Cochrane · systematic review · CD008251

Topical phenytoin for treating pressure ulcers

Hao, XY, Li, HL, Su, H, et al. · Cochrane Database of Systematic Reviews · 2017 · Cochrane Library

WoundsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
12
current version
GRADE rated
2
No studies
5
Included studies
NR
No studies 5 · 41.7%Ungraded 5 · 41.7%Very low 1 · 8.3%Low 1 · 8.3%Moderate 0 · 0%High 0 · 0%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Topical phenytoin compared with hydrocolloid dressing for pressure ulcers

Population: people with a pressure ulcer
4 questions
OutcomeEffectEvidenceStatus / GRADE
Time to complete healing
Topical phenytoin vs hydrocolloid dressing
no estimate extractedNRNo studies
Proportion of ulcers healed within trial period (eight weeks)
Topical phenytoin vs hydrocolloid dressing
RR 0.55 [0.33, 0.92]1 study · 56 participantsLow
Downgraded: risk of bias, imprecision
Adverse events
Topical phenytoin vs hydrocolloid dressing
no estimate extracted2 studies · 84 participantsUngraded
Pain
Topical phenytoin vs hydrocolloid dressing
no estimate extracted1 study · 28 participantsUngraded

Topical phenytoin compared with triple antibiotic ointment for pressure ulcers

Population: people with a pressure ulcer
4 questions
OutcomeEffectEvidenceStatus / GRADE
Time to complete healing
Topical phenytoin vs triple antibiotic ointment
no estimate extractedNRNo studies
Proportion of ulcers healed within trial period (eight weeks)
Topical phenytoin vs triple antibiotic ointment
no estimate extractedNRNo studies
Adverse events
Topical phenytoin vs triple antibiotic ointment
no estimate extracted1 study · 28 participantsUngraded
Pain
Topical phenytoin vs triple antibiotic ointment
no estimate extracted1 study · 28 participantsUngraded

Topical phenytoin group compared with a simple dressing for pressure ulcers

Population: people with a pressure ulcer
4 questions
OutcomeEffectEvidenceStatus / GRADE
Time to complete healing
Topical phenytoin group vs a simple dressing
no estimate extractedNRNo studies
Proportion of ulcers healed within trial period (eight weeks)
Topical phenytoin group vs a simple dressing
RR 1.33 [0.63, 2.78]1 study · 55 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events
Topical phenytoin group vs a simple dressing
no estimate extracted2 studies · 81 participantsUngraded
Pain
Topical phenytoin group vs a simple dressing
no estimate extractedNRNo studies