RNMeta-AnalysisJournal of advanced nursing2025

Patient positioning on the operating table and patient safety: A systematic review and meta-analysis.

Signe Berit Bentsen, Geir Egil Eide, Siri Wiig and 3 others

PMID 38186052

WHAT IT FOUND

Patient positioning during surgery was linked to nerve, skin, eye and muscle injuries.

Prone positioning had the highest reported harm risk, but occurrence was uncertain across studies.

Key findings

01The pooled risk of any positioning-related harm was 0.2%, but the studies varied widely (I2=100%).

02Prone positioning had the highest reported risk of harm, with an overall risk of 0.33.

03In prone spine surgery, perioperative pressure ulcers were reported in 23% to 27% of patients.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

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What it does not show

The included studies did not define harmful incidents or describe patient positioning consistently, so some incidents may have been missed. Harm was not recorded with standardized prospective tools in the included reports. The evidence was mainly from register-based and non-randomized studies, with only 2 randomized trials among 22 papers. Risk of bias was moderate to critical in many studies. The pooled estimate had very large heterogeneity (I2=100%), so the 0.2% overall risk should not be read as a precise incidence.

Declared interests

No funding was reported, and the authors declared no conflicts of interest.

The easy way to misread this

Do not read the pooled 0.2% risk as a firm incidence rate. The studies varied widely (I2=100%), and harmful incidents were not defined or recorded consistently, so the true occurrence is unclear.

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