Cochrane · systematic review · CD011332

Foam dressings for treating pressure ulcers

Walker, RM, Gillespie, BM, Thalib, L, 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
18
current version
GRADE rated
12
No studies
6
Included studies
NR
No studies 6 · 33.3%Ungraded 0 · 0%Very low 11 · 61.1%Low 1 · 5.6%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

Hydropolymer foam dressing compared with silicone foam dressing for treating pressure ulcers

Population: people of any age with an existing pressure ulcer of Category/Stage II or above
4 questions
OutcomeEffectEvidenceStatus / GRADE
Incidence of healed pressure ulcers, short‐term
Hydropolymer foam dressing vs silicone foam dressing
RR 0.89 [0.45, 1.75]1 study · 38 participantsVery low
Downgraded: risk of bias, imprecision
Time to complete healing
Hydropolymer foam dressing vs silicone foam dressing
no estimate extractedNRNo studies
Adverse events, short‐term
Hydropolymer foam dressing vs silicone foam dressing
RR 0.37 [0.04, 3.25]1 study · 38 participantsVery low
Downgraded: risk of bias, imprecision
Quality of life
Hydropolymer foam dressing vs silicone foam dressing
no estimate extractedNRNo studies

Foam dressings compared with hydrocolloid dressings for treating pressure ulcers

Population: people of any age with an existing pressure ulcer of Category/Stage II or above
4 questions
OutcomeEffectEvidenceStatus / GRADE
Incidence of healing, short‐term
Foam dressings vs hydrocolloid dressings
RR 0.85 [0.54, 1.34]3 studies · 198 participantsVery low
Downgraded: risk of bias, imprecision
Time to complete healing
Foam dressings vs hydrocolloid dressings
no estimate extractedNRNo studies
Adverse events, short‐term
Foam dressings vs hydrocolloid dressings
RR 0.88 [0.37, 2.11]3 studies · 198 participantsVery low
Downgraded: risk of bias, imprecision
Quality of life
Foam dressings vs hydrocolloid dressings
no estimate extractedNRNo studies

Foam dressing compared with hydrogel dressing for treating pressure ulcers

Population: people of any age with an existing pressure ulcer of Category/Stage II or above
4 questions
OutcomeEffectEvidenceStatus / GRADE
Incidence of healing, short‐term
Foam dressing vs hydrogel dressing
RR 1 [0.78, 1.28]1 study · 34 participantsVery low
Downgraded: risk of bias, imprecision
Time to complete healing
Foam dressing vs hydrogel dressing
no estimate extracted1 study · 34 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events, short‐term
Foam dressing vs hydrogel dressing
RR 0.33 [0.01, 7.65]1 study · 34 participantsVery low
Downgraded: risk of bias, imprecision
Quality of life
Foam dressing vs hydrogel dressing
no estimate extractedNRNo studies

Foam dressings compared with basic contact dressings for treating pressure ulcers

Population: people of any age with an existing pressure ulcer Category/Stage II or above
6 questions
OutcomeEffectEvidenceStatus / GRADE
Incidence of healing, short‐term
Foam dressings vs basic contact dressings
RR 1.33 [0.62, 2.88]1 study · 36 participantsVery low
Downgraded: risk of bias, imprecision
Incidence of healing, medium‐term
Foam dressings vs basic contact dressings
RR 1.17 [0.79, 1.72]1 study · 50 participantsVery low
Downgraded: risk of bias, imprecision
Time to complete healing (days) medium‐term
Foam dressings vs basic contact dressings
no estimate extracted1 study · 95 participantsVery low
Downgraded: risk of bias, imprecision
Adverse events, medium‐term
Foam dressings vs basic contact dressings
RR 0.58 [0.33, 1.05]1 study · 95 participantsLow
Downgraded: risk of bias, imprecision
Quality of life
Foam dressings vs basic contact dressings
no estimate extractedNRNo studies
Incremental cost per event, short‐term
Foam dressings vs basic contact dressings
no estimate extracted1 study · 36 participantsVery low
Downgraded: risk of bias, imprecision