Can an early mobilisation programme prevent hospital‐acquired pressure injures in an intensive care unit?: A systematic review and meta‐analysis

A systematic review and meta‐analysis were conducted to clarify the effect of an early mobilisation programme on the prevention of hospital‐acquired pressure injuries in an intensive care unit as opposed to standard care. We searched a total of 11 databases until 1 May 2020 and included seven studie...

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Bibliographic Details
Published in:International wound journal 2021-04, Vol.18 (2), p.209-220
Main Authors: Nieto‐García, Leticia, Carpio‐Pérez, Adela, Moreiro‐Barroso, María Teresa, Alonso‐Sardón, Montserrat
Format: Article
Language:English
Subjects:
Anesthesia
Bias
Clinical outcomes
Delirium
early mobility programme
Hospitals
Intensive care
intensive care unit
Mortality
Observational studies
Original
Patients
pressure injuries
Pressure ulcers
prevention
Quality standards
Quasi-experimental methods
Systematic review
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Summary:A systematic review and meta‐analysis were conducted to clarify the effect of an early mobilisation programme on the prevention of hospital‐acquired pressure injuries in an intensive care unit as opposed to standard care. We searched a total of 11 databases until 1 May 2020 and included seven studies (n = 7.520) related to the effect of early mobilisation protocol in the prevention of hospital‐acquired pressure injuries (five quasi‐experimental and two random comparative). The five quasi‐experimental studies were significantly heterogeneous (P = .02 for Q test and 66% for I2), and the odds ratio was 0.97 (95% CI: 0.49‐1.91) with a non‐significant statistical difference between both groups (P = .93). Our study shows inconclusive outcomes related to the effect of the implementation of an early mobility programme in the prevention of pressure injuries in critical patients. Future research is needed considering the small number of articles on the topic.
ISSN:1742-4801
1742-481X
DOI:10.1111/iwj.13516