Article

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.

Langue : ANGLAIS