Cochrane · systematic review · CD011947
Dressings and topical agents for treating pressure ulcers
Westby, MJ, Dumville, JC, Soares, MO, 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
19
current version
GRADE rated
18
No studies
1
Included studies
NR
No studies 1 · 5.3%Ungraded 0 · 0%Very low 13 · 68.4%Low 4 · 21.1%Moderate 1 · 5.3%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
NMA evidence for individual network: proportion with complete healing ‐ interventions versus saline gauze
Population: people with pressure ulcers
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Contrasts: interventions versus saline gauze NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | no estimate extracted | NR | No studies |
Alginate dressings NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 1.09 [0.11, 10.57] | NR | Very low Downgraded: risk of bias, imprecision |
Sequential hydrocolloid alginate dressings NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 0.5 [0.12, 1.98] | NR | Very low Downgraded: risk of bias, imprecision |
Basic wound contact dressings NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 1.3 [0.65, 2.58] | NR | Low Downgraded: imprecision |
Collagenase ointment NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 2.12 [1.06, 4.22] | NR | Low Downgraded: risk of bias, imprecision |
Dextranomer NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 4.76 [0.86, 26.39] | NR | Very low Downgraded: risk of bias, imprecision |
Foam dressings NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 1.52 [1.03, 2.26] | NR | Low Downgraded: risk of bias, imprecision |
Hydrocolloid dressing with/without alginate NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 1.22 [0.06, 24.74] | NR | Very low Downgraded: risk of bias, imprecision |
Hydrocolloid dressings NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 1.43 [1, 2.05] | NR | Very low Downgraded: risk of bias, imprecision, inconsistency |
Hydrogel NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 1.55 [1.02, 2.36] | NR | Very low Downgraded: risk of bias, imprecision, inconsistency |
Iodine‐containing dressings NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 1.08 [0.58, 2.03] | NR | Very low Downgraded: risk of bias, imprecision |
Phenytoin NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 1.27 [0.58, 2.8] | NR | Very low Downgraded: risk of bias, imprecision, inconsistency, indirectness |
Protease‐modulating dressings NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 1.65 [0.92, 2.94] | NR | Moderate Downgraded: imprecision |
Polyvinylpyrrolidone + zinc oxide NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 1.31 [0.37, 4.62] | NR | Low Downgraded: imprecision |
Combination silicone foam dressings NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 1.93 [0.38, 9.98] | NR | Very low Downgraded: risk of bias, imprecision |
Soft polymer dressings NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 1.35 [0.55, 3.27] | NR | Very low Downgraded: risk of bias, imprecision |
Sugar + egg white NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 0.7 [0.03, 15.62] | NR | Very low Downgraded: risk of bias, imprecision |
Tripeptide copper gel NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 3.9 [1.04, 14.63] | NR | Very low Downgraded: risk of bias, imprecision |
Vapour‐permeable dressings NMA evidence for individual network: proportion with complete healing ‐ interventions vs saline gauze | RR 1.45 [0.74, 2.81] | NR | Very low Downgraded: risk of bias, imprecision |