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. 2018 Dec 6;2018(12):CD009362. doi: 10.1002/14651858.CD009362.pub3

Qiuli 2010.

Methods Trial design: RCT
Trial grouping: parallel groups
Ethics and informed consent: not stated
Follow‐up period: 7 days
Sample size estimate: not stated
ITT analysis: yes; number randomised: 64; number analysed: 64
Funding: not stated
Participants Inclusion criteria:
  • Waterlow score18‐23

  • Department of neurosurgery


Exclusion criteria:
  • not reported


Pretreatment
  • 30 men and 34 women

  • aged 55‐80 years

  • 26 suffered from hemiplegia, 4 with paraplegia, 24 with coma and 6 with advanced tumours

  • Waterlow Pressure Sore Risk Assessment Scale scores:18 to 23,

  • haemoglobin: 90 g/L to 110 g/L

  • fasting blood glucose: 4.2‐6.5 mmol/L

  • 16 participants suffered from incontinence

Interventions Intervention group: Mepilex dressing applied to weight‐bearing bony areas
Control group: massage of bony areas
Both groups turned 2‐3 hourly and nursed on air cushion beds
Outcomes PU incidence
  • Outcome type: dichotomous outcome

  • Reporting: fully reported

  • Unit of measure: numbers

  • Direction: lower is better

  • Data value: endpoint

Identification Sponsorship source: not stated
Country: China
Setting: long‐term care
Comments: no comments
Author's name: Bao Qiuli
Institution: Department of Neurosurgery
Email: not provided
Address: Second Affiliated Hospital of Harbin Medical University
Notes PU classification system not described
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk Not stated
Allocation concealment (selection bias) Unclear risk Not stated
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Not stated, but difference in the appearance of dressing makes blinding impossible
Blinding of outcome assessment (detection bias) 
 All outcomes High risk Not stated
Incomplete outcome data (attrition bias) 
 All outcomes Low risk All participants included in the final analysis
Selective reporting (reporting bias) Low risk All outcomes reported in the paper were those outlined by the authors
Other bias Unclear risk Baseline characteristics not reported