Treatment
Review: support surfaces, nutritional supplements, and topical agents help prevent pressure ulcers
Reddy M, Gill SS, Rochon PA. Preventing pressure ulcers: a systematic review. JAMA 2006;296:974–84.
Q What is the quality of evidence for various pressure ulcer prevention interventions?
Key Words: pressure ulcer
| The first 150 words of the full text of this article appear below. |
Data sources:
Medline, EMBASE/Excerpta Medica, and CINAHL (to June 2006); Cochrane Library (Issue 1, 2006); UMI Proquest Digital Dissertations; ISI Web of Science; Cambridge Scientific Abstracts; and bibliographies of retrieved articles.
Study selection and assessment:
randomised controlled trials (RCTs) in any language that evaluated interventions for preventing pressure ulcers and reported objective, clinically relevant outcomes. 59 RCTs (n = 13 845) met the selection criteria. Quality assessment of individual studies was based on 6 elements from the CLEAR NPT checklist: randomisation procedure, allocation concealment, blinding of participants and outcome assessors, follow up, and intention to treat analysis.
Outcomes:
incidence of pressure ulcers.
Interventions that reduced pressure ulcer incidence are reported in the table
. 51 RCTs (n = 11 551) evaluated interventions for impaired mobility: static (mattresses or mattress overlays filled with air, water, gel, foam, or a combination), dynamic (surfaces, powered by electricity or pump, that mechanically vary the
University Hospital Birmingham NHS Foundation Trust and University of Birmingham
Birmingham, UK
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