Pressure Ulcer Risk Assessment and Prevention

Roger Chou

doi:10.7326/0003-4819-159-10-201311190-00017

Letters |19 November 2013

Pressure Ulcer Risk Assessment and Prevention

Roger Chou, MD

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IN RESPONSE:

To clarify, we did not exclude studies that evaluated bundled protocols for pressure ulcer prevention. Any controlled clinical trial or cohort study that compared alternative interventions for pressure ulcer prevention—including bundled protocols—was included. In fact, studies of pressure ulcer interventions did not evaluate single-component therapies in isolation but as part of multicomponent prevention strategies. However, details about these strategies were often limited, representing a shortcoming of the available literature. As noted in our review, it is important for future studies of pressure ulcer preventive interventions to better describe the other components of care that were provided.

In addition, to understand what should be included in bundled pressure ulcer prevention protocols it is first necessary to understand the effectiveness of the individual components. Therefore, studies that evaluate the effects of adding a specific component to standard or usual care, such as many of those included in our review, are critical for understanding comparative effectiveness.

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Letters |19 November 2013

Pressure Ulcer Risk Assessment and Prevention

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Letters |19 November 2013

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