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Support surfaces for intraoperative pressure injury prevention: systematic review with meta-analysis*

OBJECTIVE: to evaluate evidence on effectiveness support surfaces for pressure injury prevention in the intraoperative period. METHOD: systematic review. The search for primary studies was conducted in seven databases. The sample consisted of 10 studies. The synthesis of the results was carried out...

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Autores principales: Prado, Carolina Beatriz Cunha, Machado, Elaine Alves Silva, Mendes, Karina Dal Sasso, Silveira, Renata Cristina de Campos Pereira, Galvão, Cristina Maria
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584934/
https://www.ncbi.nlm.nih.gov/pubmed/34755774
http://dx.doi.org/10.1590/1518-8345.5279.3493
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author Prado, Carolina Beatriz Cunha
Machado, Elaine Alves Silva
Mendes, Karina Dal Sasso
Silveira, Renata Cristina de Campos Pereira
Galvão, Cristina Maria
author_facet Prado, Carolina Beatriz Cunha
Machado, Elaine Alves Silva
Mendes, Karina Dal Sasso
Silveira, Renata Cristina de Campos Pereira
Galvão, Cristina Maria
author_sort Prado, Carolina Beatriz Cunha
collection PubMed
description OBJECTIVE: to evaluate evidence on effectiveness support surfaces for pressure injury prevention in the intraoperative period. METHOD: systematic review. The search for primary studies was conducted in seven databases. The sample consisted of 10 studies. The synthesis of the results was carried out descriptively and through meta-analysis. RESULTS: when comparing low-tech support surfaces with regular care (standard surgical table mattress), the meta-analysis showed that there is no statistically significant difference between the investigated interventions (Relative Risk = 0.88; 95%CI: 0.30-2.39). The Higgins inconsistency test indicated considerable heterogeneity between studies (I(2) = 83%). The assessment of the certainty of the evidence was very low. When comparing high-tech and low-tech support surfaces, the meta-analysis showed that there is a statistically significant difference between the interventions studied, with high-tech being the most effective (Relative Risk = 0.17; 95%CI: 0.05-0.53). Heterogeneity can be classified as not important (I(2) = 0%). The assessment of certainty of evidence was moderate. CONCLUSION: the use of high-tech support surfaces is an effective measure to prevent pressure injuries in the intraoperative period.
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spelling pubmed-85849342021-11-17 Support surfaces for intraoperative pressure injury prevention: systematic review with meta-analysis* Prado, Carolina Beatriz Cunha Machado, Elaine Alves Silva Mendes, Karina Dal Sasso Silveira, Renata Cristina de Campos Pereira Galvão, Cristina Maria Rev Lat Am Enfermagem Review Article OBJECTIVE: to evaluate evidence on effectiveness support surfaces for pressure injury prevention in the intraoperative period. METHOD: systematic review. The search for primary studies was conducted in seven databases. The sample consisted of 10 studies. The synthesis of the results was carried out descriptively and through meta-analysis. RESULTS: when comparing low-tech support surfaces with regular care (standard surgical table mattress), the meta-analysis showed that there is no statistically significant difference between the investigated interventions (Relative Risk = 0.88; 95%CI: 0.30-2.39). The Higgins inconsistency test indicated considerable heterogeneity between studies (I(2) = 83%). The assessment of the certainty of the evidence was very low. When comparing high-tech and low-tech support surfaces, the meta-analysis showed that there is a statistically significant difference between the interventions studied, with high-tech being the most effective (Relative Risk = 0.17; 95%CI: 0.05-0.53). Heterogeneity can be classified as not important (I(2) = 0%). The assessment of certainty of evidence was moderate. CONCLUSION: the use of high-tech support surfaces is an effective measure to prevent pressure injuries in the intraoperative period. Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo 2021-11-08 /pmc/articles/PMC8584934/ /pubmed/34755774 http://dx.doi.org/10.1590/1518-8345.5279.3493 Text en Copyright © 2021 Revista Latino-Americana de Enfermagem https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review Article
Prado, Carolina Beatriz Cunha
Machado, Elaine Alves Silva
Mendes, Karina Dal Sasso
Silveira, Renata Cristina de Campos Pereira
Galvão, Cristina Maria
Support surfaces for intraoperative pressure injury prevention: systematic review with meta-analysis*
title Support surfaces for intraoperative pressure injury prevention: systematic review with meta-analysis*
title_full Support surfaces for intraoperative pressure injury prevention: systematic review with meta-analysis*
title_fullStr Support surfaces for intraoperative pressure injury prevention: systematic review with meta-analysis*
title_full_unstemmed Support surfaces for intraoperative pressure injury prevention: systematic review with meta-analysis*
title_short Support surfaces for intraoperative pressure injury prevention: systematic review with meta-analysis*
title_sort support surfaces for intraoperative pressure injury prevention: systematic review with meta-analysis*
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8584934/
https://www.ncbi.nlm.nih.gov/pubmed/34755774
http://dx.doi.org/10.1590/1518-8345.5279.3493
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