Clinical and technical evidence

A literature search was carried out for this briefing in accordance with NICE's interim process and methods statement. This briefing includes the most relevant or best available published evidence relating to the clinical effectiveness of the technology. Further information about how the evidence for this briefing was selected is available on request by contacting mibs@nice.org.uk.

Published evidence

One study including 39 people is summarised in this briefing.

This observational study was reported in abstract form only. It compares the QuickChange Incontinence Wrap to current incontinence care for men.

The clinical evidence and its strengths and limitations is summarised in the overall assessment of the evidence.

Overall assessment of the evidence

The evidence is limited and of low methodological quality. The study is small in terms of patient numbers and was done in the US, not an NHS setting. The comparators chosen are representative of standard care in the NHS. The evidence shows that using QuickChange reduces hospital-acquired pressure ulcers and incontinence-associated dermatitis. The evidence came from 1 conference abstract so more high-quality research is necessary to evaluate QuickChange.

Famorca et al. (2019)

Intervention and comparators

Intervention: QuickChange Incontinence Wrap.

Comparators: current incontinence care for men (Foley catheter, condom catheter or adult briefs).

Key outcomes

Thirty people had the QuickChange wrap and 9 used adult briefs alone. None of the patients with QuickChange wraps developed any hospital-acquired pressure injury or incontinence-associated dermatitis. All patients using the adult briefs alone developed hospital-acquired pressure injury from incontinence. Nurses agreed that using QuickChange wraps assisted in managing urinary incontinence and helped preserve the skin. Also, nurses reported that changing a QuickChange wrap would take less time than using adult briefs or managing a Foley catheter.

Strengths and limitations

The QuickChange wrap was trialled in 3 hospitals. The decision to use QuickChange or current incontinence care for men was at the discretion of the nurses. This study is reported in conference abstract form only so is limited in detail.

Sustainability

QuickChange Incontinence Wrap is a single-use device.

Recent and ongoing studies

No ongoing or completed trials were identified.