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Efficacy of different types of dressings on pressure injuries: Systematic review and network meta‐analysis

AIM: To investigate the effectiveness of different dressings on pressure injuries and screen the dressings for efficacy. DESIGN: Systematic review and network meta‐analysis. METHODS: Articles published from several electronic databases and other resources were selected. Two reviewers independently s...

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Autores principales: Zhang, Chunjin, Zhang, Shu, Wu, Bo, Zou, Kang, Chen, Hong
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10416006/
https://www.ncbi.nlm.nih.gov/pubmed/37386783
http://dx.doi.org/10.1002/nop2.1867
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author Zhang, Chunjin
Zhang, Shu
Wu, Bo
Zou, Kang
Chen, Hong
author_facet Zhang, Chunjin
Zhang, Shu
Wu, Bo
Zou, Kang
Chen, Hong
author_sort Zhang, Chunjin
collection PubMed
description AIM: To investigate the effectiveness of different dressings on pressure injuries and screen the dressings for efficacy. DESIGN: Systematic review and network meta‐analysis. METHODS: Articles published from several electronic databases and other resources were selected. Two reviewers independently selected studies, extracted data and assessed the quality of selected studies. RESULTS: Twenty‐five studies that contained data on moist dressings (hydrocolloidal dressing, foam dressing, silver ion dressing, biological wound dressing, hydrogel dressing, polymeric membrane dressing) and sterile gauze dressings (traditional gauze dressings) were included. All RCTs were at a medium to high risk of bias. Moist dressings were found to be more advantageous than the traditional dressings. Hydrocolloid dressings [RR = 1.38, 95% CI (1.18, 1.60)] showed a higher cure rate than sterile gauze dressing and foam dressings [RR = 1.37, 95% CI (1.16, 1.61)]. Silver ion dressings [RR = l.37, 95% CI (1.08, 1. 73)] showed a higher cure rate than sterile gauze dressings. Sterile gauze dressing dressings [RR = 0.51, 95% CI (0.44, 0.78)] showed a lower cure rate compared with polymeric membrane dressings; whereas Sterile gauze dressing dressings [RR = 0.80, 95% CI (0.47, 1.37)] had a lower cure rate compared to biological wound dressings. Foam and hydrocolloid dressings were associated with the least healing time. Few dressing changes were required for moist dressings.
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spelling pubmed-104160062023-08-12 Efficacy of different types of dressings on pressure injuries: Systematic review and network meta‐analysis Zhang, Chunjin Zhang, Shu Wu, Bo Zou, Kang Chen, Hong Nurs Open Meta‐analysis AIM: To investigate the effectiveness of different dressings on pressure injuries and screen the dressings for efficacy. DESIGN: Systematic review and network meta‐analysis. METHODS: Articles published from several electronic databases and other resources were selected. Two reviewers independently selected studies, extracted data and assessed the quality of selected studies. RESULTS: Twenty‐five studies that contained data on moist dressings (hydrocolloidal dressing, foam dressing, silver ion dressing, biological wound dressing, hydrogel dressing, polymeric membrane dressing) and sterile gauze dressings (traditional gauze dressings) were included. All RCTs were at a medium to high risk of bias. Moist dressings were found to be more advantageous than the traditional dressings. Hydrocolloid dressings [RR = 1.38, 95% CI (1.18, 1.60)] showed a higher cure rate than sterile gauze dressing and foam dressings [RR = 1.37, 95% CI (1.16, 1.61)]. Silver ion dressings [RR = l.37, 95% CI (1.08, 1. 73)] showed a higher cure rate than sterile gauze dressings. Sterile gauze dressing dressings [RR = 0.51, 95% CI (0.44, 0.78)] showed a lower cure rate compared with polymeric membrane dressings; whereas Sterile gauze dressing dressings [RR = 0.80, 95% CI (0.47, 1.37)] had a lower cure rate compared to biological wound dressings. Foam and hydrocolloid dressings were associated with the least healing time. Few dressing changes were required for moist dressings. John Wiley and Sons Inc. 2023-06-29 /pmc/articles/PMC10416006/ /pubmed/37386783 http://dx.doi.org/10.1002/nop2.1867 Text en © 2023 The Authors. Nursing Open published by John Wiley & Sons Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Meta‐analysis
Zhang, Chunjin
Zhang, Shu
Wu, Bo
Zou, Kang
Chen, Hong
Efficacy of different types of dressings on pressure injuries: Systematic review and network meta‐analysis
title Efficacy of different types of dressings on pressure injuries: Systematic review and network meta‐analysis
title_full Efficacy of different types of dressings on pressure injuries: Systematic review and network meta‐analysis
title_fullStr Efficacy of different types of dressings on pressure injuries: Systematic review and network meta‐analysis
title_full_unstemmed Efficacy of different types of dressings on pressure injuries: Systematic review and network meta‐analysis
title_short Efficacy of different types of dressings on pressure injuries: Systematic review and network meta‐analysis
title_sort efficacy of different types of dressings on pressure injuries: systematic review and network meta‐analysis
topic Meta‐analysis
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10416006/
https://www.ncbi.nlm.nih.gov/pubmed/37386783
http://dx.doi.org/10.1002/nop2.1867
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