Powers, J; Daniels, D; McGuire, C; Hilbish, C
Clarian Health Partners, Methodist Hospital, Indianapolis, Indiana
Published in J Trauma Nursing. 2006, Vol. 13, No. 4, 198 – 200
The most common adverse complication associated with cervical immobilization is skin breakdown. The purpose of this prospective, descriptive study was to assess the incidence of tissue breakdown associated with cervical immobilization. In this convenience sample of 484 patients, skin breakdown was noted in 33 (6.8%) patients. All cases of documented skin breakdown were stage I or II, with only 2% (0.4%) patients having stage III breakdown. Days in cervical collar is a significant predictor of skin breakdown, along with presence of edema. Results from this study demonstrate that there is a very low incidence of complications of skin breakdown associated with the use of Aspen cervical collars. The collars are safe and effective to use in patients with actual or suspected head or spine injuries.
“It has been reported that up to 55% of patients in a cervical collar for 5 days or greater develop skin breakdown …”
(Pg. 198)
“Previous studies have reported increased hospital costs ranging from $4,323 to $30,000.”
(Pg. 198)
“Powers (1997) reported a decreased incidence of skin breakdown from 19 ulcers to 0 with improved process of care and a change to Aspen cervical collars …”
(Pg. 198)
“There is a very low incidence of complications of skin breakdown associated with the use of Aspen cervical collars. These collars are safe and effective to use in patients with actual or suspected head or spine injuries.”
(Pg. 200)