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High body mass index is a strong predictor of intraoperative acquired pressure injury in spinal surgery patients when prophylactic film dressings are applied: A retrospective analysis prior to the BOSS trial

International Wound Journal May 03, 2020

Yoshimura M, Ohura N, Santamaria N, et al. - Researchers sought to describe the efficacy of soft silicone multilayered foam dressings in limiting intraoperatively acquired pressure injuries (IAPIs) in the prone position using a Relton‐Hall frame (BOSS trial). They ascertained the incidence of IAPIs and determined the associated risk factors in patients with polyurethane film dressing against IAPIs before the BOSS trial period. In this retrospective dual‐center cohort study performed between August 2014 and Jun 2015, IAPIs that developed within 24 hours after surgery, were reported in 7.1% of cases (7/99). Per multivariate logistic regression analysis, there was independent correlation of BMI and length of surgery with the development of IAPIs. As high BMI was not extracted in BOSS trial, it was concluded that soft silicone multilayer foam dressings are efficacious in preventing the development of IAPIs in patients with high BMI values.

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