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. 2020 Apr 8;9(6):332–347. doi: 10.1089/wound.2019.1042

Table 1.

Notes (as voted by the jury) associated with recommendations and statements, results of voting process and level of strength attributed according to the GRADE method

 
Voting Results
No. of REC Notes Median (IQR) Strong Agreement GRADE
REC 1 Skilled professionals are needed. Automatic ABPI is ineffective in evaluating peroneal artery. Patients with peroneal artery not detectable have to be referred for further evaluation. 7 (6–8) 37.5% W
Current health care organization could not allow routine application of this recommendation.
STAT 1 Skilled professionals are needed. 7 (6–8) 50% W
STAT 2 In diabetic and not diabetic patients with calcified arteries and CKD stage III ABPI test is not reliable. 4 (2–5) 0% D
In diabetic neuropathic patients ABPI test is not reliable.
REC 3 Skilled professionals are needed. 6 (4–7) 18.75% U
REC 4 Skilled clinicians are needed in performing this test. 8 (7–9) 56.25% S
Sensor has to be placed proximally to the wound.
REC 5 Recommendation applies also in all cases when the healing potential is low, or the complete healing is not the goal. 8 (7–9) 75% S
In these situations, a wound should be kept dry to prevent potential spreading infection along with negative outcomes such as necrotizing fasciitis, wet gangrene, or sepsis.
REC 6   7 (6–9) 37.5% W
REC 7 LFT applied in existing HPIs is effective to reduce the friction coefficient even when applied along with the standard treatment. 8 (8–9) 81.25% S
REC 8   8 (7–8) 75% S
REC 9   8 (8–9) 81.25% S
REC 10 Skilled professionals are needed. The use of NPWT in presence of first or second stage infection could be considered. 7 (6–8) 43.75% W
REC 11 Recommendation applies if the patient is deemed to have a good life expectancy. 8 (7–9) 75% S
REC 12 The surgical intervention is considered necessary to avoid major amputation if the patient is deemed to have a life expectancy good enough. Partial/total calcanectomy or other more limited surgical interventions can be considered. 9 (8–9) 81.25% S
REC 13   7 (3–8) 31.25% U
REC 14   7 (5–8) 37.5% W
REC 15 A proper site inspection of neonatal heel is needed to detect neonatal heel injuries/complications caused by blood sampling prick. After a full cleansing, a swab sample collection is advocated for microbiological screening. 7 (6–8) 31.25% W
A punch biopsy for detecting infection is sometimes required on clinical basis. Sharp/surgical debridement is not indicated due to the low thickness of pediatric heel tissues and to the impossibility to distinguish soft fat tissue from muscle tissue. Proper off-loading must be maintained all time.
REC 16 Local iodine polyvinylpyrrolidone and silver sulfadiazine are not recommended in pediatric patients because of their systemic absorption and further toxicity. 6 (5–8) 31.25% W
Eschar removal could be necessary during follow-up when there is an eschar contraction or lifted edges.
Proper off-loading must be maintained all time.
REC 17 Local iodine PVP and silver sulfadiazine are not recommended in pediatric patients because of their systemic absorption and further toxicity. 8 (4–8) 56.25% U
Natural products (honey, hypericum perforatum, and neem oil) and nonmedicated technology such as DACC technology, also called hydrophobic binding technique, are preferable.
REC 18 DRT needs to be left in place for 3 weeks. 7 (6–8) 43.75% W
DRT could be faster secured to deep tissues by the help of NPWT (continuous modality low intensity and pressure should not exceed 80 mmHg).
Skilled plastic surgeons are needed.
Disposable NPWT devices are suggested because they do not interfere with social activities.
REC 19 Any stage. 8 (8–9) 93.75% S
The device has to be effective to keep the leg in a neutral position.
The usage of cushion is not advisable in an already existing HPI.
An off-loading device such as a boot is considered a better and suitable option to off load the heels.
REC 20 Panel cannot recommend a specific off-loading device. 8 (8–9) 87.5% S
However, following characteristics may be considered to inform the choice:
- easily cleanable, lightweight, easy wearable, easy to remove, cost/effective, durability
- other elements to be considered are materials, technology, shape.
REC 21 Panel cannot recommend a specific off-loading device. 8 (6–9) 68.75% S
However following characteristics may be considered to inform the choice:
- Easily cleanable, lightweight, easy wearable, easy to remove, cost/effective, durability
- Other elements to be considered are materials, technology, shape.
Patients with stages I and II and stable stage III lesions can walk while wearing an off-loading device.
REC 22 Panel cannot recommend a specific off-loading device. 8 (7–9) 62.5% S
However, following characteristics may be considered to inform the choice:
- easily cleanable, lightweight, easy wearable, easy to remove, cost/effective, durability
- other elements to be considered are materials, technology, shape
REC 23 A range of pressures from 50 to 200 mmHg can be used with these devices. 7 (6–8) 43.75% W
Panel cannot recommend a specific amount of negative pressure to use on HPI.
Skilled professionals are needed.
REC 24 A range of pressures from 50 to 200 mmHg can be used with these devices. 7 (6–7) 18.75% W
Panel cannot recommend a specific amount of negative pressure to use on HPI.
Skilled professionals are needed.
REC 25 A range of pressures from 50 to 200 mmHg can be used with these devices. 7 (6–8) 31.25% W
Panel cannot recommend a specific amount of negative pressure to use on HPI.
Skilled professionals are needed.
REC 26   8 (8–9) 87.5% S
REC 27   8 (7–9) 68.75% S
REC 28   8 (7–9) 68.75% S
REC 29 Skilled clinicians are needed 9 (8–9) 87.5% S
REC 30   8 (8–9) 81.25% S
REC 31 An interdisciplinary team for HPI could include other specialists (e.g., orthopedist, diabetologist) with expertise in managing pressure injuries. 9 (8–9) 81.25% S
REC 32   9 (8–9) 87.5% S
REC 33 CT scans and undue X-ray should be avoided. 3D scan allows to discriminate cases who need to be subjected to scintigraphy. 8 (7–8) 68.75% S
Pediatrics probes are needed.
A peculiar training and skilled professionals are required.
REC 34 A diabetic foot center is defined as follows: “any setting characterized by a multidisciplinary team with specific experience.” 9 (8–9) 87.5% S
Time for referral should not exceed 48 h for third and fourth stages.

For the text of recommendations and statements and details about voting interpretation, see Results and Methods sections, respectively.

3D, three-dimensional; ABPI, ankle–brachial pressure index; CKD, chronic kidney disease; CT, computed tomography; DACC, dialkylcarbamoyl chloride; DRT, dermal regeneration template; HPIs, heel pressure injuries; IQR, interquartile range; LFT, low friction technology; NPWT, negative pressure wound therapy; PVP, polyvinylpyrrolidone; S, strongly recommended; U, uncertain; W, weakly recommended