Effectiveness of Topical Sucralfate in the Management of Pressure Ulcer in Hospitalized Patients: A Prospective, Randomized, Placebo-Controlled Trial

Background: The aim of this study was to evaluate the effectiveness of topical sucralfate in the management of pressure ulcer (PU) in hospitalized patients. Methods: Forty hospitalized patients with stage II PU were included in this prospective, doubleblind, randomized, placebo-controlled trial and were randomly divided into 2 groups receiving either sucralfate gel or placebo, on a daily basis. The patients were visited every day for 14 days, the ulcer was evaluated using the Pressure Ulcer Scale for Healing (PUSH) and changes to the measured scores over time were used as an indicator of wound healing. Results: There were no statistically significant differences in any of the demographic characteristics between both groups. Both of the interventions reduced the average PUSH score, and at the end of the trial, all but 2 patients were healed. One in each group discontinued the trial because of exacerbation of the ulcer. No significant between-group difference in the average PUSH score reduction was observed (6.36 6 2.11 vs. 5.89 6 1.41, P 5 0.42). Although the average healing time was less in the sucralfate group (6.05 6 2.17 vs. 7.78 6 3.42), the difference was not statistically significant (P 5 0.07). Conclusions: Sucralfate gel does not improve healing of PU compared with placebo.