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Emerging Technologies for the Prevention of Pressure Ulcers in Acute Care Settings: A Review of Clinical and Cost-Effectiveness and Guidelines

Published on: September 12, 2016
Project Number: RC0809-000
Product Line: Rapid Response
Research Type: Devices and Systems
Report Type: Summary with Critical Appraisal
Result type: Report

Question

  1. What is the clinical effectiveness of emerging technologies when used alone, or in combination with established interventions, for the prevention of pressure ulcers in acute care settings?
  2. What is the clinical effectiveness of emerging technologies when used alone, or in combination with established interventions, for the prevention of pressure ulcers in the operating room?
  3. What is the cost-effectiveness of emerging technologies when used alone, or in combination with established interventions, for the prevention of pressure ulcers in acute care settings?
  4. What are the evidence-based guidelines regarding the use of emerging technologies when used alone, or in combination with established interventions, for the prevention of pressure ulcers in acute care settings?

Key Message

One systematic review and one randomized controlled trial were identified regarding the clinical effectiveness of emerging interventions for the prevention of pressure ulcers in acute care settings. Findings of the systematic review which focused on pressure ulcer prevention using electrical stimulation of the muscles in persons with spinal cord injury were inconclusive; however, results of one randomized controlled trials revealed that prophylactic polyurethane film dressings may be effective in preventing pressures sores in individuals without existing skin or tissue damage. One evidence-based guideline was identified relating to emerging technologies for the prevention of pressure ulcers in acute care settings; recommended practices include microclimate manipulation, prophylactic dressings, silk-like fabrics designed to reduce shear and friction, and electrical stimulation of the muscles in individuals with spinal cord injury. No published literature was identified relating to the cost-effectiveness of emerging interventions for the prevention of pressure ulcers in acute care setting or regarding the clinical effectiveness of emerging preventive strategies in the operating room.

Tags

dermatology, hydrogels, microclimate, pressure ulcer, silk, bed sore, bed sores, skin lesion, skin lesions, decubitis, decubitus, Prevention, preventing, preventive