Pressure‐relieving devices for treating heel pressure ulcers
Information
- DOI:
- https://doi.org/10.1002/14651858.CD005485.pub3Copy DOI
- Database:
-
- Cochrane Database of Systematic Reviews
- Version published:
-
- 12 February 2014see what's new
- Type:
-
- Intervention
- Stage:
-
- Review
- Cochrane Editorial Group:
-
Cochrane Wounds Group
- Copyright:
-
- Copyright © 2014 The Cochrane Collaboration. Published by John Wiley & Sons, Ltd.
Article metrics
Altmetric:
Cited by:
Authors
Contributions of authors
The protocol was written by Elizabeth McGinnis and reviewed by Nikki Stubbs. The two review authors carried out study selection and data extraction. The review was written by Elizabeth McGinnis and reviewed by Nikki Stubbs. Elizabeth McGinnes updated the review.
Contributions of editorial base
Nicky Cullum: edited the review, advised on methodology, interpretation and review content. Approved the final review prior to submission.
Sally Bell‐Syer: co‐ordinated the editorial process. Advised on methodology, interpretation and content. Edited and copy edited the review and the updated review.
Ruth Foxlee: designed the search strategy, ran the searches and edited the search methods section.
Rachel Richardson:checked the updated review.
Sources of support
Internal sources
-
Leeds Teaching Hospitals NHS Trust, Leeds, UK.
-
Leeds North West PCT, Leeds, UK.
-
Charitable Trustees, LeedsTeaching Hospitals NHS Trust, UK.
-
Smith & Nephew Foundation/ Multiple Sclerosis Society, UK.
External sources
-
Department of Health Sciences, University of York, UK.
-
The National Institute for Health Research (NIHR) is the sole funder of the Cochrane Wounds Review Group, UK.
-
NIHR Programme Grants for Applied Research, UK.
Declarations of interest
Nikki Stubbs receives funding from the National Institute for Health Research (NIHR) under its Programme Grants for Applied Research funding scheme (RP‐PG‐0407‐10428). The views expressed in this review are those of the author and not necessarily those of the NHS, the NIHR or the Department of Health.
Nikki Stubbs has received funding from Pharmaceutical companies to support training and education events in the service and payments have been received by the author for non product related educational sessions. These have been unrelated to the subject matter of this systematic review and have never been in support or in pursuit of the promotion of products.
Elizabeth McGinnes has been supported in her academic studies by the following charitable organisations: Leeds Teaching Hospitals NHS Trust Charitable Trustees and the Smith & Nephew Foundation/ Multiple Sclerosis Society. The systematic review was part of her thesis.
Acknowledgements
The authors would like to thank the Cochrane Wounds Group referees (David Brienza, Duncan Chambers, Mike Coulson, Madeleine Flanagan, Lisa Jones, Ruth Ropper, Janet Yarrow) and Editors, Julie Bruce, David Margolis, Joan Webster and Gill Worthy for their comments to improve the protocol and the review. In addition Sally Bell‐Syer and Ruth Foxlee of the Cochrane Wounds Group and Nicky Cullum, Department of Health Sciences, University of York for their invaluable help in developing the protocol, search strategies and review.
Version history
| Published | Title | Stage | Authors | Version |
| 2014 Feb 12 | Pressure‐relieving devices for treating heel pressure ulcers | Review | Elizabeth McGinnis, Nikki Stubbs | |
| 2011 Sep 07 | Pressure‐relieving devices for treating heel pressure ulcers | Review | Elizabeth McGinnis, Nikki Stubbs | |
| 2005 Oct 19 | Pressure relieving devices for treating heel pressure ulcers | Protocol | Elizabeth McGinnis, Nikki Stubbs | |
Keywords
MeSH
Medical Subject Headings (MeSH) Keywords
Medical Subject Headings Check Words
Aged, 80 and over; Humans;
PICOs
Risk of bias summary: review authors' judgements about each risk of bias item for each included study.
Flow chart for patients with heel ulcers recruited by Russell (2000) in the study
Comparison 1 Nimbus system compared with Cairwave system, Outcome 1 Heel ulcer healed.
| Year | Total no. PUs | No. of heel PUs | % of PUs on heel |
| 2006 | 274 | 60 | 22% |
| 2007 | 333 | 85 | 26% |
| 2008 | 336 | 74 | 22% |
| 2009 | 557 | 107 | 19% |
| PU = pressure ulcer | |||
| Q1a | Q1b | Q2 | N | |
| Nimbus | 1.71 (± 0.68) | 2.48 (± 1.32) | 2.81 (± 0.96) | 29 |
| Cairwave | 1.94 (± 0.82) | 2.04 (± 1.30) | 2.46 (± 0.92) | 24 |
| Nimbus | 2.33 (± 1.81) | 2.25 (± 1.89) | 2.50 (± 1.0) | 4 |
| Cairwave | 2.51 (± 1.04) | 3.50 (± 1.69) | 3.56 (± 1.12) | 8 |
| Q1 a and b refer to mattress comfort, Q2 asked about sleep. Results are mean comfort scores from visual analogue scale (± standard deviation). Results are from both heel ulcer and sacral ulcer participants. All results were not significant. | ||||
| Outcome or subgroup title | No. of studies | No. of participants | Statistical method | Effect size |
| 1 Heel ulcer healed Show forest plot | 1 | 113 | Risk Ratio (M‐H, Fixed, 95% CI) | 1.49 [0.90, 2.45] |
