A Prospective, Single‐Center Trial Evaluating the Effectiveness of ClimateCare in the Acute Postoperative Management of Pressure Ulcers
ABSTRACT Background and Aims Pressure ulcers (PU) are injuries to the skin and underlying tissue that can have significant morbidity with the presence of complications such as dehiscence and necrosis. ClimateCare is a mattress coverlet system that aims to maintain optimal skin moisture, temperature,...
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Wiley
2025-06-01
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| Series: | Health Science Reports |
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| Online Access: | https://doi.org/10.1002/hsr2.70846 |
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| author | Stuti P. Garg Anitesh Bajaj Krish V. Shah Emmanuelle Hanna Geneviève L. Putnam Iris Bai Diana Griffin Robert D. Galiano |
| author_facet | Stuti P. Garg Anitesh Bajaj Krish V. Shah Emmanuelle Hanna Geneviève L. Putnam Iris Bai Diana Griffin Robert D. Galiano |
| author_sort | Stuti P. Garg |
| collection | DOAJ |
| description | ABSTRACT Background and Aims Pressure ulcers (PU) are injuries to the skin and underlying tissue that can have significant morbidity with the presence of complications such as dehiscence and necrosis. ClimateCare is a mattress coverlet system that aims to maintain optimal skin moisture, temperature, and humidity levels at the interface between the patient and the surface to mitigate pressure ulcer risk factors. The objective of this study is to evaluate the effectiveness of ClimateCare in improving wound outcomes and minimizing complications of pressure ulcers. Methods Patients with a stage III/IV pressure ulcer admitted for surgical closure were included in the randomized‐controlled trial. All patients received the Fluid Immersion Simulation (FIS) System, either with or without the ClimateCare treatment based on a convenience sampling method. The subjects were monitored for 14 days post‐closure (POD‐14) for assessment of wound status and complications, including moisture, maceration, drainage, dehiscence, epidermolysis, necrosis, and demarcation. Results A total of 32 patients completed the study, where 18 patients received the ClimateCare treatment and 14 patients did not. In the control group, 71% of patients had complications while 17% had complications in the ClimateCare group (p = 0.001). In addition, 33% of patients without the ClimateCare had open wounds, while no patients who received ClimateCare treatment had open wounds (p = 0.01). Patient acceptability regarding treatment comfort, difficulty with mobilization, and pain at surgical site were not significantly different between ClimateCare and control groups. Conclusion Our findings suggest that the ClimateCare treatment in conjunction with the FIS may be effective in decreasing risk of postoperative complications and emphasize the importance of moisture control and pressure offloading in patients. Future studies should be conducted to characterize the effects of ClimateCare in minimizing the risk of complications following wound closure. |
| format | Article |
| id | doaj-art-49e161e7103b4ef9bea4b059ce30e8ca |
| institution | OA Journals |
| issn | 2398-8835 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj-art-49e161e7103b4ef9bea4b059ce30e8ca2025-08-20T02:35:26ZengWileyHealth Science Reports2398-88352025-06-0186n/an/a10.1002/hsr2.70846A Prospective, Single‐Center Trial Evaluating the Effectiveness of ClimateCare in the Acute Postoperative Management of Pressure UlcersStuti P. Garg0Anitesh Bajaj1Krish V. Shah2Emmanuelle Hanna3Geneviève L. Putnam4Iris Bai5Diana Griffin6Robert D. Galiano7Division of Plastic & Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USADivision of Plastic & Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USACase Western Reserve University School of Medicine Cleveland Ohio USADivision of Plastic & Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USADivision of Plastic & Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USADivision of Plastic & Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USADivision of Plastic & Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USADivision of Plastic & Reconstructive Surgery Northwestern University Feinberg School of Medicine Chicago Illinois USAABSTRACT Background and Aims Pressure ulcers (PU) are injuries to the skin and underlying tissue that can have significant morbidity with the presence of complications such as dehiscence and necrosis. ClimateCare is a mattress coverlet system that aims to maintain optimal skin moisture, temperature, and humidity levels at the interface between the patient and the surface to mitigate pressure ulcer risk factors. The objective of this study is to evaluate the effectiveness of ClimateCare in improving wound outcomes and minimizing complications of pressure ulcers. Methods Patients with a stage III/IV pressure ulcer admitted for surgical closure were included in the randomized‐controlled trial. All patients received the Fluid Immersion Simulation (FIS) System, either with or without the ClimateCare treatment based on a convenience sampling method. The subjects were monitored for 14 days post‐closure (POD‐14) for assessment of wound status and complications, including moisture, maceration, drainage, dehiscence, epidermolysis, necrosis, and demarcation. Results A total of 32 patients completed the study, where 18 patients received the ClimateCare treatment and 14 patients did not. In the control group, 71% of patients had complications while 17% had complications in the ClimateCare group (p = 0.001). In addition, 33% of patients without the ClimateCare had open wounds, while no patients who received ClimateCare treatment had open wounds (p = 0.01). Patient acceptability regarding treatment comfort, difficulty with mobilization, and pain at surgical site were not significantly different between ClimateCare and control groups. Conclusion Our findings suggest that the ClimateCare treatment in conjunction with the FIS may be effective in decreasing risk of postoperative complications and emphasize the importance of moisture control and pressure offloading in patients. Future studies should be conducted to characterize the effects of ClimateCare in minimizing the risk of complications following wound closure.https://doi.org/10.1002/hsr2.70846BMIClimateCarecomplicationspressure ulcersurgical closure |
| spellingShingle | Stuti P. Garg Anitesh Bajaj Krish V. Shah Emmanuelle Hanna Geneviève L. Putnam Iris Bai Diana Griffin Robert D. Galiano A Prospective, Single‐Center Trial Evaluating the Effectiveness of ClimateCare in the Acute Postoperative Management of Pressure Ulcers Health Science Reports BMI ClimateCare complications pressure ulcer surgical closure |
| title | A Prospective, Single‐Center Trial Evaluating the Effectiveness of ClimateCare in the Acute Postoperative Management of Pressure Ulcers |
| title_full | A Prospective, Single‐Center Trial Evaluating the Effectiveness of ClimateCare in the Acute Postoperative Management of Pressure Ulcers |
| title_fullStr | A Prospective, Single‐Center Trial Evaluating the Effectiveness of ClimateCare in the Acute Postoperative Management of Pressure Ulcers |
| title_full_unstemmed | A Prospective, Single‐Center Trial Evaluating the Effectiveness of ClimateCare in the Acute Postoperative Management of Pressure Ulcers |
| title_short | A Prospective, Single‐Center Trial Evaluating the Effectiveness of ClimateCare in the Acute Postoperative Management of Pressure Ulcers |
| title_sort | prospective single center trial evaluating the effectiveness of climatecare in the acute postoperative management of pressure ulcers |
| topic | BMI ClimateCare complications pressure ulcer surgical closure |
| url | https://doi.org/10.1002/hsr2.70846 |
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