Cochrane · systematic review · CD011377
Hygiene and emollient interventions for maintaining skin integrity in older people in hospital and residential care settings
Cowdell, F, Jadotte, YT, Ersser, SJ, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library
SkinAMSTAR 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
7
current version
GRADE rated
5
No studies
2
Included studies
NR
No studies 2 · 28.6%Ungraded 0 · 0%Very low 3 · 42.9%Low 2 · 28.6%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
Summary of findings for primary and secondary outcomes
Population: people 60 years of age and older
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Frequency of skin damage (as recorded by clinicians according to STAR Skin Tear Classification) Outcome measured during 6 months | no estimate extracted | 1 study · 984 participants | Very low Downgraded: risk of bias, imprecision |
Side effects from intervention (as and when observed) Outcome measured up to day 56 ± 4 | no estimate extracted | 1 study · 133 participants | Very low Downgraded: risk of bias, imprecision |
Transepidermal water loss (TEWL) Measured using temperature‐adjusted g/m²/h with the Tewameter TM 300 (Courage + Khazaka, Cologne, Germany) Hahnel 2017: measured at 56 ± 4 days Shishido 2017: measured 15 minutes after wiping the skin with a dry to... | no estimate extracted | 2 studies · 147 participants | Low Downgraded: risk of bias, imprecision |
Stratum corneum hydration (SCH) (at baseline and day 56 ± 4) Hahnel 2017: measured at 56 ± 4 days in mid‐volar arm and lower leg in arbitrary units from 0 (no water) to 120 (on water) using the Corneometer CM 825 Gillis 2016: measured at 12 weeks ... | no estimate extracted | 3 studies · 266 participants | Very low Downgraded: risk of bias, imprecision |
Erythema | no estimate extracted | NR | No studies |
Clinical score of dryness Hahnel 2017: measured at day 56 ± 4 using the Overall Dry Skin Score Boccanfuso 1978: measured after 10 applications using a non‐validated General Foot Condition Questionnaire including a Dryness Scale (1 = oily; 2 = norm... | no estimate extracted | 3 studies · 245 participants | Low Downgraded: risk of bias, imprecision |
Clinical score of itch | no estimate extracted | NR | No studies |