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Pressure injuries are a serious problem in hospitalized patients, especially in vulnerable groups such as older adults and people with multiple risk factors . The sacral area needs special attention because it is commonly exposed to pressure when patients stay in bed for long periods.

Foam dressings are increasingly used to help prevent pressure injuries, and they can be applied to body areas that are vulnerable to pressure . Multilayered silicone foam dressings are used as an extra protective method, together with standard preventive care.

Several studies suggest that sacral foam dressings may reduce pressure injuries. One systematic review and meta-analysis found that sacral foam dressings significantly reduced sacral pressure injuries, including stage II or higher injuries and early skin redness . Another systematic review and meta-analysis studied prophylactic sacral dressings in ICU patients and included multilayered silicone foam dressings as part of pressure injury prevention . A recent review also examined the clinical and cost-effectiveness of silicone multilayer foam dressings for pressure injury prevention .