Abstract
Introduction: In the pediatric population pressure-and friction related wounds secondary to the tracheostomy related tubes and ties are frequently encountered and require special attention. Tragic complications of tracheostomy related pressure ulcers resulted in additional infections, poor quality of life and prolonged hospitalization of children. Taking an evidence –based approach to this current problem, a concrete question was formed for PICO, “Interventions for stoma care for children with tracheostomy to prevent& reduce wound complications”. Objective: The objective of this systematic review is mainly to synthesize reports of articles on interventions of stoma care for children with tracheostomy to prevent and reduce wound complications. Methods: Based on eligibility criteria, the search was limited to research articles published between 2000-2018 in English language. Data base searched were CINAHL (identified 3 articles); PUBMED (3 articles) COCHRANE (No articles relevant to tracheostomy care for children).Additional records identified 32 articles and 144 further articles were identified that met the inclusion criteria through citation tracking and reference list checking of included articles. Of these 128 articles included after duplicates removal. Of these records screened 48 articles and 29 excluded because they didn’t meet the selection criteria from full text. The full text of 19 articles was reviewed. Results: A total of 10 studies were identified for inclusion in the review. The descriptive synthesis of the data was done after quality appraisal and risk of bias and ten studies included for qualitative synthesis. The studies reviewed were heterogeneous in nature. Conclusions: All papers included in the study were low- moderate quality. High quality evidence from Randomized controlled trials and well -designed systematic reviews were lacking. Evidence based protocols were recommended for stoma care and policies need to be formulated for individualized patient care.
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