Evidence map›Paper›PMID 31264345›Full record

SynthesisInternational wound journal2019

Effectiveness on hospital-acquired pressure ulcers prevention: a systematic review.

Susana Gaspar, Miguel Peralta, Adilson Marques, Aglécia Budri, Margarida Gaspar de Matos

Registry-linked trialOpen access · greenAbstract readMeta-AnalysisSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in International wound journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05144646 (Peripheral Tissue Perfusion and Oxygenation in Areas at Risk of Deterioration of Skin Integrity Subjected to Treatment With Hyperoxygenated Fatty Acids vs Virgin Olive Oil), which is not on this map. Cited by 53 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed, 6 pooled it
23.7field-weighted citation impact, top 1% 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.

NCT05144646 naunknown statusnot on this mapstarted 2022, after this paper: background citation

Peripheral Tissue Perfusion and Oxygenation in Areas at Risk of Deterioration of Skin Integrity Subjected to Treatment With Hyperoxygenated Fatty Acids vs Virgin Olive Oil

TypeinterventionalSponsorJOSE MIGUEL MORALES ASENCIORan2022 to 2024Enrolled46ConditionsPressure UlcerArmsMEPENTOL® AND FARMAOLIVA® IN HEALTHY WITH INTRASUBJECT CONTROL, MEPENTOL® AND FARMAOLIVA® IN PATIENTS WITH INTRASUBJECT CONTROL
3 · Its place in the literature

Who cites it

53 citing papers in PubMed, 6 syntheses or guidelines pooled it, 128 citations in OpenAlex.

  1. Pooled it
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  4. Dressings and topical agents for preventing pressure ulcers.The Cochrane database of systematic reviews · 2024
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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

5 authors at 2 institutions in 2 countries.

Susana GasparFaculty of Human Kinetics, Aventura Social, University of Lisbon, Lisbon, Portugal.ORCID https://orcid.org/0000-0002-0494-6771
Miguel PeraltaFaculty of Human Kinetics, Aventura Social, University of Lisbon, Lisbon, Portugal.ORCID https://orcid.org/0000-0001-6072-6012
Adilson MarquesFaculty of Human Kinetics, Aventura Social, University of Lisbon, Lisbon, Portugal.ORCID https://orcid.org/0000-0001-9850-7771
Aglécia BudriSchool of Nursing and Midwifery, Royal College of Surgeons in Ireland, Dublin, Ireland.ORCID https://orcid.org/0000-0002-0741-9926
Margarida Gaspar de MatosFaculty of Human Kinetics, Aventura Social, University of Lisbon, Lisbon, Portugal.ORCID https://orcid.org/0000-0003-2114-2350
University of Lisbon · PTRoyal College of Surgeons in Ireland · IE

Funding

Fundação para a Ciência e a Tecnologia SFRH/BD/122219/2016Universidade de Lisboa BD609/2016
6 · The paper itself

Abstract

The effective approach on pressure ulcer (PU) prevention regarding patient safety in the hospital context was evaluated. Studies were identified from searches in EBSCO host, PubMed, and WebofScience databases from 2009 up to December 2018. Studies were selected if they were published in English, French, Portuguese, or Spanish; incidence of PUs was the primary outcome; participants were adults (≥18 years) admitted in hospital wards and/or units. The review included 26 studies. Studies related to prophylactic dressings applied in the sacrum, trochanters, and/or heels, education for health care professionals, and preventive skin care and system reminders on-screen inpatient care plan were effective in decreasing PUs. Most of the studies related to multiple intervention programmes were effective in decreasing PU occurrence. Single interventions, namely support surfaces and repositioning, were not always effective in preventing PUs. Repositioning only was effective when supported by technological pressure-mapping feedback or by a patient positioning system. Risk-assessment tools are not effective in preventing PUs. PUs in the hospital context are still a worldwide issue related to patient safety. Multiple intervention programmes were more effective in decreasing PU occurrence than single interventions in isolation. Single interventions (prophylactic dressings, support surfaces, repositioning, preventive skin care, system reminders, and education for health care professionals) were effective in decreasing PUs, which was always in compliance with other preventive measures. These results provide an overview of effective approaches that should be considered when establishing evidence-based guidelines to hospital health care professionals and administrators for clinical practice effective in preventing PUs.

Indexed as

Practice Guidelines as TopicAdministration, TopicalBandagesCase-Control StudiesDermatologic AgentsFemaleFollow-Up StudiesHospitalizationHumansInpatientsMalePatient PositioningPressure UlcerPrimary PreventionRandomized Controlled Trials as TopicSeverity of Illness IndexDermatologic Agentseffectivenesshospital-acquired pressure ulcerspatient safetypressure injuryprevention

Identifiers

PMID31264345
PMCPMC7948629
OpenAlexW2956105748

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.