Systematic review of the use of prophylactic dressings in the prevention of pressure ulcers

Clark, M. and Black, J. and Alves, P. and Brindle, C.T. and Call, E. and Dealey, C. and Santamaria, N. (2014) Systematic review of the use of prophylactic dressings in the prevention of pressure ulcers. International Wound Journal, 11 (5). pp. 460-471. ISSN 17424801 (ISSN)

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Abstract

This systematic review considers the evidence supporting the use of prophylactic dressings for the prevention of pressure ulcer. Electronic database searches were conducted on 25 July 2013. The searches found 3026 titles and after removal of duplicate records 2819 titles were scanned against the inclusion and exclusion criteria. Of these, 2777 were excluded based on their title and abstract primarily because they discussed pressure ulcer healing, the prevention and treatment of other chronic and acute wounds or where the intervention was not a prophylactic dressing (e.g. underpads, heel protectors and cushions). Finally, the full text of 42 papers were retrieved. When these 42 papers were reviewed, 21 were excluded and 21 were included in the review. The single high-quality randomised controlled trial (RCT) and the growing number of cohort, weak RCT and case series all suggest that the introduction of a dressing as part of pressure ulcer prevention may help reduce pressure ulcer incidence associated with medical devices especially in immobile intensive care unit patients. There is no firm clinical evidence at this time to suggest that one dressing type is more effective than other dressings. © 2014 Medicalhelplines.com Inc and John Wiley & Sons Ltd.

Item Type: Article
Uncontrolled Keywords: Pressure ulcer prevention, Prophylactic dressings, bandage, decubitus, foam dressing, foot ulcer, gauze dressing, health care, human, hydrocolloid dressing, intensive care unit, nose ulcer, priority journal, prophylactic dressing, prophylaxis, Review, sacrum, sacrum pressure ulcer, systematic review, wound dressing, adult, aged, bandage, female, intensive care, male, middle aged, Pressure Ulcer, procedures, protective equipment, very elderly, wound healing, Adult, Aged, Aged, 80 and over, Bandages, Female, Humans, Intensive Care, Male, Middle Aged, Pressure Ulcer, Protective Devices, Wound Healing
Subjects: B700 Nursing
Divisions: UoA Collections > UoA 03: Allied Health Professions, Dentistry, Nursing & Pharmacy
Faculty of Health, Education and Life Sciences > Centre for Social Care, Health and Related Research (C-SHARR) > Quality of Care
Depositing User: Yasser Nawaz
Date Deposited: 09 Jan 2017 09:53
Last Modified: 09 Jan 2017 09:53
URI: http://www.open-access.bcu.ac.uk/id/eprint/2027

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