[Two years of randomized and controlled clinical studies on pressure ulcers: does it change anything in the A.H.C.P.R. guidelines?].

The problem of the pressure ulcers is today one of the critical and controversial appearance of nursing. To use A.H.C.P.R. Practice Guideline like tool clinician of "evidence" is tightly recommended in this field. The validity of the Practice Guidelines is guaranteed if the knowledge on that base themselves the enunciations are updated and base themselves on independent studies and methodologically correct. Across the bibliographical research in Mediline, CINAHL and Embase, the Authors have chosen 31 randomized controlled trials (RCTs) turns in the last two years on the prevention and treatment of the pressure ulcers. They have defined a series of structural and methodologically standards, and were appraised the individuals studies confronting the results obtained. In relationship to the quality and importance of the results of the researches, the Authors define what enunciations of A.H.C.P.R. Practice Guidelines should be reviewed.