A Systematic Review of Therapeutic Interventions for Pressure Ulcers After Spinal Cord Injury

作者：Regan Mary Ann^*; Teasell Robert W; Wolfe Dalton L; Keast David; Mortenson William B; Aubut Jo Anne L

来源：Archives of Physical Medicine and Rehabilitation, 2009, 90(2): 213-231.

DOI：10.1016/j.apmr.2008.08.212

• Paraplegia
• Pressure ulcer
• Quadriplegia
• Rehabilitation

Objective: To systematically review evidence on the prevention and treatment of pressure ulcers in those with a spinal cord injury (SCI).
Data Sources: For this evidence-based review, the following data sources were used: MEDLINE/PubMed, CINAHL, EMBASE, and PsycINFO.
Study Selection: To be selected for inclusion in the current review, there had to have been an intervention, studies had to have 3 or more subjects, and 50% or more of the participating group had to have an SCI.
Data Extraction: Data extracted included study design, subject demographics, inclusion and exclusion criteria, study type, sample size, outcome measures used, and study results.
Data Synthesis: Articles selected for this review were organized-into 1 of 2 categories: prevention or treatment. Within each broad category, several smaller ones were created, and articles were grouped according to the prevention (direct or indirect) or treatment intervention discussed.
Conclusions: Of the 26 articles selected for inclusion in the systematic review, 7 were randomized controlled trials (RCTS) that dealt with treatment for pressure ulcers, and there was 1 RCT on prevention. Despite the cost-effectiveness of prevention, little research exists on preventative interventions, and what does exist is mostly level 4 evidence. More research is needed for both prevention and treatment, but especially the former.

• 出版日期2009-2