Evaluating silicone foam dressings for the prevention of device-related pressure ulcers on the head: a retrospective study

What is it about?

Background: Medical device-related pressure ulcers (MDRPUs) in the head region are a persistent challenge in healthcare, particularly in patients using non-invasive ventilation masks, high-flow nasal oxygen cannulas, prone positioning supports, or rigid cervical collars. Aim: This study aimed to evaluate the effectiveness of silicone foam dressings in reducing the incidence of MDRPUs in high-risk patients across two major Czech healthcare facilities and to gather feedback from healthcare professionals regarding their usability and effectiveness. Methods: A retrospective study was conducted, analyzing clinical data on MDRPUs in the head region from 2023 to 2024 across two university hospitals in the Czech Republic. The sample included 354 cases of pressure ulcers. Data were analysed to compare MDRPU prevalence before and after the introduction of silicone foam dressings. Informal verbal feedback captured insight from healthcare professionals on the practicality and benefits of silicone foam dressings. Results: The implementation of silicone foam dressings was associated with a noteworthy reduction in MDRPU prevalence, with MDRPU cases decreasing from 61% to 30% at one facility and from 41% to 33% at the other between 2023 and 2024. Healthcare professionals highlighted the dressings’ ease of application, adaptability and effectiveness in preventing skin damage. Conclusions: Silicone foam dressings are an effective intervention for reducing MDRPUs in the head region. Their integration into care protocols has demonstrated improved patient outcomes and increased healthcare provider satisfaction. Routine use of silicone foam dressings in high-risk settings is recommended to enhance prevention efforts, and ongoing education and research are needed to optimise their application and explore cost-effectiveness in diverse healthcare environments.

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