The effectiveness of three types of alternating pressure air mattresses in the prevention of pressure ulcers in Belgian hospitals

To compare the effectiveness of multi-stage and one-stage alternating low-pressure air mattresses (ALPAM) and alternating pressure air mattress (APAM) overlays in preventing pressure ulcers among hospitalized patients, data were pooled (N = 617) from a study of patients allocated to multi-stage ALPA...

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Bibliographic Details
Published in:Research in nursing & health 2013-10, Vol.36 (5), p.439-452
Main Authors: Demarré, Liesbet, Verhaeghe, Sofie, Van Hecke, Ann, Grypdonck, Maria, Clays, Els, Vanderwee, Katrien, Beeckman, Dimitri
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Air Pressure
alternating low-pressure air mattress
alternating pressure air mattress
Bedding
Beds - adverse effects
Beds - classification
Belgium
Biological and medical sciences
Comparative studies
decubitus ulcers
Dermatology
Effectiveness studies
Female
Hospitalization
Hospitalized
Hospitals
Humans
Incidence
Inpatient care
Male
Mattresses
Medical sciences
Miscellaneous
Nursing
Pressure sores
Pressure Ulcer - etiology
Pressure Ulcer - prevention & control
Pressure ulcers
Prevention
Prevention and actions
Public health. Hygiene
Public health. Hygiene-occupational medicine
Skin involvement in other diseases. Miscellaneous. General aspects
support surfaces
Ulcers
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Summary:To compare the effectiveness of multi-stage and one-stage alternating low-pressure air mattresses (ALPAM) and alternating pressure air mattress (APAM) overlays in preventing pressure ulcers among hospitalized patients, data were pooled (N = 617) from a study of patients allocated to multi-stage ALPAM (n = 252) or one-stage ALPAM (n = 264), and another study of patients allocated to APAM overlay (n = 101). Cumulative pressure ulcer incidence was 4.9% (n = 30) over 14 days. Fewer ulcers developed on multi-stage ALPAM compared with APAM overlay (OR = 0.33; 95% CI [0.11, 0.97]), but no difference was found between one-stage ALPAM and APAM overlay (OR = 0.40; 95% CI [0.14, 1.10]). Time to develop ulcers did not differ by mattress type.
ISSN:0160-6891
1098-240X
DOI:10.1002/nur.21557