【专刊】压疮的治疗2013AIM（影响因子15 ）

蓝鱼o_0

文1：

Pressure Ulcer Risk Assessment and Prevention: A Systematic Comparative Effectiveness Review


Background: Pressure ulcers are associated with substantial health burdens but may be preventable.

Purpose: To review the clinical utility of pressure ulcer risk assessment instruments and the comparative effectiveness of preventive interventions in persons at higher risk.

Data Sources: MEDLINE (1946 through November 2012), CINAHL, the Cochrane Library, grant databases, clinical trial registries, and reference lists.

Study Selection: Randomized trials and observational studies on effects of using risk assessment on clinical outcomes and randomized trials of preventive interventions on clinical outcomes.

Data Extraction: Multiple investigators abstracted and checked study details and quality using predefined criteria.

蓝鱼o_0

文2：

Pressure Ulcer Treatment Strategies: A Systematic Comparative Effectiveness Review

Purpose: To summarize evidence comparing the effectiveness and safety of treatment strategies for adults with pressure ulcers.
Data Sources: MEDLINE, EMBASE, CINAHL, Evidence-Based Medicine Reviews, Cochrane Central Register of Controlled Trials, Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, and Health Technology Assessment Database for English- or foreign-language studies; reference lists; gray literature; and individual product packets from manufacturers (January 1985 to October 2012).
Study Selection: Randomized trials and comparative observational studies of treatments for pressure ulcers in adults and noncomparative intervention series (n > 50) for surgical interventions and evaluation of harms.
Data Extraction: Data were extracted and evaluated for accuracy of the extraction, quality of included studies, and strength of evidence.
Data Synthesis: 174 studies met inclusion criteria and 92 evaluated complete wound healing. In comparison with standard care, placebo, or sham interventions, moderate-strength evidence showed that air-fluidized beds (5 studies [n = 908]; high consistency), protein-containing nutritional supplements (12 studies [n = 562]; high consistency), radiant heat dressings (4 studies [n = 160]; moderate consistency), and electrical stimulation (9 studies [n = 397]; moderate consistency) improved healing of pressure ulcers. Low-strength evidence showed that alternating-pressure surfaces, hydrocolloid dressings, platelet-derived growth factor, and light therapy improved healing of pressure ulcers. The evidence about harms was limited.
Limitation: Applicability of results is limited by study quality, heterogeneity in methods and outcomes, and inadequate duration to assess complete wound healing.
Conclusion: Moderate-strength evidence shows that healing of pressure ulcers in adults is improved with the use of air-fluidized beds, protein supplementation, radiant heat dressings, and electrical stimulation.
Primary Funding Source: Agency for Healthcare Research and Quality.

yhy8562243

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jcyyhlb

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fumin

我也非常需要这个资料，我一定争取把它们看懂！谢谢！

蓝鱼o_0

fumin 发表于 2013-7-8 08:49

                               
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我也非常需要这个资料，我一定争取把它们看懂！谢谢！

回头交流一下。

刘鹏