Comparison of alternating pressure mattresses and overlays for prevention of pressure ulcers in ventilated intensive care patients: a quasi‐experimental study

Manzano, Francisco; Perez, A. Perez; Colmenero, Manuel; Aguilar, María-Mar; Sánchez‐Cantalejo, Emilio; Reche, A.; Talavera, J. C. Pardo; López, Francisco M. Honrubia; Barco, Sonia Frías-Del; Fernández-Mondéjar, E.

doi:10.1111/jan.12077

Cited by 26 publications

(64 citation statements)

References 31 publications

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“…Preventive interventions include offloading pressure via turning, repositioning of pressure points, and use of pressure-relieving devices. The results of previous research support the timely placement of at-risk patients on low air loss and pressure-relieving or pressure-redistribution mattresses [23][24][25][26][27][28] or air-fluidized beds. 29 Low air loss mattresses help control the skin microclimate to reduce skin moisture and temperature, thereby reducing injury of tissue surfaces that interface with the mattress.…”

Section: Discussionmentioning

confidence: 59%

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A Model of Pressure, Oxygenation, and Perfusion Risk Factors for Pressure Ulcers in the Intensive Care Unit

Bly

Schallom

Sona

et al. 2016

American Journal of Critical Care

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This article has been designated for CE contact hour(s). The evaluation tests your knowledge of the following objectives: Background Although most intensive care patients are at risk for pressure ulcers, not all experience such ulcers.Objective To examine a model of variables related to extrinsic and intrinsic pressure on skin and underlying tissues, oxygenation, perfusion, and baseline comorbid conditions to identify risk factors associated with pressure ulcers in critically ill adults. Method A retrospective chart review was conducted on patients identified by weekly rounds from January 2010 through October 2010 to determine the prevalence of pressure ulcers. Variables were analyzed via bivariate analysis and logistic regression for unit-acquired pressure ulcers. Results Data on 345 patients with 436 intensive care admissions were reviewed. Variables were significant in each model category at P < .05. In the regression analysis of first admission only (n = 306), the model was significant (P < .001) and yielded correct classification of 86.3% of patients. For all intensive care admissions (n = 391), the model was significant (P < .001) and yielded correct classification of 83.9% of patients. In both models, 4 of the same variables were significant: any transport off the unit, number of days to bed change, systolic blood pressure less than 90 mm Hg, and use of more than 1 vasopressor. History of pulmonary disease and presence of a feeding tube were also significant in regression analyses. Conclusions Several variables within the model of pressure, oxygenation, and perfusion were significantly associated with development of pressure ulcers.

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Section: Discussionmentioning

confidence: 59%

“…970 (5873) 59 (63) 21 (23) 100 (92) 6 (23) 92 (84) 7 (68) 88 (27) 122 (37) 128 (39) 30 (9) 93 (86) 10 (3) 10 (3) 10 (3) 2.8 (0.7)…”

Section: Methodsunclassified

A Model of Pressure, Oxygenation, and Perfusion Risk Factors for Pressure Ulcers in the Intensive Care Unit

Bly

Schallom

Sona

et al. 2016

American Journal of Critical Care

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“…31,32 Pressure-relieving mattresses can prevent pressure ulcers in ICU patients. 33,34 Despite the concern for pressure ulcer risk with HOB elevation greater than 30º, the current study demonstrated the safety of HOB elevation greater than 30º for 12 to 24 hours with pressure ulcer prevention measures.…”

Section: Discussionmentioning

confidence: 99%

Head-of-Bed Elevation and Early Outcomes of Gastric Reflux, Aspiration and Pressure Ulcers: A Feasibility Study

Schallom¹,

Dykeman²,

Metheny³

et al. 2014

American Journal of Critical Care

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A closed-book, multiple-choice examination following this article tests your under standing of the following objectives:1. Describe the risks and benefits of head-of-bed elevation. 2. Identify the findings at 30° and 45° head-ofbed elevation. 3. Discuss the early outcomes regarding head-ofbed elevation. Background Guidelines recommending head of bed (HOB) elevation greater than 30º to prevent ventilator-associated pneumonia conflict with guidelines to prevent pressure ulcers, which recommend HOB elevation less than 30º. Objectives To examine the feasibility of 45º HOB elevation and describe and compare the occurrence of reflux, aspiration, and pressure ulcer development at 30º and 45º HOB elevation. Methods A randomized 2-day crossover trial was conducted. HOB angle was measured every 30 seconds. Oral and tracheal secretions were analyzed for pepsin presence. Skin was assessed for pressure ulcers. Wilcoxon signed rank tests and

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“…, Manzano et al . ). These studies identified predictive factors such as non‐blanchable erythema, existing wounds, diabetes, low haemoglobin level on admission or before surgery (Nixon et al .…”

Section: Introductionmentioning

confidence: 97%

Factors predicting the development of pressure ulcers in an at‐risk population who receive standardized preventive care: secondary analyses of a multicentre randomised controlled trial

Demarré

Verhaeghe

Hecke

et al. 2014

Journal of Advanced Nursing

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Comparison of alternating pressure mattresses and overlays for prevention of pressure ulcers in ventilated intensive care patients: a quasi‐experimental study

Abstract: This quasi-experiment study that alternative pressure air mattresses were more effective than alternating pressure air overlays in preventing pressure ulcers in mechanically ventilated critical care patients.

Cited by 26 publications

References 31 publications

A Model of Pressure, Oxygenation, and Perfusion Risk Factors for Pressure Ulcers in the Intensive Care Unit

A Model of Pressure, Oxygenation, and Perfusion Risk Factors for Pressure Ulcers in the Intensive Care Unit

Head-of-Bed Elevation and Early Outcomes of Gastric Reflux, Aspiration and Pressure Ulcers: A Feasibility Study

Factors predicting the development of pressure ulcers in an at‐risk population who receive standardized preventive care: secondary analyses of a multicentre randomised controlled trial

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