Repositioning for Pressure Ulcer Prevention in Adults
Description of Resource:
Pressure ulcers (PUs) are common in older adults who are less mobile. Manual repositioning of patients in hospitals and long-term care facilities is a common prevention strategy. This systematic review aimed to assess the effects of repositioning on PUs, determine the most effective repositioning schedules, and determine the resources and costs associated with different repositioning regimens. It identified 3 randomized controlled trials and 1 economic study involving a total of 502 participants in acute and long-term care settings. It found no strong evidence of a reduction in PUs with a 30° tilt position compared with the standard 90° tilt, or of an effect of repositioning frequency. The economic study did not show whether repositioning every 3 hours using the 30° tilt is less costly or more effective than repositioning every 6 hours using the 90° tilt. There is a need for high-quality trials to assess the effects of position and optimal frequency of repositioning on PU incidence.