Management of Pressure Ulcers and Pressure-Related Injury

We examined which studies of available support surfaces, new and currently utilized wound dressings or any other treatment modalities have provided ev idence of any greater effectiveness than standard of care in the prevention of pressure injury and in promotion of pressure ulcer healing. Our objective is to provide healthcare providers with an assessment of the relative efficacy of the various interventions available to facilitate their decision- making in the healing of their patient’s pressure ulcers. Goals for pressure injury prevention or treatment, especially in the geriatric population, address repositioning for pressure redistribution and accurate diagnosis of wound etiology, including comorbidities in aging, cognition, care of agin g skin, and patient or family goals in care (healing versus palliation).Recent FindingsWe performed a literature search of the Cochrane Database of Systematic Reviews, Ovid Medline, and PubMed for published studies, reviews, and meta-analyses using the keywords pressure ulcer, pressure injury, wound care, bedsore, decubitus ulcers, and support surfaces. We also examined the reference lists of included studies to identify additional trials, position statements, guidelines, and reviews. We limited our review to English language publications between January 2008 and November 2018. We identified 36 studies for review. Despite this relatively large number of studies, there remains a disturbing lack of good-quality evidence regarding the effec...
Source: Current Physical Medicine and Rehabilitation Reports - Category: Rehabilitation Source Type: research