Systematic review and Meta-analysis of unavoidable pressure injuries
10.3760/cma.j.cn211501-20240507-01125
- VernacularTitle:难免性压力性损伤的系统评价与Meta分析
- Author:
Chengrui ZHANG
1
;
Ying XING
;
Zhu ZHU
;
Xinxin WANG
;
Wei LUAN
Author Information
1. 上海交通大学护理学院，上海 200025
- Publication Type:Journal Article
- Keywords:
Meta-analysis;
Pressure injury;
Unavoidable
- From:
Chinese Journal of Practical Nursing
2025;41(10):760-767
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To conduct a systematic review and Meta-analysis of unavoidable pressure injuries (uPI) to provide evidence-based guidance for establishing standardized intervention protocols.Methods:Cross-sectional and cohort studies on uPI were systematically retrieved from PubMed, Web of Science, Embase, Cochrane Library, China National Knowledge Infrastructure, Wanfang, and China Biology Medicine disc databases up to February 5, 2024. Two researchers independently screened the literature, extracted data, and assessed the risk of bias in the included studies. Meta-analysis was performed using R4.3.2 software.Results:A total of 9 studies involving 10 research items were included. The Meta-analysis showed that the proportion of uPI was 42.92%. Subgroup analysis revealed that the proportions of uPI in acute care hospitals, intensive care units, and long-term care facilities were 53.14%, 33.56%, and 40.97%, respectively. The proportions in North America and Europe were 40.26% and 44.99%, respectively. The proportions of uPI in studies published between 2010-2015, 2016-2020, and 2021-2024 were 63.25%, 37.00%, and 40.61%, respectively. The proportions of uPI assessed using the Pressure Ulcer Prevention Inventory, National Pressure Ulcer Advisory Panel definition, empirical judgment, NHS definition, and end-stage pressure injury definition were 40.38%, 26.17%, 40.00%, 62.07%, and 51.32%, respectively.Conclusions:The incidence of uPI is high, with significant differences across healthcare settings, continents, years, and assessment criteria. A universal definition of uPI should be established, along with unified assessment standards, to optimize uPI care strategies and provide references for standardized prevention and intervention.
