Comparison of Effectiveness of Chinese Association of Operating Room Nurses-Based Nursing Care and Routine Nursing in Reducing Intraoperative Pressure Injury in Patients Undergoing Neurosurgery.
Miaomiao Jiang, Jianshu Cai, Luping Li and 1 others
PMID 40131875WHAT IT FOUND
Among neurosurgery patients, pressure injury occurred in 1 of 50 with routine care plus CORN-based assessment and preventive nursing, compared with 8 of 50 with routine care.
Key findings
01One of 50 patients in the CORN-based care group had a pressure injury, compared with eight of 50 in the routine nursing group.
02The one pressure injury in the CORN group was stage 1 after prone surgery; the control group had seven stage 1 and one stage 2 pressure injuries, mostly after prone surgery.
03Mean nursing quality scores were 95.02, 92.48, and 94.84 in the CORN group, compared with 92.12, 88.42, and 91.36 in the control group.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
Single center, small sample, regional limitations, and short intervention duration limit generalisation. Patients were grouped by surgery date, and the paper does not describe random allocation or blinding. The observation group received routine nursing plus CORN assessment, staff training, positioning, dressings, temperature management, and bleeding support, so the effect of any single component cannot be separated. The authors state that preventive measures may have been taken before surgery to avoid ethical problems, which could bias pressure injury incidence.
The easy way to misread this
Do not conclude that the CORN scale alone reduced pressure injuries. The observation group also received routine nursing care, staff training, positioning, dressings, temperature management, and bleeding support, and patients were grouped by surgery date rather than random allocation.