Table 1

Summary of evidence of PIP

InterventionEffect sizeComments
Pressure reliefRR 0.62 (95% CI 0.10 to 3.97, p value = 0.62)6 Cochrane review showed limited evidence due to underpowered studies. RCT found no difference between 2, 3 or 4 hours repositioning7
Specialised mattresses(RR 0.40 95% CI 0.21 to 0.74)8 Cochrane review showed high-quality evidence for the use of higher-specification foam mattresses or medical sheepskin
Dressing over bony prominencesRR 0.21 (95% CI 0.09 to 0.51; p value = 0.0006)9 Cochrane review showed low-quality evidence with high or unclear risk of bias
Nutritional supportsRR 0.86 (95% CI 0.73 to 1.00; p value = 0.05)10 Cochrane review showed low-quality evidence with high or unclear risk of bias
Use of skin moisturisersRR 0.78 (95% CI 0.47 to 1.31; p value = 0.35)9 Cochrane review showed low-quality evidence with high or unclear risk of bias
  • PIP, pressure injury prevention; RCT, randomised controlled trial.