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Support surfaces for pressure ulcer prevention: A network meta-analysis.

Chunhu Shi1, Jo C Dumville1, Nicky Cullum1,2

  • 1Division of Nursing, Midwifery & Social Work, School of Health Sciences, Faculty of Biology, Medicine & Health, University of Manchester, Manchester Academic Health Science Centre, Manchester, United Kingdom.

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|February 24, 2018
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Summary
This summary is machine-generated.

Powered active air surfaces likely reduce pressure ulcer incidence but may be less comfortable than standard hospital surfaces. More research is needed due to low certainty evidence for most support surfaces.

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Area of Science:

  • Medical technology
  • Clinical effectiveness research
  • Patient safety

Background:

  • Pressure ulcers represent a significant global health challenge.
  • Support surfaces are crucial for preventing pressure ulceration.
  • Limited comparative data on diverse support surfaces complicates clinical decision-making.

Purpose of the Study:

  • To conduct a network meta-analysis comparing the effectiveness of various support surfaces for preventing pressure ulcers.
  • To evaluate the impact of different support surfaces on patient comfort.
  • To rank support surfaces based on their efficacy in reducing pressure ulcer incidence.

Main Methods:

  • A systematic review and network meta-analysis of 65 randomized trials were performed.
  • Support surfaces were grouped by characteristics to form evidence networks.
  • Data on pressure ulcer incidence and participant comfort were extracted and analyzed using network meta-analysis and GRADE criteria.

Main Results:

  • Powered active air surfaces and powered hybrid air surfaces showed moderate-certainty evidence for reducing pressure ulcer incidence compared to standard hospital surfaces.
  • Evidence for pressure ulcer incidence was low or very low for most comparisons.
  • Powered active air surfaces were associated with slightly lower comfort levels compared to standard hospital mattresses (moderate-certainty evidence).

Conclusions:

  • Powered active air surfaces appear effective in reducing pressure ulcer incidence but may compromise patient comfort.
  • The certainty of evidence for most support surfaces in pressure ulcer prevention is low to very low.
  • Further research is necessary to clarify the comparative effectiveness and optimal use of support surfaces for pressure ulcer prevention.