Comparing the effectiveness of a specialized alternating air pressure mattress replacement system and an air-fluidized integrated bed in the management of post-operative flap patients: A randomized controlled pilot study

Finnegan, Matthew; Gazzerro, Linda; Finnegan, James O.; Lo, Percy

doi:10.1016/j.jtv.2007.09.009

Cited by 16 publications

(6 citation statements)

References 19 publications

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“…Tecnologias em saúde implementadas para prevenção de lesão por pressão no contexto hospitalar: revisão integrativa estudos comparativos foram realizados para medir o efeito dessas intervenções e descrever os achados ante a utilização de tecnologias associadas à gestão da equipe quanto à mudança de decúbito [15][16][17]20,24 .…”

Section: Discussionunclassified

“…Quanto aos tipos de colchão, existem dois tipos mais utilizados na prática clínica, no entanto é mister evidenciar o tipo de tecnologia mais eficaz. Dessa maneira, um ensaio clínico randomizado controlado comparou dois tipos de colchão (colchão de ar com pressão alternada e colchão de ar fluidizado), evidenciando a maior eficácia do colchão de ar com pressão alternada 17 .…”

Section: Discussionunclassified

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Tecnologias Em Saúde Implementadas Para Prevenção De Lesão Por Pressão No Contexto Hospitalar: Revisão Integrativa

Araújo

Bezerra

Machado

et al. 2022

ESTIMA, Braz. J. Enterostomal Ther.

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O presente estudo teve como objetivo analisar na literatura as tecnologias implementadas para prevenção de lesão por pressão no contexto da assistência hospitalar. Trata-se de uma revisão integrativa da literatura realizada no período de outubro a dezembro de 2021, nos bancos de dados: Biblioteca Virtual de Saúde, MEDLINE via PubMed, Scopus, Web of Science, Embase e Cochrane Library. Foram incluídos 192 artigos e excluídos 179. A amostra final foi composta de 13 artigos, que atenderam aos critérios de elegibilidade e responderam ao objetivo e à questão de pesquisa. Evidenciou-se que as principais tecnologias utilizadas foram colchões de ar, educação permanente mediada por e-learning, sistema computacional que facilita a identificação de fatores de risco, sistema de sinal luminoso para acionamento da equipe, sistema computacional para monitoramento da pressão tecidual, software para implementação de diretriz informatizada, catálogo informativo, diretrizes clínicas e ambiente virtual de aprendizagem. Essas tecnologias demonstraram resultados positivos, no entanto, majoritariamente, os estudos tratam de desenhos de pesquisa descritivos com baixo poder de inferência, o que aponta para uma lacuna de pesquisas experimentais a fim de comprovar com maior exatidão os reais benefícios das tecnologias para a prevenção de lesão por pressão.

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Section: Discussionunclassified

Tecnologias Em Saúde Implementadas Para Prevenção De Lesão Por Pressão No Contexto Hospitalar: Revisão Integrativa

Araújo

Bezerra

Machado

et al. 2022

ESTIMA, Braz. J. Enterostomal Ther.

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“…In addition, some comparative studies were carried out to measure the effect of these interventions and describe the findings regarding the use of technologies associated with the management of the care team regarding the change in the decubitus position. [15][16][17]20,24 .…”

Section: Health Technologies Implemented To the User In The Pressure ...mentioning

confidence: 99%

Implemented Technologies for Pressure Injury Prevention in the Hospital Context: Integrative Review

Araújo

Bezerra

Machado

et al. 2022

ESTIMA, Braz. J. Enterostomal Ther.

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The present study aimed to analyze in the literature the technologies implemented to prevent pressure injuries in the context of hospital care. This is an integrative literature review carried out from October to December 2021, in the databases: Virtual Health Library; MEDLINE via PubMed; Scopus; Web of Science; Embase and Cochrane Library, and 192 articles were included and 179 excluded. The final sample consisted of 13 articles, that met the eligibility criteria and answered the objective and research question. The main technologies used were air mattresses, permanent education mediated by e-learning, a computer system that facilitates the identification of risk factors, a light signal system for activating the team, a computer system for monitoring tissue pressure, a software for implementing computerized guidelines, an informative catalog, clinical guidelines, and a virtual learning environment. These technologies have shown positive results, however, as identified in the analysis, most studies deal with descriptive research designs with low inference power, which opens space for experimental research to prove the real benefits of technologies more accurately for pressure injury prevention.

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“…Types of studies Two arms (n = 35): Allman 1987;Aronovitch 1999;Beeckman 2019;Bennett 1998;Berthe 2007;Cassino 2013;Cavicchioli 2007;Conine 1990;Daechsel 1985;Feuchtinger 2006;Finnegan 2008;Gunningberg 2000;Hofman 1994;Inman 1993;Jiang 2014;Jolley 2004;Lazzara 1991;Malbrain 2010;McGowan 2000;Mistiaen 2009;Nixon 2019;Park 2017;Ricci 2013;Rosenthal 2003;Russell 2000;Russell 2003;Sauvage 2017;Schultz 1999;Takala 1996;Van Leen 2011;Van Leen 2013;Van Leen 2018;Vanderwee 2005;Vermette 2012.…”

Section: Appendix 7 Robis Quality Of Included Reviewsunclassified

“…Funding sources • Public funding (n = 9): Berthe 2007; Conine 1990;Jiang 2014;Mistiaen 2009;Nixon 2019;Stapleton 1986;van Leen 2011;Vermette 2012); • Industries (n = 18): Allman 1987;Aronovitch 1999;Beeckman 2019;Bennett 1998;Cassino 2013;Daechsel 1985;Finnegan 2008;Gunningberg 2000;Inman 1993;Jolley 2004;Lazzara 1991;Mc-Gowan 2000;Ricci 2013;Russell 2000;Russell 2003;Schultz 1999;Takala 1996;van…”

Section: Appendix 7 Robis Quality Of Included Reviewsunclassified

Beds, overlays and mattresses for preventing and treating pressure ulcers: an overview of Cochrane Reviews and network meta-analysis

Shi

Dumville

Cullum

et al. 2021

Cochrane Database of Systematic Reviews

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Background Pressure ulcers (also known as pressure injuries, pressure sores and bed sores) are localised injuries to the skin or underlying soft tissue, or both, caused by unrelieved pressure, shear or friction. Specific kinds of beds, overlays and mattresses are widely used with the aim of preventing and treating pressure ulcers. Objectives To summarise evidence from Cochrane Reviews that assess the effects of beds, overlays and mattresses on reducing the incidence of pressure ulcers and on increasing pressure ulcer healing in any setting and population. To assess the relative effects of different types of beds, overlays and mattresses for reducing the incidence of pressure ulcers and increasing pressure ulcer healing in any setting and population. To cumulatively rank the different treatment options of beds, overlays and mattresses in order of their effectiveness in pressure ulcer prevention and treatment. Methods In July 2020, we searched the Cochrane Library. Cochrane Reviews reporting the effectiveness of beds, mattresses or overlays for preventing or treating pressure ulcers were eligible for inclusion in this overview. Two review authors independently screened search results and undertook data extraction and risk of bias assessment using the ROBIS tool. We summarised the reported evidence in an overview of reviews. Where possible, we included the randomised controlled trials from each included review in network meta‐analyses. We assessed the relative effectiveness of beds, overlays and mattresses for preventing or treating pressure ulcers and their probabilities of being, comparably, the most effective treatment. We assessed the certainty of the evidence using the GRADE approach. Main results We include six Cochrane Reviews in this overview of reviews, all at low or unclear risk of bias. Pressure ulcer prevention: four reviews (of 68 studies with 18,174 participants) report direct evidence for 27 pairwise comparisons between 12 types of support surface on the following outcomes: pressure ulcer incidence, time to pressure ulcer incidence, patient comfort response, adverse event rates, health‐related quality of life, and cost‐effectiveness. Here we focus on outcomes with some evidence at a minimum of low certainty. (1) Pressure ulcer incidence: our overview includes direct evidence for 27 comparisons that mostly (19/27) have very low‐certainty evidence concerning reduction of pressure ulcer risk. We included 40 studies (12,517 participants; 1298 participants with new ulcers) in a network meta‐analysis involving 13 types of intervention. Data informing the network are sparse and this, together with the high risk of bias in most studies informing the network, means most network contrasts (64/78) yield evidence of very low certainty. There is low‐certainty evidence that, compared with foam surfaces (reference treatment), r...

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Comparing the effectiveness of a specialized alternating air pressure mattress replacement system and an air-fluidized integrated bed in the management of post-operative flap patients: A randomized controlled pilot study

Cited by 16 publications

References 19 publications

Tecnologias Em Saúde Implementadas Para Prevenção De Lesão Por Pressão No Contexto Hospitalar: Revisão Integrativa

Tecnologias Em Saúde Implementadas Para Prevenção De Lesão Por Pressão No Contexto Hospitalar: Revisão Integrativa

Implemented Technologies for Pressure Injury Prevention in the Hospital Context: Integrative Review

Beds, overlays and mattresses for preventing and treating pressure ulcers: an overview of Cochrane Reviews and network meta-analysis

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