studies in high-risk patient populations are warranted.",
author = "Annette Smith and McNichol, {Laurie L.} and Amos, {Mary Anne} and Gayle Mueller and Tracy Griffin and Joe Davis and Lora McPhail and Montgomery, {Terry G.} and Jill Cox and Huang, {Hai Yan} and Chen, {Hong Lin} and Xu, {Xu Juan} and Sharon Rolnick and Bliss, {Donna Z.} and Jackson, {Jody M.} and Casey Arntson and Jean Mullins and Kenneth Hepburn and Nancy Collins and Colleen Sloan and Nancy Muller",
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Smith, A, McNichol, LL, Amos, MA, Mueller, G, Griffin, T, Davis, J, McPhail, L, Montgomery, TG, Cox, J, Huang, HY, Chen, HL, Xu, XJ, Rolnick, S, Bliss, DZ, Jackson, JM, Arntson, C, Mullins, J, Hepburn, K, Collins, N, Sloan, C & Muller, N 2013, 'A retrospective, nonrandomized, beforeand-after study of the effect of linens constructed of synthetic silk-like fabric on pressure ulcer incidence', Ostomy Wound Management, vol. 59, no. 4.

A retrospective, nonrandomized, beforeand-after study of the effect of linens constructed of synthetic silk-like fabric on pressure ulcer incidence. / Smith, Annette; McNichol, Laurie L.; Amos, Mary Anne; Mueller, Gayle; Griffin, Tracy; Davis, Joe; McPhail, Lora; Montgomery, Terry G.; Cox, Jill; Huang, Hai Yan; Chen, Hong Lin; Xu, Xu Juan; Rolnick, Sharon; Bliss, Donna Z.; Jackson, Jody M.; Arntson, Casey; Mullins, Jean; Hepburn, Kenneth; Collins, Nancy; Sloan, Colleen; Muller, Nancy.

In: Ostomy Wound Management, Vol. 59, No. 4, 01.01.2013.

Research output: Contribution to journalArticle

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T1 - A retrospective, nonrandomized, beforeand-after study of the effect of linens constructed of synthetic silk-like fabric on pressure ulcer incidence

AU - Smith, Annette

AU - McNichol, Laurie L.

AU - Amos, Mary Anne

AU - Mueller, Gayle

AU - Griffin, Tracy

AU - Davis, Joe

AU - McPhail, Lora

AU - Montgomery, Terry G.

AU - Cox, Jill

AU - Huang, Hai Yan

AU - Chen, Hong Lin

AU - Xu, Xu Juan

AU - Rolnick, Sharon

AU - Bliss, Donna Z.

AU - Jackson, Jody M.

AU - Arntson, Casey

AU - Mullins, Jean

AU - Hepburn, Kenneth

AU - Collins, Nancy

AU - Sloan, Colleen

AU - Muller, Nancy

PY - 2013/1/1

Y1 - 2013/1/1

N2 - A new, synthetic, silk-like fabric was developed for the purpose of providing bedding and patient gowns that manage moisture, friction, and shear when used between the patient and the healthcare support surface that may affect the development of pressure ulcers (PUs). A retrospective study was conducted to compare the incidence of hospital-acquired PUs in patients admitted to Telemetry, Urology, and Intensive Care Units before and after hospital linens were changed from standard to the synthetic (intervention) linens. Patient medical record data were abstracted for a period 12 weeks before (control) and 12 weeks following the linen change (intervention). Patient demographic information, Braden Risk Scale score, and PU status and stage were abstracted for a total of 659 patients in the control and 768 patients in the intervention groups. No significant differences in patient weight, age, gender distribution, PU risk (Braden scale scores), or proportion of PUs on admission between groups were found. The most common comorbidity was hypertension (n ≤ 981, 68.7%). On admission, the percentage of patients with PUs in the control and intervention groups was 9.9% (σ ≤ 0.3) and 8.7% (σ ≤ 0.3), respectively (P ≤ 0.23). Average length of stay was 5.6 days in the control and 5.2 days in the intervention groups (P ≤ 0.08). Sixty-eight (68) of 659 patients (10.3%) in the control and 19 out of 768 patients in the intervention group (2.5%) developed one or more PUs (P <0.001) for an incidence of 11.5% in the control and 3.1% in the intervention group. At discharge, 136 PUs were present in the control and 64 were present in the intervention group (P <0.001). The significant differences in the incidence of hospital-acquired PUs between the two groups suggest that linen type affects PU risk. Additional controlled clinical studies in high-risk patient populations are warranted.

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