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Evidence-Based Resource Summary

Strength of Evidence: 
4 out of 4
4 out of 4
Year Published: 

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.

Evidence-Based Resource Details

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Developed By: 
Cochrane Review
Developer Type: 
Non-Federal Government
Healthy People 2020 Topic Area(s): 
Older Adults
Healthy People 2020 Objectives: 
Resource Type: 
Systematic Review
Gillespie BM, Chaboyer WP, McInnes E, Kent B, Whitty JA, Thalib L. Repositioning for pressure ulcer prevention in adults. Cochrane Database Syst Rev [Internet]. 2014 [cited 2018 Apr 30];(4). Art. No.: CD009958. doi: 10.1002/14651858.CD009958.pub2. Available from: