Sacrum Pressure Injury Prevention Study Using ALLEVYN◊ Complete Care in Adults at Risk of Developing Hospital-acquired Pressure Injuries in Critical Care Units

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorSmith & Nephew, Inc.

About this trial

The purpose of this study is to investigate the use of ALLEVYN◊ COMPLETE CARE Sacrum dressing for the prevention of hospital-acquired pressure injuries in adults. The main question it aims to answer is whether or not the dressing will prevent pressure injury prevention between application and Day 7. Participants will apply a dressing to the lower back/tailbone area as part of their regular care up to 14 days and participate in ongoing checkups by the study team.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Subject or legally authorized representative (LAR) provides written informed consent

Adults (≥18 years) at time of consent

Willing and able to complete all required study visits

Subjects admitted to Critical Care Units or Intermediate Care Units (may also be called step-down, progressive care, or high dependency units). Subjects may be identified in perioperative or emergency departments before moving to the appropriate unit.

Disqualifiers

Subject has participated previously in this clinical trial

Subject is currently participating in or has participated in a clinical trial within thirty (30) calendar days of day 0 which could impact the scientific integrity of the study

Subject has a medical or physical condition that, in the opinion of the Investigator, would preclude safe participation in the study.

Subject has a known sensitivity/allergy to dressing and/or adhesive components (e.g., sensitivity to silicone)

Trial design

Design model

Single group

Treatments tested in this trial

  • ALLEVYN◊ COMPLETE CARE Sacrum

    Device

    ALLEVYN◊ COMPLETE CARE Sacrum foam dressing

Treatment groups

330 Participants
are divided into 1 treatment group
Group A: ALLEVYN◊ COMPLETE CARE SacrumExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Cumulative Incidence of Any Sacral Hospital-Acquired Pressure Injury Through Day 7

The cumulative incidence of sacral hospital-acquired pressure injury (HAPI) is defined as the proportion of participants who developed any qualifying sacral HAPI up to and including Day 7 of study dressing application. A sacral skin assessment will be performed to determine whether any sacral HAPI has developed. "Yes" indicates detection of a sacral HAPI classified as Stage 1, Stage 2, Stage 3, Stage 4, unstageable pressure injury, or deep tissue pressure injury. "No" indicates the participant did not develop sacral HAPI by Day 7 or discontinued the study before Day 7 without developing sacral HAPI and was therefore considered event-free. Fewer pressure injuries indicate a better outcome.

Time frame
Day 0 to Day 7

Secondary outcomes

1

Cumulative Incidence of Sacral Hospital-Acquired Pressure Injury: Stage 2-4, Unstageable, and/or Deep Tissue Pressure Injury Through Day 7

The cumulative incidence of sacral hospital-acquired pressure injury (HAPI) is defined as the proportion of participants who developed a stage 2-4, unstageable, or deep tissue HAPI up to and including Day 7 of study dressing application. A sacral skin assessment will be performed to determine whether a qualifying sacral HAPI developed. "Yes" indicates detection of a sacral HAPI classified as Stage 2, Stage 3, Stage 4, unstageable pressure injury, or deep tissue pressure injury. "No" indicates the participant did not develop a qualifying sacral HAPI by Day 7 or discontinued the study before Day 7 without developing a qualifying sacral HAPI and was therefore considered event-free. Fewer pressure injuries indicate a better outcome.

Time frame
Day 0 to Day 7
2

Cumulative Incidence of Each Sacral Hospital-Acquired Pressure Injury: Stage 1-4, Unstageable, and/or Deep Tissue Pressure Injury Through Day 7

The cumulative incidence of sacral hospital-acquired pressure injury (HAPI) defined as the proportion of participants who developed stage 1-4, unstageable, or deep tissue HAPI up to and including Day 7 of study dressing application. A sacral skin assessment will be performed to determine whether a qualifying sacral HAPI developed. The sacral skin assessment will be categorized as one of the following: * Stage 1: Non-blanchable erythema of intact skin Intact skin * Stage 2: Partial-thickness skin loss with exposed dermis * Stage 3: Full-thickness skin loss in which adipose (fat) is visible * Stage 4: Full-thickness skin and tissue loss * Unstageable: Obscured full-thickness skin and tissue loss * Deep Tissue: Intact or non-intact skin with localized area of persistent non-blanchable deep red, maroon or purple discoloration

Time frame
Day 0 to Day 7
3

Number of Days to Clinical Diagnosis of Sacral Hospital-Acquired Pressure Injury (HAPI)

For participants that develop a sacral hospital-acquired pressure injury (HAPI), the number of days from study dressing application on Day 0 to the clinical diagnosis of sacral HAPI will be summarized.

Time frame
Day 0 to Day 14
4

Dressing Utilization

Dressing utilization will be summarized by the number of dressing changes throughout the treatment period, approximately 14 days.

Time frame
Day 0 to Day 14

Other outcomes

Sponsors and contacts

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