Authors: (including presenting author): :
Shen HM
Affiliation: :
Operating Theatre, Yan Chai Hospital, Kowloon West Cluster, Hospital Authority
Keyword 1: :
Pressure Injury Prevention
Keyword 2: :
Spine Surgery Patients
Keyword 3: :
Bordered Foam Dressings
Introduction: :
Pressure injuries, are localized skin and underlying tissue damage from prolonged pressure. Due to extended periods of immobility and pressure on bony prominences, these injuries are particularly prevalent among patients undergoing surgery in the prone position, such as spine surgeries. This pilot study aims to investigate an evidence-based practice (EBP) approach utilizing bordered foam dressings as a preventive measure for pressure injuries in this high-risk population.
Patients undergoing prone position spine surgery are susceptible to pressure injuries due to various factors, including prolonged pressure due to surgical duration and the anatomical stresses of positioning. The incidence of pressure injuries in surgical patients can range from 20% to 35% in my department from 2021-2024. Bordered foam dressings have been identified as effective in providing pressure relief, moisture control, and thermal insulation, making them a vital tool for prevention-.
Objectives: :
This pilot study investigates the effectiveness of bordered foam dressings in preventing pressure injuries among patients undergoing prone position spine surgery. The primary aim is to evaluate the use of evidence-based practice (EBP) guidelines for bordered foam dressings to reduce the incidence of pressure injuries in this high-risk population, where rates range from 20% to 35%.
Methodology: :
A total of 264 participants will be enrolled, comprising 244 from retrospective data (2021-2024) and 20 prospective patients over a five-month period (from 06/2025 to 09/2025). Eligible participants include adults over 18 years undergoing prone spine surgery, while those with pre-existing skin conditions will be excluded. Bordered foam dressings will be applied to specific pressure-prone areas before surgery, and skin assessments will be conducted post-operation.
Result & Outcome: :
Data analysis will compare pressure injury rates in 2025 against historical data to assess the effectiveness of the intervention. It is anticipated that the use of bordered foam dressings will significantly reduce the incidence of pressure injuries and improve awareness among the surgical team regarding preventive practices.
This study aims to optimize preventive strategies in surgical practice, potentially influencing standards of care for high-risk patients. By integrating EBP guidelines, the pilot study seeks to enhance patient outcomes and promote best practices within the surgical team. Ethical considerations, including informed consent and participant confidentiality, will be rigorously maintained throughout the study, ensuring the integrity of the research process.
