Could performance bias have influenced the prevention of pressure ulcers obtained with neuromuscular electrical stimulation in critically ill patients?
DOI:
https://doi.org/10.17267/2675-021Xevidence.2025.e6005Keywords:
Pressure Ulcer, ICU, BiasAbstract
This article aims to describe and reflect on a possible performance bias found in the randomized clinical trial by Baron et al, on the effectiveness of neuromuscular electrical stimulation for the prevention of pressure ulcers in critically ill patients.
Downloads
References
(1) Baron MV, Silva PE, Koepp J, Urbanetto JS, Santamaria AFM, Santos MP, et al. Efficacy and safety of neuromuscular electrical stimulation in the prevention of pressure injuries in critically ill patients: a randomized controlled trial. Annals of Intensive Care. 2022;12(53):1-13. https://doi.org/10.1186/s13613-022-01029-1
(2) Barcot O, Dosenovic S, Boric M, Pericic TL, Cavar M, Kadic AJ, , Puljak L. Assessing the risk of performance and detection bias in Cochrane reviews. Journal of Comparative Effectiveness Research. 2020;9(8). https://doi.org/10.2217/cer-2019-0181
(3) Sterne JAC, Savović J, Page MJ, Elbers RG, Blencowe NS, Boutron I, et al. RoB 2: a revised tool for assessing risk of bias in randomised trials. BMJ. 2019;366:l4898. https://doi.org/10.1136/bmj.l4898
(4) Shi C, Dumville JC, Cullum N, Rhodes S, McInnes E, Goh EL, et al. Beds, overlays and mattresses for preventing and treating pressure ulcers: an overview of Cochrane Reviews and network meta-analysis. Cochrane Database of Systematic Reviews. 2021, Issue 8. Art. No.: CD013761. https://doi.org/10.1002/14651858.cd013761.pub2
(5) Nakanishi N, Yoshihiro S, Kawamura Y, Aikawa G, Shida H, Shimizu M, et al. Effect of Neuromuscular Electrical Stimulation in Patients With Critical Illness: An Updated Systematic Review and Meta-Analysis of Randomized Controlled Trials. Crit Care Med. 2023;1;51(10):1386-1396. https://doi.org/10.1097/ccm.0000000000005941
(6) Yoshikawa Y, Shimooka M, Yoshikawa M, Maeshige N, Uemura M, Yamaguchi A, et al. Evaluation of the Effect of Gluteus Maximus Contraction by Electrical Stimulation on Interfacial Pressure in Supine Bed Positions. Prog Rehabil Med. 2024;9:20240035. https://doi.org/10.2490/prm.20240035
(7) Fremmelevholm A; Soegaard K. Pressure ulcer prevention in hospitals: a successful nurse-led clinical quality improvement intervention. British Journal of Nursing. 2019;28(6):S6-S11. https://doi.org/10.12968/bjon.2019.28.6.s6
(8) Cullum N, Buckley H, Dumville J, Hall J, Lamb K, Madden M, et al. Wounds Research for Patient Benefit: A 5-year Programme of Research. Programme Grants Appl Res 2016;4(13). https://doi.org/10.3310/pgfar04130
(9) Gray TA, Rhodes S, Atkinson RA, Rothwell K, Wilson P, Dumville JC, et al. Opportunities for better value wound care: a multiservice, cross-sectional survey of complex wounds and their care in a UK community population. BMJ Open 2018;8(3):e019440. https://doi.org/10.1136/bmjopen-2017-019440
(10) Teixeira AO, Brinati LM, Toledo LV, Neto JFS, Teixeria DLP, Januário CF et al. Factors associated with the incidence of pressure wounds in critical patients: a cohort study. Rev Bras Enferm. 2022;75(6):1-7. https://doi.org/10.1590/0034-7167-2021-0267pt
Downloads
Published
Issue
Section
License
Copyright (c) 2025 Bruno Prata Martinez, Iura Gonzalez Nogueira Alves, Mansueto Gomes Neto

This work is licensed under a Creative Commons Attribution 4.0 International License.
The authors retain copyrights, transferring to the Journal of Evidence-Based Healthcare only the right of first publication. This work is licensed under a Creative Commons Attribution 4.0 International License.
