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Clinical Implication Stage 1 pressure injury management ought to prioritize: Early identification (per guideline recommendations) Immediate offloading Selective use of multilayer silicone foam dressings in high-risk anatomical zones Uncertainty Statement Despite strong RCT data, uncertainty persists regarding: Optimal dressing thickness and stiffness Long-term cost-effectiveness across health care systems Standardization of prophylactic dressing performance measures Further high-quality comparative trials and standardized testing frameworks are required