Can an early mobilisation programme prevent hospital-acquired pressure injures in an intensive care unit?: A systematic review and meta-analysis

Int Wound J. 2021 Apr;18(2):209-220. doi: 10.1111/iwj.13516. Epub 2020 Nov 25.

Abstract

A systematic review and meta-analysis were conducted to clarify the effect of an early mobilisation programme on the prevention of hospital-acquired pressure injuries in an intensive care unit as opposed to standard care. We searched a total of 11 databases until 1 May 2020 and included seven studies (n = 7.520) related to the effect of early mobilisation protocol in the prevention of hospital-acquired pressure injuries (five quasi-experimental and two random comparative). The five quasi-experimental studies were significantly heterogeneous (P = .02 for Q test and 66% for I2 ), and the odds ratio was 0.97 (95% CI: 0.49-1.91) with a non-significant statistical difference between both groups (P = .93). Our study shows inconclusive outcomes related to the effect of the implementation of an early mobility programme in the prevention of pressure injuries in critical patients. Future research is needed considering the small number of articles on the topic.

Keywords: early mobility programme; intensive care unit; pressure injuries; prevention; systematic review.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Early Ambulation*
  • Hospitals
  • Humans
  • Intensive Care Units*
  • Pressure Ulcer / prevention & control*
  • Retrospective Studies