期刊
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION
卷 90, 期 2, 页码 213-231出版社
W B SAUNDERS CO-ELSEVIER INC
DOI: 10.1016/j.apmr.2008.08.212
关键词
Paraplegia; Pressure ulcer; Quadriplegia; Rehabilitation
资金
- Ontario Neurotraurint Foundation [2007-SCI-SCIRE528]
- Rick Hansen Man in Motion Foundation [Rick Hanson 2008-13]
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.
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