Wound cleansing for pressure ulcers

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Figure 1

Methodological quality summary: review authors' judgements about each methodological quality item for each included study.

Analysis 1.1

Comparison 1 Different cleansing solutions, Outcome 1 Saline versus tap water.

Analysis 2.1

Comparison 2 Different cleansing techniques, Outcome 1 Whirlpool versus no whirlpool.

Table 1. Bellingeri 2004 Table of results

Intervention	PSST Baseline	PSST Day 7	PSST Day 14	Total % Change
Isotonic saline solution (control)	mean 31.6 (SD 10.3, min 15.0, max 52.0)	28.9 (SD 10.5, min 12.0, max 52.0).	25.3 (SD 12.2, min 10.0, max 50.0).	‐20.5 (SD 24.1, min ‐65.8, max 22.7).
Saline spray, Aloe vera, silver chloride and decyl glucoside (Vulnopur) (intervention)	mean 31.3 (SD 11.5, min 13.0 max 56.0)	27.1 (SD 11.1, min 13.0, max 54.0).	21.6 (SD 11.6, min 10.0, max 51,0).	‐27.8 (SD 31.3, min ‐69.8, max 123.5).

Table 1. Bellingeri 2004 Table of results

Comparison 1. Different cleansing solutions

Outcome or subgroup title	No. of studies	No. of participants	Statistical method	Effect size
1 Saline versus tap water Show forest plot	1		Risk Ratio (M‐H, Fixed, 95% CI)	Subtotals only

1.1 Healed wound within 6 weeks	1	8	Risk Ratio (M‐H, Fixed, 95% CI)	3.00 [0.21, 41.89]

Comparison 1. Different cleansing solutions

Comparison 2. Different cleansing techniques

Outcome or subgroup title	No. of studies	No. of participants	Statistical method	Effect size
1 Whirlpool versus no whirlpool Show forest plot	1		Risk Ratio (M‐H, Fixed, 95% CI)	Subtotals only

1.1 Improvement in pressure ulcer	1	42	Risk Ratio (M‐H, Fixed, 95% CI)	2.1 [0.93, 4.76]

Comparison 2. Different cleansing techniques

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