{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,15]],"date-time":"2025-11-15T10:32:06Z","timestamp":1763202726300,"version":"3.41.2"},"reference-count":36,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2023,3,17]],"date-time":"2023-03-17T00:00:00Z","timestamp":1679011200000},"content-version":"vor","delay-in-days":16,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Science Reports"],"published-print":{"date-parts":[[2023,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Cardiac surgical patients are highly prone to developing surgery\u2010related Pressure injuries (PIs). Prevention of PIs is an important patient safety priority in healthcare settings and patients care. So the aim of this study is to detect the effectiveness of prevention strategies to decrease PIs prevalence and incidence in patients undergoing open heart surgery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>We identified studies through Web of Science, Scopus, PubMed, Cochrane, and ProQuest databases from inception through September 2022 with restrictions on the English language. Cochrane RoB 2, JBI, and NIH checklist were carried out as critical appraisal Tools to investigate the studies risk of bias. Finally, 10 studies with a total sample No. 1348, which fulfilled eligibility criteria were included in final systematic review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Result<\/jats:title><jats:p>Most common interventions investigated in included studies were addressing impairments skin care which included the use of multilayer silicone foam, Care bundle and multiple intervention programs, alternative head inflatable pads, pressure\u2010reducing foam mattresses, and electric bed frames as the effective PIs Prevention (PIP) strategies. While repositioning is one of the important causes mentioned in most PIP protocols, there was not adequate evidence to recommend any special turning regimens for PIP.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Given current evidence, multilayer silicone foam, Care bundle and multiple intervention programs, alternative inflatable head pads, pressure\u2010reducing foam mattresses, and electric bed frames are effective strategies to prevent pressure ulcers. Further investigations are needed to specify the cost\u2010effectiveness of mentioned strategies and RCTs to determine other PIP strategies such as repositioning and mobilization, nutritional supplementation, creams, and co\u2010interventions effects.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hsr2.1148","type":"journal-article","created":{"date-parts":[[2023,3,17]],"date-time":"2023-03-17T15:53:34Z","timestamp":1679068414000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Preventing pressure injury in open\u2010heart surgical patients: A systematic review"],"prefix":"10.1002","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1328-1895","authenticated-orcid":false,"given":"Hamed","family":"Taghiloo","sequence":"first","affiliation":[{"name":"MSc in Operating Room, School of Nursing Baqiyatallah University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2911-7005","authenticated-orcid":false,"given":"Abbas","family":"Ebadi","sequence":"additional","affiliation":[{"name":"Behavioral Sciences Research Centre, Life Style Institute, School of Nursing Baqiyatallah University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3759-0596","authenticated-orcid":false,"given":"Yaser","family":"Saeid","sequence":"additional","affiliation":[{"name":"Trauma Research Center and Faculty of Nursing Baqiyatallah University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3599-7923","authenticated-orcid":false,"given":"Alireza","family":"Jalali Farahni","sequence":"additional","affiliation":[{"name":"School of Medicine, Atherosclerosis Research Center Baqiyatallah University of Medical Sciences Tehran Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4191-4306","authenticated-orcid":false,"given":"Atefeh","family":"Davoudian","sequence":"additional","affiliation":[{"name":"Deputy of Research and Technology Zanjan University of Medical sciences Zanjan Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,3,17]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12994"},{"key":"e_1_2_11_3_1","doi-asserted-by":"crossref","unstructured":"TaghilooH EbadiA SaeidY Jalali FarahniA DavoudianA.Prevalence and factors associated with pressure injury in patients undergoing open heart surgery: a systematic review and meta\u2010analysis.Int Wound J.2022:1\u201013.doi:10.1111\/iwj.14040","DOI":"10.1111\/iwj.14040"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.WON.0000308620.78884.88"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1086\/502542"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2015.06.006"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.12968\/bjcn.2017.22.Sup6.S26"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/iwj.12123"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/WON.0000000000000130"},{"key":"e_1_2_11_10_1","unstructured":"European Pressure Ulcer Advisory Panel NPIAPPPPIA.prevention and treatment of pressure ulcers\/injuries clinical practice guideline: the international guideline.: EPUAP\/NPIAP\/PPPIA;2019.https:\/\/npiap.com\/page\/2019Guideline."},{"issue":"71","key":"e_1_2_11_11_1","article-title":"The PRISMA 2020 statement: an updated guideline for reporting systematic reviews","volume":"372","author":"Page MJ","year":"2021","journal-title":"BMJ"},{"key":"e_1_2_11_12_1","unstructured":"JulianPT HigginsJS PageMatthew J SterneJonathan AC.Revised Cochrane risk\u2010of\u2010bias tool for randomized trials (RoB 2)2019.https:\/\/www.riskofbias.info\/welcome\/rob-2-0-tool\/current-version-of-rob-2"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.46658\/JBIMES-20-04"},{"key":"e_1_2_11_14_1","unstructured":"National institue of health NHLaBI.Study Quality Assessment Tools: National Institutes of Health;2013[updated July 2021. 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