Document Detail

Elevation devices for the prevention of heel pressure ulcers: a review.
MedLine Citation:
PMID:  25382132     Owner:  NLM     Status:  In-Data-Review    
AIM: The objective of this systematic literature review was to gain insight into the effectiveness of off-loading devices to prevent heel pressure ulcers within the acute hospital setting.
BACKGROUND: Heels have been identified as the second most common site for pressure ulcers. Devices which off-load pressure can include pillows, wedges and boots. It is unclear as to which method or device is best at preventing pressure ulcers.
DESIGN AND METHODS: A systematic review was carried out through the search of electronic databases and bibliographies of relevant publications. Randomised controlled trials (RCTs) and systematic reviews that compared devices which off-load heels to prevent pressure ulcers were identified.
RESULTS: A total of five studies were included in the review. The methodological quality of the studies was generally poor. The studies reported that heel-boot elevation devices appeared more beneficial. However, poor compliance with wearing the devices was identified, as well as a perceived increased risk of falls. There were little data on cost-effectiveness.
CONCLUSIONS: There is little high-quality trial evidence to support the routine use of heel devices to prevent pressure ulcers. However, they may have a role to play within a multifaceted programme of pressure-ulcer prevention.
Rosie Clegg; Simon Palfreyman
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  British journal of nursing (Mark Allen Publishing)     Volume:  23 Suppl 20     ISSN:  0966-0461     ISO Abbreviation:  Br J Nurs     Publication Date:  2014 Nov 
Date Detail:
Created Date:  2014-11-10     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9212059     Medline TA:  Br J Nurs     Country:  England    
Other Details:
Languages:  eng     Pagination:  S4-S11     Citation Subset:  N    
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