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The effectiveness of a multi\u2010layer foam dressing installed pre\u2010operatively in reducing sacral pressure ulcer occurrence in spinal cord injured patients was compared to that of using a gel mattress, and stratified analyses were performed on patients with complete tetraplegia and paraplegia. Socio\u2010demographic and clinical data were collected from 315 patients admitted in a level\u2010I trauma centre following a spinal cord injury between April 2010 and March 2016. Upon arrival to the emergency room and until surgery, patients were transferred on a foam stretcher pad with a viscoelastic polymer gel mattress (before 1 October 2014) or received a multi\u2010layer foam dressing applied to their sacral\u2010coccygeal area (after 1 October 2014). The occurrence of sacral pressure ulcer during acute hospitalisation was similar irrespective of whether patients received the dressing or the gel mattress. It was found that 82% of patients with complete tetraplegia receiving the preventive dressing developed sacral ulcers as compared to only 36% of patients using the gel mattress. Although multi\u2010layer dressings were suggested to improve skin protection and decrease pressure ulcer occurrence in critically ill patients, such preventive dressings are not superior to gel mattresses in spinal cord injured patients and should be used with precaution, especially in complete tetraplegia.<\/jats:p>","DOI":"10.1111\/iwj.12710","type":"journal-article","created":{"date-parts":[[2017,1,4]],"date-time":"2017-01-04T05:52:43Z","timestamp":1483509163000},"page":"874-881","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Effectiveness of a multi\u2010layer foam dressing in preventing sacral pressure ulcers for the early acute care of patients with a traumatic spinal cord injury: comparison with the use of a gel mattress"],"prefix":"10.1111","volume":"14","author":[{"given":"Andr\u00e9ane","family":"Richard\u2010Denis","sequence":"first","affiliation":[{"name":"Research Center H\u00f4pital du Sacr\u00e9\u2010C\u0153ur  Montreal Canada"},{"name":"Faculty of Medicine University of Montreal  Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cynthia","family":"Thompson","sequence":"additional","affiliation":[{"name":"Research Center H\u00f4pital du Sacr\u00e9\u2010C\u0153ur  Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean\u2010Marc","family":"Mac\u2010Thiong","sequence":"additional","affiliation":[{"name":"Research Center H\u00f4pital du Sacr\u00e9\u2010C\u0153ur  Montreal Canada"},{"name":"Faculty of Medicine University of Montreal  Montreal Canada"},{"name":"CHU Ste\u2010Justine  Montreal Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2017,1,4]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2010.66"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2013.91"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1310\/YXM3-85YW-8VUG-NNUR"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-9993(99)90251-4"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2702.2009.03047.x"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.apmr.2007.07.037"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000225"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.0283-9318.2003.00250.x"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/10790268.2008.11760744"},{"key":"e_1_2_7_11_1","first-page":"277","article-title":"Nutritional status during the acute stage of spinal cord injury","volume":"70","author":"Laven GT","year":"1989","journal-title":"Arch Phys Med Rehabil"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2008.107"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1038\/sc.2013.29"},{"key":"e_1_2_7_14_1","first-page":"1","volume-title":"Spinal Cord Injury Rehabilitation Evidence. 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