Hard technologies for prevention of pressure injuries in hospitalized adults and older adults: a scoping review.
Authors
Affiliations (3)
Affiliations (3)
- Universidade Federal do Piauí, Centro de Ciências da Saúde, Programa de Pós-Graduação em Enfermagem. Teresina, Piauí, Brasil.
- Hospital Universitário da Universidade Federal do Piauí. Teresina, Piauí, Brasil.
- Universidade Federal do Piauí, Colégio Técnico de Floriano. Floriano, Piauí, Brasil.
Abstract
To map hard technologies for the prevention of pressure injuries in hospitalized adults and older adults. A scoping review following JBI methodology and PRISMA-ScR guidelines, searching the following databases: LILACS and BDENF (via VHL), MEDLINE, SCOPUS, CINAHL, and Embase. Gray literature was consulted via the Brazilian Digital Library of Theses and Dissertations. The protocol was registered on the Open Science Framework. Screening and analysis were conducted blindly and independently by two reviewers, with a third reviewer resolving any conflicts. Data were extracted using a JBI-adapted instrument and analyzed through descriptive and narrative synthesis. A total of twenty-one studies (2013-2025) with varying levels of evidence were included. Identified technologies included wireless wearable sensors, pressure-redistribution devices, machine learning-based predictive models, continuous monitoring systems, moisture scanners, thermography, and deep tissue ultrasound. Wearable sensors increased adherence to repositioning; predictive models achieved an AUC ≥ 0.80; and early detection technologies identified tissue damage. The mapped technologies demonstrated potential for the early detection of tissue changes, increased adherence to repositioning, and risk prediction, offering the prospect of contributing to a reduction in the incidence of pressure injuries.