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. 2023 Oct 18;21(2):e14432.
doi: 10.1111/iwj.14432. Online ahead of print.

Effects of bundle-care interventions on pressure ulcers in patients with stroke: A meta-analysis

Li-Ping Wang  1 , Ming-Ming Gao  2 , Xiu-Qin Wang  1 , Min-Min Gu  1 , Qin-De Qi  1
Affiliations

Effects of bundle-care interventions on pressure ulcers in patients with stroke: A meta-analysis

Li-Ping Wang et al. Int Wound J. .

Retraction in

Abstract

We conducted a meta-analysis to assess the effects of bundle-care interventions on pressure ulcers in patients with stroke to provide a basis for clinical work. Randomised controlled trials on the effects of bundle-care interventions in patients with stroke were identified using computerised searches of the PubMed, Embase, Cochrane Library, Chinese National Knowledge Infrastructure, VIP and Wanfang databases, from the time of inception of each database to July 2023, supplemented by manual literature searches. Two researchers independently retrieved and screened the articles, extracted the data and evaluated the quality of the included studies. After reaching consensus, meta-analysis was performed using RevMan 5.4. Twenty-four papers were included, involving 3330 patients of whom 1679 were in the intervention group and 1651 were in the control group. The results showed that, compared with standard care, bundle-care interventions significantly reduced the incidence of pressure ulcers (3.28% vs. 14.84%, odds ratio [OR]: 0.19, 95% confidence interval [CI]: 0.14-0.26, p < 0.001), and aspiration (5.60% vs. 18.84%, OR: 0.25, 95% CI: 0.17-0.39, p < 0.001), and improved patient satisfaction with nursing care (96.59% vs. 84.43%, OR. 5.45, 95% CI: 3.76-7.90, p < 0.001). Current evidence suggests that care bundles are significantly better than conventional nursing measures in preventing pressure ulcers and aspiration, and improving patient satisfaction with nursing care in patients with stroke, and are worthy of clinical promotion and application.

Keywords: care bundles; efficacy; meta-analysis; pressure ulcers; stroke.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
A flow chart of study selection process.
FIGURE 2
FIGURE 2
The risk of bias graph of randomised controlled trials.
FIGURE 3
FIGURE 3
The forest plots of the incidence rates of pressure ulcers.
FIGURE 4
FIGURE 4
The forest plots of the incidence rates of aspiration.
FIGURE 5
FIGURE 5
The forest plots of nursing satisfaction.
FIGURE 6
FIGURE 6
Funnel plot for publication bias. (A) Pressure ulcers, (B) aspiration and (C) nursing satisfaction.
See this image and copyright information in PMC

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