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Efficacy and Safety of Neuromuscular Electrical Stimulation in the Prevention of Pressure Injuries in Critically Ill Patients: a Randomized Controlled Trial by Baron, Miriam Viviane (author);Silva, Paulo Eugênio (author);Koepp, Janine (author);Urbanetto, Janete de Souza (author);Santamaria, Andres Felipe Mantilla (author);dos Santos, Michele Paula (author);de Mello Pinto, Marcus Vinicius (author);Brandenburg, Cristine (author);Reinheimer, Isabel Cristina (author);Carvalho, Sonia (author);Wagner, Mário Bernardes (author);Miliou, Thomas (author);Poli-de-Figueiredo, Carlos Eduardo (author);Pinheiro da Costa, Bartira Ercília (author) is a Medicine article available to read on EtoBox.

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## Background Pressure injuries (PIs), especially in the sacral region are frequent, costly, and increase morbidity and mortality of patients in an intensive care unit (ICU). These injuries can occur as a result of prolonged pressure and/or shear forces. Neuromuscular electrical stimulation (NMES) can increase muscle mass and improve local circulation, potentially reducing the incidence of PI. ## Methods We performed a randomized controlled trial to assess the efficacy and safety of NMES in preventing PI in critically ill patients. We included patients with a period of less than 48 h in the ICU, aged ≥ 18 years. Participants were randomly selected (1:1 ratio) to receive NMES and usual care (NMES group) or only usual care (control group—CG) until discharge, death, or onset of a PI. To assess the effectiveness of NMES, we calculated the relative risk (RR) and number needed to treat (NNT). We assessed the muscle thickness of the gluteus maximus by ultrasonography. To assess safety, we analyzed the effects of NMES on vital signs and checked for the presence of skin burns in the stimulated areas. Clinical outcomes were assessed by time on mechanical ventilation, ICU mortality rate, and

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Author

Baron, Miriam Viviane (author);Silva, Paulo Eugênio (author);Koepp, Janine (author);Urbanetto, Janete de Souza (author);Santamaria, Andres Felipe Mantilla (author);dos Santos, Michele Paula (author);de Mello Pinto, Marcus Vinicius (author);Brandenburg, Cristine (author);Reinheimer, Isabel Cristina (author);Carvalho, Sonia (author);Wagner, Mário Bernardes (author);Miliou, Thomas (author);Poli-de-Figueiredo, Carlos Eduardo (author);Pinheiro da Costa, Bartira Ercília (author)

Publisher

Springer Science and Business Media LLC

Published

2022

Language

EN

Field

Medicine (Health Sciences)