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Electrical stimulation for treating pressure ulcers.

Mohit Arora1,2, Lisa A Harvey1,2, Joanne V Glinsky1,2

  • 1Northern Sydney Local Health District, Kolling Institute of Medical Research, Reserve Road, St Leonards, NSW, Australia, 2065.

The Cochrane Database of Systematic Reviews
|January 22, 2020
PubMed
Summary
This summary is machine-generated.

Electrical stimulation (ES) likely improves pressure ulcer healing rates and the proportion of healed ulcers. However, its effectiveness on healing time and surface area remains uncertain, warranting further research.

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Area of Science:

  • Wound healing research
  • Biomedical engineering
  • Clinical trials

Background:

  • Pressure ulcers, also known as bedsores, are localized skin injuries resulting from immobility.
  • Electrical stimulation (ES) is a common treatment for pressure ulcers, but its efficacy is debated.

Purpose of the Study:

  • To evaluate the benefits and harms of electrical stimulation (ES) in treating pressure ulcers.
  • To synthesize evidence from randomized controlled trials on ES for pressure ulcer management.

Main Methods:

  • Systematic search of multiple databases (Cochrane Wounds, CENTRAL, MEDLINE, Embase, CINAHL) and trial registries.
  • Inclusion of 20 randomized controlled trials (RCTs) involving 913 participants comparing ES plus standard care with sham/no ES.
  • Independent data extraction and risk of bias assessment, with evidence certainty evaluated using GRADE methodology.

Main Results:

  • Electrical stimulation (ES) probably increases the proportion of healed pressure ulcers (moderate certainty evidence).
  • ES likely enhances the weekly healing rate of pressure ulcers (moderate certainty evidence).
  • Evidence is uncertain regarding ES's impact on pressure ulcer severity, surface area reduction, and time to complete healing (very low to low certainty).

Conclusions:

  • Electrical stimulation (ES) shows probable benefits in healing pressure ulcers but lacks certainty for other key outcomes.
  • Current evidence is insufficient to support widespread ES use for pressure ulcers beyond research settings.
  • Future large-scale trials are needed to clarify the effects of ES on all critical pressure ulcer healing parameters.