Special mattresses: Effectiveness in preventing decubitus ulcers in chronic neurologic patients

Daechsel, Dawn; Conine, Tali A.

doi:10.1016/0003-9993(85)90161-3

Cited by 48 publications

(12 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several of the full articles selected were located in more than one database (duplicates). From 105 unique full articles that were read, a total of 14 studies were included in the final analysis (1,3,11,24–34), all of which were prospective, controlled clinical trials in which a pressure ulcer prevention program was compared with either a control group or another pressure relief program or system and the number of heel ulcers in each intervention group could be determined.…”

Section: Resultsmentioning

confidence: 99%

“…Three studies investigated the ability of foam mattresses to reduce the number of heel ulcers that occurred in acute and long‐term care settings compared with standard hospital mattresses (28,29,34). Three reports investigated the number of heel ulcers that occurred in individuals using mattress overlays (25,26,32). However, only one of these studies compared heel ulcer occurrence rates with those occurring on patients placed on standard hospital pillows (32).…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

The effect of pressure‐relieving surfaces on the prevention of heel ulcers in a variety of settings: a meta‐analysis

Nicosia

Gliatta

Woodbury

et al. 2007

International Wound Journal

View full text Add to dashboard Cite

This meta-analysis investigated the effectiveness of a pressure-relieving intervention on the incidence of heel pressure ulcers in a variety of settings. Literature searches of Cumulative Index to Nursing and Allied Health Literature, MEDLINE, PubMed, EMBASE and Cochrane databases were conducted for English-language articles that investigated the effect of pressure relief interventions with or without concurrent prevention programs on the number of heel ulcers occurring on adult humans in a controlled clinical design. Full articles were selected from citations based upon consensus between at least two independent reviewers. Methodological quality of each study was assessed using the Jadad and PEDro scales. A quantitative analysis was performed to determine and compare relative risk (RR) between pressure relief programs/devices that were classified according to similarity of interventions. Fourteen studies that involved a total of 1457 subjects were selected from a total of 105 full articles reviewed. Pressure-reducing/relieving surfaces were associated with a significantly lower incidence of heel ulcers compared with standard hospital mattresses (RR = 0.50, 95% CI = 0.26-0.93, P < 0.03). Foam mattresses also significantly reduced the risk of developing heel ulcers. There is evidence to support the use of certain air or foam mattresses/overlays in the prevention of heel pressure ulcers when compared with a standard hospital mattress. There is insufficient research available at this time to determine if heel-protective devices can prevent heel pressure ulcers. These results need to be interpreted with caution given the relatively low number and poor quality of research articles available to date.

show abstract

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

The effect of pressure‐relieving surfaces on the prevention of heel ulcers in a variety of settings: a meta‐analysis

Nicosia

Gliatta

Woodbury

et al. 2007

International Wound Journal

View full text Add to dashboard Cite

show abstract

“…This motility will redistribute the contact pressure of the mattress against the body. There were several studies on preventing pressure sores for sickbed patients (Clark & Cullum, 1992;Daechsel & Conine, 1985;Levine & Totols, 1995). They developed the pressure-redistributing mattress, which is the most common treatment to prevent decubitus (Gosnell, Johannsen, & Ayers, 1992).…”

Section: Introductionmentioning

confidence: 99%

Comfort evaluation and bed adjustment according to sleeping positions

Park

Kim²,

Kim

2009

Hum Ftrs & Erg Mfg Svc

View full text Add to dashboard Cite

This study explodes the relationships between the height adjustment of bed sectors and subjective comfort depending on three types of sleeping positions. An adjustable bed system that regulates the heights of 8 adjustment sectors of the bed was developed. To evaluate the comfort of 9 body areas, subjective ratings were requested from 64 subjects ranging in age from 25 to 50. The subjects included 29 males and 35 females. For an objective evaluation, the patterns of pressure distribution were investigated according to the three sleeping positions. During two separate states (before bed adjustment and after bed adjustment), measurements of the adjusted bed height and pressure distribution, and subjective ratings according to three sleeping positions were performed. Based on the results of the adjusted heights of the 8 sectors in the bed, the subjects preferred the W-shaped sleeping posture in both the supine and side positions. However, the U-shaped sleeping posture was preferred in the prone position. With respect to these sleeping positions, the heights of sectors significantly correlated with the subjective ratings presented by the subjects, as well as the ratios of pressure. C 2009 Wiley Periodicals, Inc.

show abstract

“…The relationship between pressure and soft tissue injury has led many to encourage the use of overlays, mattresses, and therapy beds to prevent pressure ulcers (Bristow, Goldfarb, & Green, 1987;Daechsel & Conine, 1985;Doughty, Fairchild, & Stogis, 1990;Parish & Witkowkski, 1980;Stoneberg, Pitcock, & Myton, 1986). Interface pressure, the pressure between the skin and the support surface, is the criterion clinicians and manufacturers use most often to assess these products.…”

mentioning

confidence: 99%

The role of support surfaces and patient attributes in preventing pressure ulcers in elderly patients

Kemp

Kopanke

Tordecilla

et al. 1993

Research in Nursing & Health

View full text Add to dashboard Cite

Nurses caring for elderly patients often need to select support surfaces that reduce the likelihood of pressure ulcers, but there is little information about the effectiveness of different support surfaces. This randomized trial compared two support surfaces and investigated patient attributes related to the risk of developing a pressure ulcer. Eighty-four elderly patients were nursed on a convoluted or solid foam overlay and assessed three times a week for pressure ulcers. Stepwise Cox proportional hazards regression revealed a statistically significant relationship between the risk of developing a pressure ulcer and the variables mobility and type of support surface.

show abstract

Special mattresses: Effectiveness in preventing decubitus ulcers in chronic neurologic patients

Cited by 48 publications

References 5 publications

The effect of pressure‐relieving surfaces on the prevention of heel ulcers in a variety of settings: a meta‐analysis

The effect of pressure‐relieving surfaces on the prevention of heel ulcers in a variety of settings: a meta‐analysis

Comfort evaluation and bed adjustment according to sleeping positions

The role of support surfaces and patient attributes in preventing pressure ulcers in elderly patients

Contact Info

Product

Resources

About