PubMed · 7637929
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S Cowan. 1995-07-14. Bed sharing and cot death.. https://pubmed.ncbi.nlm.nih.gov/7637929/
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This review of the literature summarizes research completed during the past 10 years with regard to pressure-reduction support surfaces. Data are summarized within Tables, focusing on each type of support surface (foam overlays, air overlays, and replacement mattresses) with the corresponding tissue interface pressure research and clinical trials. The review is intended to provide an evidence-based platform for selecting a support surface in clinical practice.
Support surfaces have been used for many years to treat or prevent pressure ulcers. In early 1996, the availability, application, and reimbursement for use of these products in the home care setting changed dramatically with the implementation of a new Medicare Part B "Medical Policy for Support Surfaces." This article reviews definitions and characteristics of the products as outlined in this policy, clinical criteria for patient qualification, and documentation requirements. Products assigned to Group 2 of the Medical Policy (those designed to treat patients with advanced stage wounds) are emphasized. Additional issues concerning billing, product selection based on patient need, environmental factors, and related financial implications are also presented.
This study examined four types of foam replacement hospital mattresses after three and a half years of general use in orthopaedic trauma and spinal surgery wards. Ten were examined to ascertain the condition of the cover and the foam in order to add to the body of knowledge about the life span of these mattresses. Only one mattress was in good condition; five were condemned at the time of inspection and four were recommended for early review because they showed signs of deterioration. It is clear that more objective evidence regarding the life span of hospital mattresses is required to assist with purchase decision-making.