Bulfone G, Bressan V, Morandini A, Stevanin S, et al.
Advances in skin & wound care. Date of publication 2018 Dec 1;volume 31(12):556-564.
1. Adv Skin Wound Care. 2018 Dec;31(12):556-564. doi:
10.1097/01.ASW.0000544613.10878.ed.
Perioperative Pressure Injuries: A Systematic Literature Review.
Bulfone G(1), Bressan V, Morandini A, Stevanin S.
Author information:
(1)At the University Hospital of Udine, in Udine, Italy, Giampiera Bulfone, PhD,
RN; Valentina Bressan, PhD, RN; and Alessandro Morandini, BNS, RN, are surgical
nurses. Simone Stevanin, MNS, RN, is a perioperative nurse, University Hospital
of Padova, Italy. The authors have disclosed no financial relationships related
to this article. Submitted January 1, 2018; accepted in revised form May 16,
2018.
OBJECTIVE: To conduct a systematic review to investigate risk factors, incidence,
and preventive strategies for perioperative pressure injuries (PIs).
METHODS: The authors reviewed four databases for literature published from
January 2001 to December 2017. Selected articles included primary quantitative
studies with prospective, descriptive, and longitudinal design or randomized
controlled trials that evaluated risk factors, incidence, and preventive
strategies for perioperative PIs. The studies included were evaluated for
methodological quality using the Edwards Method Score. The authors used a
standardized extraction form to extract inclusion and exclusion criteria,
participant demographics, methodology, PI risk instrument and classification
systems, type of surgery and anesthesia, PI risk factors, incidence, preventive
strategies, and outcomes evaluation.
MAIN RESULTS: Of the 115 publications identified, 11 met the inclusion criteria.
The risk assessment and PI classification instruments used differed in every
study. Incidence of PI varied throughout the studies and was reduced by warming
therapy and by a skin care intervention program.
CONCLUSIONS: Further studies are necessary to develop a standard risk assessment
instrument and preventive strategies and to clarify some contradictions evident
in the literature.
DOI: 10.1097/01.ASW.0000544613.10878.ed
PMID: 30475284
