ReviewIndian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine2025
Prophylactic Sacral Dressing in Prevention of Pressure Injury among ICU Patients: A Systematic Review and Meta-analysis.
Review in Indian journal of critical care medicine : peer-reviewed, official publication of Indian Society of Critical Care Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
Background and aims: Pressure injury (PI) is a common problem among patients admitted to intensive care units (ICUs). Sacral PI, a specific type of PI, leads to serious complications, thereby reducing the quality of life, increasing morbidity, mortality, and financial cost on patients and the healthcare system. This study aimed determine the efficacy of prophylactic sacral dressings (PSD) in reducing PI among ICU patients. Methods: PRISMA guidelines were followed. Relevant studies were electronically searched from databases, including PubMed, Scopus, and through supplementary sources such as the Wiley Online Library and Google Scholar. Three reviewers extracted the studies and performed quality assessment of the selected studies. Disagreements were resolved by consultation with the fourth reviewer. Results: A total of seven randomized controlled trials (RCTs), involving 3,735 patients, were included. Among them, 2,144 received PSD and 1,591 received standard care. The risk of bias in the included studies was low and considered acceptable. The pooled odds ratio (95% CI) for our binary outcomes was calculated. A significant decrease in sacral PI rate ( Conclusion: The use of PSD led to a notable decrease in sacral PI rate, including ≥ stage II sacral PI among the ICU patients. Further studies with larger sample sizes and specific ICU populations are recommended to confirm these findings. How to cite this article: Bhutia SY, Saini SK, Jat MS, Balai MK. Prophylactic Sacral Dressing in Prevention of Pressure Injury among ICU Patients: A Systematic Review and Meta-analysis. Indian J Crit Care Med 2025;29(9):771-778.
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