Effect of various repositioning regimens on pressure wound ulcer occurrence in at‐risk adult persons without existing pressure wound ulcers: A meta‐analysis

Abstract

AbstractMeta‐analysis research was implemented to appraise the effect of various repositioning regimens (RRs) on pressure wound ulcer (PWU) occurrence in at‐risk adult persons without existing PWUs. Inclusive literature research till April 2023 was done and 1197 interconnected researches were revised. The 15 picked researches, enclosed 8510 at‐risk adult persons without existing PWUs persons were in the utilised researchers' starting point, 1002 of them were utilising repositioning, 1069 were control, 3443 were utilising 2–<4 h repositioning and 2994 were utilising 4–6 h repositioning. Odds ratio (OR) and 95% confidence intervals (CIs) were utilised to appraise the consequence of various RRs on PWU occurrence in at‐risk adult persons without existing PWUs by the dichotomous approach and a fixed or random model. Repositioning had significantly lower PWU (OR, 0.49; 95% CI, 0.32–0.73, p < 0.001) compared to control in at‐risk adult persons without existing PWUs persons. 2–<4 h repositioning had significantly lower PWU (OR, 0.62; 95% CI, 0.42–0.90, p = 0.01) compared to 4–6 h repositioning in at‐risk adult persons without existing PWUs persons. Repositioning had significantly lower PWU compared to control in at‐risk adult persons without existing PWU persons. 2–<4 h repositioning had significantly lower PWU compared to 4–6 h repositioning in at‐risk adult persons without existing PWUs persons. However, caution needs to be taken when interacting with its values since there was a low sample size of some of the chosen research found for the comparisons in the meta‐analysis.