Using low-friction fabrics to prevent and treat hospital-acquired pressure ulcers can have considerable cost-saving implications for the NHS. Parafricta low-friction bootees have been successfully implemented in an NHS trust and resulted in a 75% lower prevalence of hospital-acquired pressure ulcers over 8 years compared to the average for NHS England. Using low-friction fabrics is cost-effective and an efficacious method of reducing the burden of hospital-acquired pressure ulcers.
Data, including pressure ulcer incidence, location, grading and final outcome upon discharge was collected from 369 patients alongside locally derived expenditures to assess the role of low friction garments in hospital setting. They found that Parafricta low friction garments have a role to play in the prevention of skin breakdown and appear to be both clinically and cost effective.
This study evaluated 25 patients in a care home setting with grade 2 pressure ulcers to determine whether Parafricta products were effective in conjunction with current treatment. They found improvement in the skin with less redness, oedema and a reduction in friction and shear. Parafricta is an additional resource that can aid the management of patients at risk of pressure damage.
In reaction to high instances of grade 2 heel pressure ulcers St Helens and Knowsley Trust began using Parafricta bootees. This study found that implementing the use of the Parafricta low-friction fabric bootees has proved a good strategy for the Trust, ensuring a reduction not only in heel pressure ulcer incidence but also in achieving zero harm targets and providing substantial cost benefits
This study, evaluates the implementation of Parafricta bootees in a hospital setting 5 years after they were introduced. Parafricta low-friction bootees when used in routine practise are shown to have played a part in reduction of heel pressure ulcers and in particular the decline in the proportion of heel pressure ulcers to pressure ulcers on other sites. The pressure ulcer instance in the Trust was found to be below the national average. The reduction in heel pressure ulcers led to significant savings for the Trust.
This article explains the vulnerability of heels to pressure ulcers from a biomechanical engineering perspective taking into account hospital settings. It discusses the growing and solid evidence that low friction fabric garments may provide added benefits in preventing heel ulcers. Managing friction through Parafricta low friction fabric garments is a promising way forward.
This article reports the findings of a small, non-controlled evaluation over a 2 week period in 3 different care settings. The results show Parafricta low friction bootees have a played a significant part in the reduction of heel pressure ulcers, reduced pain and increased comfort. In conclusion, should be regarded as a standard care tool in pressure ulcer care prevention in all care settings.
Hollen,L et al (2018) “The SILKIE (Skin graftIng Low friKtIon Environment) study: a non-randomised proof-of-concept and feasibility study on the impact of low-friction nursing environment on skin grafting success rates in adult and paediatric burns” BMJ Open access 2018;8 https://bmjopen.bmj.com/content/8/6/e021886
This article evaluates the impact of low-friction bedding in an acute burn setting, the study was conducted in 3 burn services in 2 hospitals with a cohort of 131. The article concludes that low-friction bedding is safe for burns victims, with a significant reduction in graft loss.
There is a relationship between reduction of oedema and inflammation under the epidermis and the wearing of Parafricta garments. This leads to the conclusion that Parafricta should be considered for any resident or patient that is at risk of pressure damage related to shear and friction.
Pressure sores are a preventable complication for immobile patients and are often caused by shearing and friction. Parafricta, a fabric with low friction properties, reduces the potential for pressure damage.
NICE's Medical Technologies Evaluation Programme (MTEP) considers technologies that could offer substantial benefits to patients and the health & social care system over current practise. Parafricta Bootees and Undergarments were reviewed by NICE in 2014 and again in 2021. As a result of this evaluation the use of Parafricta products was encouraged by NICE, and Parafricta was incorporated into NICE’s care pathways for both the prevention and treatment of pressure ulcers.