Qaseem A, Mir TP, Starkey M, Denberg TD, Clinical Guidelines Committee of the American College of Physicians., et al.
Annals of internal medicine. Date of publication 2015 Mar 3;volume 162(5):359-69.
1. Ann Intern Med. 2015 Mar 3;162(5):359-69. doi: 10.7326/M14-1567.
Risk assessment and prevention of pressure ulcers: a clinical practice guideline
from the American College of Physicians.
Qaseem A, Mir TP, Starkey M, Denberg TD; Clinical Guidelines Committee of the
American College of Physicians.
Collaborators: Denberg TD, Barry MJ, Cooke M, Dallas P, Fitterman N, Forciea MA,
Harris RP, Humphrey LL, Mir TP, Schünemann HJ, Schwartz JS, Shekelle P, Wilt T.
Comment in
Ann Intern Med. 2015 Oct 20;163(8):645.
Ann Intern Med. 2015 Oct 20;163(8):645-6.
Ann Intern Med. 2015 Oct 20;163(8):646.
Summary for patients in
Ann Intern Med. 2015 Mar 3;162(5):I34.
DESCRIPTION: The American College of Physicians (ACP) developed this guideline to
present the evidence and provide clinical recommendations based on the
comparative effectiveness of risk assessment scales and preventive interventions
for pressure ulcers.
METHODS: This guideline is based on published literature on this topic that was
identified by using MEDLINE (1946 through February 2014), CINAHL (1998 through
February 2014), the Cochrane Library, clinical trials registries, and reference
lists. Searches were limited to English-language publications. The outcomes
evaluated for this guideline include pressure ulcer incidence and severity,
resource use, diagnostic accuracy, measures of risk, and harms. This guideline
grades the quality of evidence and strength of recommendations by using ACP's
clinical practice guidelines grading system. The target audience for this
guideline includes all clinicians, and the target patient population is patients
at risk for pressure ulcers.
RECOMMENDATION 1: ACP recommends that clinicians should perform a risk assessment
to identify patients who are at risk of developing pressure ulcers. (Grade: weak
recommendation, low-quality evidence).
RECOMMENDATION 2: ACP recommends that clinicians should choose advanced static
mattresses or advanced static overlays in patients who are at an increased risk
of developing pressure ulcers. (Grade: strong recommendation, moderate-quality
evidence).
RECOMMENDATION 3: ACP recommends against using alternating-air mattresses or
alternating-air overlays in patients who are at an increased risk of developing
pressure ulcers. (Grade: weak recommendation, moderate-quality evidence).
DOI: 10.7326/M14-1567
PMID: 25732278 [Indexed for MEDLINE]
