Evidence map›Paper›PMID 35055583›Full record

ReviewInternational journal of environmental research and public health2022

Risk Factors for Pressure Injuries in Adult Patients: A Narrative Synthesis.

Man-Long Chung, Manuel Widdel, Julian Kirchhoff, Julia Sellin, Mohieddine Jelali, Franziska Geiser, Martin Mücke, Rupert Conrad

Open access · goldAbstract readReview
In one paragraph

Review in International journal of environmental research and public health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
37.2field-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.

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

37 citing papers in PubMed, 85 citations in OpenAlex.

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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

8 authors at 3 institutions in 1 country.

Man-Long ChungDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, 53127 Bonn, Germany.
Manuel WiddelInstitute of Product Development and Engineering De sign, Technische Hochschule Köln, 50679 Cologne, Germany.
Julian KirchhoffInstitute of Product Development and Engineering De sign, Technische Hochschule Köln, 50679 Cologne, Germany.
Julia SellinDepartment of Digitalization and General Practice, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Mohieddine JelaliInstitute of Product Development and Engineering De sign, Technische Hochschule Köln, 50679 Cologne, Germany.
Franziska GeiserDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, 53127 Bonn, Germany.ORCID 0000-0002-4212-9692
Martin MückeDepartment of Digitalization and General Practice, University Hospital RWTH Aachen, 52074 Aachen, Germany.
Rupert ConradDepartment of Psychosomatic Medicine and Psychotherapy, University Hospital Bonn, 53127 Bonn, Germany.
TH Köln - University of Applied Sciences · DEUniversity Hospital Bonn · DERWTH Aachen University · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pressure injuries remain a serious health complication for patients and nursing staff. Evidence from the past decade has not been analysed through narrative synthesis yet. PubMed, Embase, CINAHL Complete, Web of Science, Cochrane Library, and other reviews/sources were screened. Risk of bias was evaluated using a slightly modified QUIPS tool. Risk factor domains were used to assign (non)statistically independent risk factors. Hence, 67 studies with 679,660 patients were included. In low to moderate risk of bias studies, non-blanchable erythema reliably predicted pressure injury stage 2. Factors influencing mechanical boundary conditions, e.g., higher interface pressure or BMI < 18.5, as well as factors affecting interindividual susceptibility (male sex, older age, anemia, hypoalbuminemia, diabetes, hypotension, low physical activity, existing pressure injuries) and treatment-related aspects, such as length of stay in intensive care units, were identified as possible risk factors for pressure injury development. Health care professionals' evidence-based knowledge of above-mentioned risk factors is vital to ensure optimal prevention and/or treatment. Openly accessible risk factors, e.g., sex, age, BMI, pre-existing diabetes, and non-blanchable erythema, can serve as yellow flags for pressure injury development. Close communication concerning further risk factors, e.g., anemia, hypoalbuminemia, or low physical activity, may optimize prevention and/or treatment. Further high-quality evidence is warranted.

Indexed as

Intensive Care UnitsPressure UlcerAdultHealth PersonnelHumansMaleRisk Factorsnarrative synthesispressure injurypreventionrisk factorssystematic reviewtreatment

Identifiers

PMID35055583
PMCPMC8776011
OpenAlexW4206144318

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.