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Medical device-related pressure ulcers: A systematic review and meta-analysis
Debra Jackson1, Ahmed M Sarki2, Ria Betteridge3
1University of Technology Sydney, Australia; Oxford Health NHS Foundation Trust, UK.
International Journal of Nursing Studies
|February 21, 2019
Summary
Medical device-related pressure injuries affect 10-12% of patients. Respiratory devices, cervical collars, and tubing are common culprits, highlighting a significant patient safety concern in healthcare.
Area of Science:
- Healthcare Quality and Patient Safety
- Medical Device Innovation and Risk Management
- Epidemiology of Hospital-Acquired Conditions
Background:
- Medical device-related pressure injuries (MDRPIs) are a significant indicator of patient safety and nursing quality.
- These injuries can negatively impact patient well-being and increase healthcare costs for patients and providers.
- Existing literature lacks comprehensive, up-to-date estimates on the prevalence and incidence of MDRPIs.
Purpose of the Study:
- To conduct a systematic review and meta-analysis of observational studies on MDRPIs.
- To identify medical devices most frequently associated with the development of pressure injuries.
- To provide current estimates of MDRPI incidence and prevalence.
Main Methods:
- Systematic review adhering to Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) guidelines.
- Comprehensive literature search across multiple databases (AMED, CINAHL, MEDLINE, PsycINFO, Web of Science, etc.) up to December 2018.
- Meta-analysis using random-effects models to pool incidence and prevalence data; risk of bias assessed using Newcastle-Ottawa scale.
Main Results:
- Included 29 studies (17 cross-sectional, 12 cohort) with data from 126,150 patients.
- Pooled incidence of MDRPIs was 12% (95% CI 8-18) and pooled prevalence was 10% (95% CI 6-16).
- Commonly implicated devices include respiratory devices, cervical collars, tubing, splints, and intravenous catheters. High heterogeneity was noted.
Conclusions:
- MDRPIs represent a significant public health issue, impacting patient well-being and healthcare expenditures.
- Findings underscore the need for enhanced reporting and risk assessment strategies for MDRPIs.
- Further research is essential to develop effective prevention and management strategies.
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