Support surfaces for intraoperative pressure injury prevention: systematic review with meta-analysis

• Published in: Revista latino-americana de enfermagem Vol. 29; p. e3493
• Main Authors: Prado, Carolina Beatriz Cunha, Machado, Elaine Alves Silva, Mendes, Karina Dal Sasso, Silveira, Renata Cristina de Campos Pereira, Galvão, Cristina Maria
• Format: Journal Article
• Language: English
• Published: Brazil Universidade de São Paulo-USP, Escola de Enfermagem de Ribeirão Preto - USP 01-01-2021; Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo; Universidade de São Paulo
• Subjects: Beds; Equipment and Supplies; Humans; Injury prevention; Intraoperative Complications - prevention & control; Intraoperative Period; Medical equipment; Meta-Analysis; NURSING; Patient safety; Perioperative care; Perioperative Nursing; Pressure Ulcer; Pressure ulcers; Review; Surgery; Systematic Review; Wounds and Injuries - prevention & control; Intraoperative Period; Metanálise; Meta-Analysis; Metaanálisis; Enfermagem Perioperatória; Equipment and Supplies; Perioperative Nursing; Systematic Review; Pressure Ulcer; Úlcera por Presión; Revisión Sistemática; Enfermería Perioperatoria; Revisão Sistemática; Periodo Intraoperatorio; Equipamentos e Provisões; Lesão por Pressão; Equipos y Suministros; Período Intraoperatório
• ISSN: 1518-8345; 0104-1169; 1518-8345
• DOI: 10.1590/1518-8345.5279.3493

to evaluate evidence on effectiveness support surfaces for pressure injury prevention in the intraoperative period.
systematic review. The search for primary studies was conducted in seven databases. The sample consisted of 10 studies. The synthesis of the results was carried out descriptively and through meta-analysis.
when comparing low-tech support surfaces with regular care (standard surgical table mattress), the meta-analysis showed that there is no statistically significant difference between the investigated interventions (Relative Risk = 0.88; 95%CI: 0.30-2.39). The Higgins inconsistency test indicated considerable heterogeneity between studies (I2 = 83%). The assessment of the certainty of the evidence was very low. When comparing high-tech and low-tech support surfaces, the meta-analysis showed that there is a statistically significant difference between the interventions studied, with high-tech being the most effective (Relative Risk = 0.17; 95%CI: 0.05-0.53). Heterogeneity can be classified as not important (I2 = 0%). The assessment of certainty of evidence was moderate.
the use of high-tech support surfaces is an effective measure to prevent pressure injuries in the intraoperative period.