Expert review of medical devices · 2026
Superabsorbent polymer and foam dressings for preventing sacral hospital-acquired pressure injury: a systematic literature review and exploratory matching-adjusted indirect comparisons.
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Goldgrub Rachel, Velickovic Vladica, Gefen Amit, Jaywant Ahiwale Raj, Singh Amrinder, Hunger Matthias, Tongbram Vanita
Аннотация
INTRODUCTION: Hospital-acquired pressure injuries remain an important patient-safety burden, yet direct evidence comparing prophylactic sacral dressing technologies is absent.
AREAS COVERED: Embase, MEDLINE, and the Cochrane Central Register of Controlled Trials were searched from database inception through 23 January 2026; supplementary searches were completed on 26 January 2026, and one eligible post-search publication was assessed separately. Twenty-five studies were included. Sacral pressure-injury incidence varied widely across settings and study designs. The single-arm SAP study reported no sacral pressure injuries among 50 participants (0.0%; two-sided Clopper-Pearson exact 95% confidence interval, 0.0-7.1%) Two unanchored matching-adjusted indirect comparisons examined population alignment for time to pressure injury and dressing utilization. Adjustment was restricted to available baseline covariates; important differences in pressure-injury risk, setting, follow-up, and prevention protocols remained.
EXPERT OPINION: The review supports prophylactic dressings as an adjunct to comprehensive prevention but does not establish the relative effectiveness of superabsorbent polymer and foam technologies.
REGISTRATION: : OSF M2ze7.
AREAS COVERED: Embase, MEDLINE, and the Cochrane Central Register of Controlled Trials were searched from database inception through 23 January 2026; supplementary searches were completed on 26 January 2026, and one eligible post-search publication was assessed separately. Twenty-five studies were included. Sacral pressure-injury incidence varied widely across settings and study designs. The single-arm SAP study reported no sacral pressure injuries among 50 participants (0.0%; two-sided Clopper-Pearson exact 95% confidence interval, 0.0-7.1%) Two unanchored matching-adjusted indirect comparisons examined population alignment for time to pressure injury and dressing utilization. Adjustment was restricted to available baseline covariates; important differences in pressure-injury risk, setting, follow-up, and prevention protocols remained.
EXPERT OPINION: The review supports prophylactic dressings as an adjunct to comprehensive prevention but does not establish the relative effectiveness of superabsorbent polymer and foam technologies.
REGISTRATION: : OSF M2ze7.