Cochrane · systematic review · CD013622

Reactive air surfaces for preventing pressure ulcers

Shi, C, Dumville, JC, Cullum, N, et al. · Cochrane Database of Systematic Reviews · 2021 · 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
24
current version
GRADE rated
8
No studies
16
Included studies
NR
No studies 16 · 66.7%Ungraded 0 · 0%Very low 6 · 25%Low 2 · 8.3%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

Reactive air surfaces compared with alternating pressure (active) air surfaces for pressure ulcer prevention

Population: pressure ulcer prevention
6 questions
OutcomeEffectEvidenceStatus / GRADE
Proportion of participants developing a new pressure ulcer
Reactive air surfaces vs alternating pressure (active) air surfaces
RR 0.62 [0.35, 1.11]6 studies · 1648 participantsVery low
Downgraded: risk of bias, imprecision
Time to pressure ulcer incidence
Reactive air surfaces vs alternating pressure (active) air surfaces
HR 0.44 [0.21, 0.96]1 study · 308 participantsLow
Downgraded: risk of bias
Support surface associated patient comfort (median
Reactive air surfaces vs alternating pressure (active) air surfaces
no estimate extracted4 studies · 1364 participantsVery low
Downgraded: risk of bias, imprecision, inconsistency
All reported adverse events
Reactive air surfaces vs alternating pressure (active) air surfaces
no estimate extractedNRNo studies
Health‐related quality of life
Reactive air surfaces vs alternating pressure (active) air surfaces
no estimate extractedNRNo studies
Cost‐effectiveness
Reactive air surfaces vs alternating pressure (active) air surfaces
no estimate extractedNRNo studies

Reactive air surfaces compared with foam surfaces for pressure ulcer prevention

Population: pressure ulcer prevention
6 questions
OutcomeEffectEvidenceStatus / GRADE
Proportion of participants developing a new pressure ulcer
Reactive air surfaces vs foam surfaces
RR 0.42 [0.18, 0.96]4 studies · 229 participantsLow
Downgraded: risk of bias, imprecision
Time to pressure ulcer incidence
Reactive air surfaces vs foam surfaces
no estimate extractedNRNo studies
Support surface associated patient comfort
Reactive air surfaces vs foam surfaces
no estimate extracted1 study · 72 participantsVery low
Downgraded: risk of bias, imprecision
All reported adverse events
Reactive air surfaces vs foam surfaces
no estimate extracted1 study · 72 participantsVery low
Downgraded: risk of bias, imprecision
Health‐related quality of life
Reactive air surfaces vs foam surfaces
no estimate extractedNRNo studies
Cost‐effectiveness
Reactive air surfaces vs foam surfaces
no estimate extractedNRNo studies

Reactive air surfaces compared with reactive water surfaces for pressure ulcer prevention

Population: pressure ulcer prevention
6 questions
OutcomeEffectEvidenceStatus / GRADE
Proportion of participants developing a new pressure ulcer
Reactive air surfaces vs reactive water surfaces
RR 0.43 [0.04, 4.29]1 study · 37 participantsVery low
Downgraded: risk of bias, imprecision
Time to pressure ulcer incidence
Reactive air surfaces vs reactive water surfaces
no estimate extractedNRNo studies
Support surface associated patient comfort
Reactive air surfaces vs reactive water surfaces
no estimate extractedNRNo studies
All reported adverse events
Reactive air surfaces vs reactive water surfaces
no estimate extractedNRNo studies
Health‐related quality of life
Reactive air surfaces vs reactive water surfaces
no estimate extractedNRNo studies
Cost‐effectiveness
Reactive air surfaces vs reactive water surfaces
no estimate extractedNRNo studies

Reactive air surfaces compared with reactive gel surfaces for pressure ulcer prevention

Population: pressure ulcer prevention
6 questions
OutcomeEffectEvidenceStatus / GRADE
Proportion of participants developing a new pressure ulcer
Reactive air surfaces vs reactive gel surfaces
RR 1.25 [0.56, 2.77]1 study · 66 participantsVery low
Downgraded: risk of bias, imprecision
Time to pressure ulcer incidence
Reactive air surfaces vs reactive gel surfaces
no estimate extractedNRNo studies
Support surface associated patient comfort
Reactive air surfaces vs reactive gel surfaces
no estimate extractedNRNo studies
All reported adverse events
Reactive air surfaces vs reactive gel surfaces
no estimate extractedNRNo studies
Health‐related quality of life
Reactive air surfaces vs reactive gel surfaces
no estimate extractedNRNo studies
Cost‐effectiveness
Reactive air surfaces vs reactive gel surfaces
no estimate extractedNRNo studies