Cochrane · systematic review · CD012132
Organisation of health services for preventing and treating pressure ulcers
Joyce, P, Moore, ZEH, Christie, J · Cochrane Database of Systematic Reviews · 2018 · 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
14
current version
GRADE rated
13
No studies
1
Included studies
NR
No studies 1 · 7.1%Ungraded 0 · 0%Very low 13 · 92.9%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
Transmural care versus usual follow‐up care for preventing pressure ulcers
Population: people with spinal cord injury receiving rehabilitation treatment for the first time
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pressure ulcer incidence rate Transmural care vs usual follow‐up care | RR 0.93 [0.53, 1.64] | 1 study · 62 participants | Very low Downgraded: risk of bias, imprecision |
Adverse events: readmission to clinical rehabilitation Transmural care vs usual follow‐up care | RR 2 [0.19, 20.93] | 1 study · 62 participants | Very low Downgraded: risk of bias, imprecision |
Hospital‐in‐the‐home versus hospital admission for preventing pressure ulcers
Population: people requiring admission to hospital
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pressure ulcer incidence rate Hospital‐in‐the‐home vs hospital admission | RR 0.32 [0.03, 2.98] | 1 study · 100 participants | Very low Downgraded: risk of bias, imprecision |
Adverse events: death Hospital‐in‐the‐home vs hospital admission | RR 0.72 [0.17, 3.06] | 1 study · 100 participants | Very low Downgraded: risk of bias, imprecision |
Adverse events: hospital readmission; Hospital‐in‐the‐home vs hospital admission | RR 0.58 [0.15, 2.28] | 1 study · 100 participants | Very low Downgraded: risk of bias, imprecision |
Enhanced multidisciplinary team (EMDT) versus usual care for preventing and treating pressure ulcers
Population: people with pressure ulcers residing in long‐term‐care facilities
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Pressure ulcer incidence rate Enhanced multidisciplinary team (EMDT) vs usual care | HR 1.12 [0.74, 1.68] | 1 study · 161 participants | Very low Downgraded: risk of bias, imprecision |
Number of pressure ulcers healed Enhanced multidisciplinary team (EMDT) vs usual care | RR 1.69 [1, 2.87] | 1 study · 161 participants | Very low Downgraded: risk of bias, imprecision |
Reduction in pressure ulcer surface area Enhanced multidisciplinary team (EMDT) vs usual care | no estimate extracted | 1 study · 161 participants | Very low Downgraded: risk of bias, imprecision |
Time to complete healing Enhanced multidisciplinary team (EMDT) vs usual care | HR 1.48 [0.79, 2.78] | 1 study · 161 participants | Very low Downgraded: risk of bias, imprecision |
Adverse events: hospital admission Enhanced multidisciplinary team (EMDT) vs usual care | no estimate extracted | 1 study · 161 participants | Very low Downgraded: risk of bias, imprecision |
Adverse events: ED visits Enhanced multidisciplinary team (EMDT) vs usual care | no estimate extracted | 1 study · 161 participants | Very low Downgraded: risk of bias, imprecision |
Multidisciplinary wound care versus usual care for treating pressure ulcers
Population: people who were resident in nursing homes
| Outcome | Effect | Evidence | Status / GRADE |
|---|---|---|---|
Number of pressure ulcers healed; Multidisciplinary wound care vs usual care | RR 1.18 [0.98, 1.42] | 1 study · 176 participants | Very low Downgraded: risk of bias, imprecision |
Time to complete healing Multidisciplinary wound care vs usual care | HR 1.73 [1.2, 2.5] | 1 study · 176 participants | Very low Downgraded: risk of bias, imprecision |
Adverse events Multidisciplinary wound care vs usual care | no estimate extracted | NR | No studies |