Review: support surfaces, nutritional supplements, and topical agents help prevent pressure ulcers
Q What is the quality of evidence for various pressure ulcer prevention interventions?
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.
incidence of pressure ulcers.
Interventions that reduced pressure ulcer incidence are reported in the table. …