Evidence map›Paper›PMID 30560571›Full record

ArticleInternational wound journal2019

Evaluation of a fluidised positioner to reduce occipital pressure injuries in intensive care patients: A pilot study.

Michelle Barakat-Johnson, Michelle Lai, Amit Gefen, Fiona Coyer

Open access · greenAbstract read
In one paragraph

Article in International wound journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
7.5field-weighted citation impact, top 3% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 21 citations in OpenAlex.

  1. Trial
  2. Article
  3. Observational
  4. Article
  5. Observational
  6. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 3 institutions in 3 countries.

Michelle Barakat-JohnsonPressure Injury Prevention and Management, Sydney Local Health District, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0001-7764-4515
Michelle LaiCancer Nursing Research Unit, Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.ORCID https://orcid.org/0000-0002-3651-4797
Amit GefenDepartment of Biomedical Engineering, Faculty of Engineering, Tel Aviv University, Tel Aviv, Israel.ORCID https://orcid.org/0000-0002-0223-7218
Fiona CoyerFaculty of Health, School of Nursing, Queensland University of Technology and Intensive Care Services, Royal Brisbane & Women's Hospital, Brisbane, Queensland, Australia.ORCID https://orcid.org/0000-0002-8467-0081
The University of Sydney · AUTel Aviv University · ILUniversity of Huddersfield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This pilot study aimed to evaluate the clinical efficacy and feasibility of a fluidised positioning device to reduce occipital pressure injuries (PIs). A post-test design with a historical control group was used in a 54-bed intensive care unit between September 2017 and August 2018. Patients who were receiving either extracorporeal membrane oxygenation, were mechanically ventilated, or had raised intracranial pressure (≥20) were recruited. The intervention consisted of a fluidised positioning device under the patient's head, and a skin assessment every 8 h. Outcome measures included the occurrence of occipital PIs and registered nurses (RNs)' perspectives of the intervention. Data collected from patients in the intervention group were compared with data obtained from the historical control group between May 2016 and April 2017. Sixty-four patients were recruited in the intervention phase and 63 were in the historical control group. Results showed a statistically significant reduction in occipital PIs by 87.7% (16/63; 25.4% historical control vs 2/64; 3.13% interventional group). Bedside RNs provided positive evaluation of the fluidised positioning device. The findings demonstrate that the fluidised positioning device is a feasible and effective intervention in reducing the risk of occipital PIs in intensive care patients, which merits the continuation of use and further evaluation through a larger-scale study.

Indexed as

HeadAdultAgedAged, 80 and overAustraliaCritical CareEquipment DesignFemaleHumansMaleMiddle AgedOccipital LobePatient PositioningPilot ProjectsPressure UlcerStress, Mechanicalcritical caredeviceocciputpositionerpressure injury prevention

Identifiers

PMID30560571
PMCPMC7949333
OpenAlexW2905427674

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.