This is a systematic random sampling study of the effects of the Dabir Micropressure Overlay on perioperative pressure injuries during cardiac surgery.

This is a simple pragmatic systematic quality improvement study aimed at real-world evaluation of a device claimed to reduce pressure ulcers in patients undergoing cardiac surgery.

Data acquisition will be based on systematic sampling of cardiac surgery operations based on odd and even calendar dates. On odd dates the Dabir micropressure overlay will be functional on the operating room tables. On even dates the Dabir micropressure overlay will not be functional on the operating room tables. Data on baseline characteristics, operative parameters, and primary and secondary endpoints will be gathered from STS and wound care sources, which are routinely collected for all patients. There will be no additional patient information and data collected specifically for this study.

Inclusion Criteria:

• All cases scheduled in the cardiac surgery OR suites at the CCF main campus.

Exclusion Criteria:

• Patients who have had previous surgery within 5 days of enrollment in the study will excluded from analysis.

The study population will be all adult patients undergoing cardiac surgery at Cleveland Clinic main campus during the study period.