Cochrane · systematic review · CD009958
Repositioning for pressure injury prevention in adults
Gillespie, BM, Walker, RM, Latimer, SL, et al. · Cochrane Database of Systematic Reviews · 2020 · 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
8
Included studies
NR
No studies 8 · 66.7%Ungraded 2 · 16.7%Very low 2 · 16.7%Low 0 · 0%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
2‐hourly repositioning compared with 4‐hourly repositioning for preventing pressure injury on any support surface
Population: adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pressure injury (stages 1 to 4) Short‐term 2‐hourly repositioning vs 4‐hourly repositioning | RR 1.06 [0.8, 1.41] | 3 studies · 1074 participants | Very low Downgraded: risk of bias, imprecision |
Health‐related quality of life 2‐hourly repositioning vs 4‐hourly repositioning | no estimate extracted | NR | No studies |
Procedural pain 2‐hourly repositioning vs 4‐hourly repositioning | no estimate extracted | NR | No studies |
Patient satisfaction 2‐hourly repositioning vs 4‐hourly repositioning | no estimate extracted | NR | No studies |
Costs 2‐hourly repositioning vs 4‐hourly repositioning | OR 4 | 1 study · 967 participants | Ungraded |
Incremental costs 2‐hourly repositioning vs 4‐hourly repositioning | no estimate extracted | NR | No studies |
30° 3‐hourly tilt compared with 90° tilt for preventing pressure injury
Population: adults
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pressure injury (stages 1 to 4) Short‐term 30° 3‐hourly tilt vs 90° tilt | RR 0.62 [0.1, 3.97] | 2 studies · 252 participants | Very low Downgraded: risk of bias, imprecision |
Health‐related quality of life 30° 3‐hourly tilt vs 90° tilt | no estimate extracted | NR | No studies |
Procedural pain 30° 3‐hourly tilt vs 90° tilt | no estimate extracted | NR | No studies |
Patient satisfaction 30° 3‐hourly tilt vs 90° tilt | no estimate extracted | NR | No studies |
Costs 30° 3‐hourly tilt vs 90° tilt | no estimate extracted | NR | No studies |
Incremental costs 30° 3‐hourly tilt vs 90° tilt | no estimate extracted | 1 study · 213 participants | Ungraded |