Cochrane · systematic review · CD011277
Alginate dressings for treating pressure ulcers
Dumville, JC, Keogh, SJ, Liu, Z, et al. · Cochrane Database of Systematic Reviews · 2015 · 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
11
current version
GRADE rated
11
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 10 · 90.9%Low 1 · 9.1%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
Alginate dressing followed by hydrocolloid dressing compared with hydrocolloid dressing alone
Population: patients with pressure ulcers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Change in wound size Alginate dressing followed by hydrocolloid dressing vs hydrocolloid dressing alone | no estimate extracted | 1 study · 110 participants | Very low Downgraded: indirectness |
Wound infection Alginate dressing followed by hydrocolloid dressing vs hydrocolloid dressing alone | RR 2.79 [0.12, 67.1] | 1 study · 110 participants | Very low Downgraded: imprecision |
Adverse events Alginate dressing followed by hydrocolloid dressing vs hydrocolloid dressing alone | RR 1.12 [0.36, 3.44] | 1 study · 110 participants | Low Downgraded: imprecision |
Comparison between different alginates
Population: patients with pressure ulcers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Complete wound healing | RR 1.5 [0.17, 12.94] | 1 study · 36 participants | Very low Downgraded: risk of bias, imprecision |
Adverse events | RR 0.5 [0.12, 2.12] | 1 study · 36 participants | Very low Downgraded: risk of bias, imprecision |
Alginate compared with dextranomer paste
Population: patients with pressure ulcers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Wound infection Alginate vs dextranomer paste | RR 0.96 [0.14, 6.51] | 1 study · 92 participants | Very low Downgraded: imprecision |
Adverse events Alginate vs dextranomer paste | RR 0.38 [0.13, 1.13] | 1 study · 92 participants | Very low Downgraded: imprecision |
Silver‐alginate compared with plain alginate
Population: patients with pressure ulcers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Change in wound size Silver‐alginate vs plain alginate | no estimate extracted | 1 study · 110 participants | Very low Downgraded: imprecision, indirectness |
Wound infection Silver‐alginate vs plain alginate | no estimate extracted | 1 study · 28 participants | Very low Downgraded: imprecision |
Alginate compared with radiant heat system
Population: patients with pressure ulcers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Change in wound size Alginate vs radiant heat system | no estimate extracted | 1 study · 1105 participants | Very low Downgraded: risk of bias, imprecision, indirectness |
Adverse event (pain) Alginate vs radiant heat system | no estimate extracted | 1 study · 50 participants | Very low Downgraded: risk of bias, imprecision |