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  • The effect of prone positioning on pressure injury incidence in adult intensive care unit patients: A meta-review of systematic reviews

    Author(s)
    Patton, Declan
    Latimer, Sharon
    Avsar, Pinar
    Walker, Rachel M
    Moore, Zena
    Gillespie, Brigid M
    O'Connor, Tom
    Nugent, Linda
    Budri, Aglecia
    Brien, Niall O
    Chaboyer, Wendy
    Griffith University Author(s)
    Gillespie, Brigid M.
    Latimer, Sharon
    Walker, Rachel M.
    Chaboyer, Wendy
    Year published
    2021
    Metadata
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    Abstract
    Objective: Numerous systematic reviews have examined the impact of prone positioning on outcomes, including pressure injury (PI). The objective of this meta-review was to synthesise the evidence on the effect of prone positioning on the incidence and location of PIs in adult intensive care unit patients. Review method: This is a meta-review of published systematic reviews. Five databases were searched; data were extracted by three authors and adjudicated by a fourth. The AMSTAR-2 tool was used to quality appraise the selected articles, which was completed by three authors with a fourth adjudicating. Results: Ten systematic ...
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    Objective: Numerous systematic reviews have examined the impact of prone positioning on outcomes, including pressure injury (PI). The objective of this meta-review was to synthesise the evidence on the effect of prone positioning on the incidence and location of PIs in adult intensive care unit patients. Review method: This is a meta-review of published systematic reviews. Five databases were searched; data were extracted by three authors and adjudicated by a fourth. The AMSTAR-2 tool was used to quality appraise the selected articles, which was completed by three authors with a fourth adjudicating. Results: Ten systematic reviews were synthesised. The cumulative incidence of PI in 15,979 adult patients ranged from 25.7% to 48.5%. One study did not report adult numbers. Only one review reported the secondary outcome of PI location. PIs were identified in 13 locations such as the face, chest, iliac crest, and knees. Using the AMSTAR-2, three reviews were assessed as high quality, six as moderate quality, and one as low quality. Conclusion: The high incidence of PI in the prone position highlights the need for targeted preventative strategies. Care bundles may be one approach, given their beneficial effects for the prevention of PI in other populations. This review highlights the need for proactive approaches to limit unintended consequences of the use of the prone position, especially notable in the current COVID-19 pandemic.
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    Journal Title
    Australian Critical Care
    DOI
    https://doi.org/10.1016/j.aucc.2021.10.003
    Note
    This publication has been entered as an advanced online version in Griffith Research Online.
    Subject
    Clinical sciences
    Nursing
    Publication URI
    http://hdl.handle.net/10072/411291
    Collection
    • Journal articles

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