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Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.

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At least 289 records · Page 16Linked to original sources
PubMed2001

Evaluating pressure-reducing foam mattresses and electric bed frames.

It could be argued that pressure ulcer prevention is simply a matter of matching those patients at risk of developing tissue damage with suitable pressure-reducing equipment. However, as many authors have identified, this can be complicated because of the lack of reliable evidence to support many products. This article seeks to evaluate the combination of a pressure-reducing mattress with an electric profiling bed frame. The study was conducted in a high-dependency cardiac surgery unit. Forty-four subjects were recruited during a 6-month period and their progress observed. Two outcome measures were used: pressure ulcer incidence and perceptions of comfort. No pressure ulcers developed during the trial and the perceptions of comfort were generally positive. The small sample size restricts the conclusions that can be drawn from the study, but when taken in conjunction with other small studies in this area there appear to be benefits from using such a combination of equipment.

Beds↗
PubMedDate not supplied

ProfiCare: an alternating pressure-relieving mattress.

Risk assessment tools should only act as a guide to patient status rather than definitive diagnosis. Emphasis must be placed on not using the Waterlow score in isolation but in conjunction with clinical judgement. We must therefore attempt to minimize opportunities for disagreement over pressure ulcer risk scores through the selection of appropriate support surfaces based on a thorough consideration of costs of pressure ulcers for the patients, institutions and healthcare professionals. This product focus advocates that ProfiCare replacement mattresses are an option as they are designed for use on a hospital bed frame and provide alternating and static patient support surfaces.

Aged↗
PubMedDate not supplied

SimCair: a simple mattress system to support pressure ulcer prevention.

Assessing skin is a simple method of reducing pressure ulcer occurrence and is easily accomplished by both trained and untrained staff. The important issue, once the risk has been identified, is to supply equipment in the shortest time possible. A new mattress, SimCair, developed by Hill-Rom Ltd, is designed for just such a reason. It is a lightweight overlay that combines air and viscoelastic foam in order to redistribute the body weight and thus reduce risk. SimCair is easily transported and can be ready for instant and automatic inflation as soon as it is required. It is also durable and simple to clean between patients. A small evaluation was undertaken in one nursing home to assess the benefits to the residents.

Aged↗
PubMed2000

A change for the better? Measuring improvements in upgraded alternating-pressure air mattresses.

This study used measurements of interface pressure over time (the pressure relief index) to investigate improvements made to two alternating-pressure air mattresses. Two older models, the Nimbus 2 (Huntleigh Technology) and Pegasus Airwave (Pegasus Egerton), were compared with two new versions, the Nimbus 3 and Cairwave systems, respectively. Pressure relief was improved in seven out of 12 areas in the Nimbus 3 system, and in four out of 12 areas in the Cairwave. Significant differences in pressure relief index measurements at the heel between the Nimbus 3 and Cairwave products may explain the former's better clinical outcomes in this area, but superior pressure relief index performance at the sacrum did not predict better clinical outcomes. Therefore, different levels of pressure relief may be needed at different body sites. Individual practitioners must decide whether these improvements merit list price increases of 11% and 15%, respectively, and whether other features justify a 20% price difference between the two new systems.

Adolescent↗
PubMedDate not supplied

An evaluative approach to selecting mattresses.

Gillian Arblaster discusses the process undertaken by the Walsgrave Hospitals NHS Trust to evaluate dynamic pressure-relieving/reducing mattresses before deciding which type to rent or purchase. The study was undertaken over three years ago and, therefore, the products discussed in this article may have been superceded by newer ones. Structural and educational changes might also have taken place within the companies. John Timmons, a tissue viability nurse specialist at Monklands Hospital, Airdrie, evaluates the process and outcomes of this small study.

Beds↗
PubMed1991

Researcher seeks uniform mattress ratings.

Are special mattresses and pads truly effective in reducing the problems associated with pressure scores? A California-based group says there's no effective way to tell whether the products are living up to their claims, and the group's head is seeking an improvement in the measures used to assess those products.

Bedding and Linens↗
PubMed2000

Short-term outcomes of chronic back pain patients on an airbed vs innerspring mattresses.

OBJECTIVE: To compare SF-36, pain Visual Analog Scale (VAS), and sleep VAS outcomes of an adjustable airbed with innerspring mattresses in a population of chronic back pain sufferers. STUDY DESIGN: A-B-A trial, in 3 phases: the patients on their own bed for 1 night, on an adjustable airbed for 28 nights, and on their bed for 14 nights. SETTING: Outpatient pain rehabilitation, physical therapy, and alternative medicine clinics. PATIENTS: Three centers recruited 30 patients each with severe chronic back pain and without sleep apnea or other sleep disorders. MAIN OUTCOME MEASURES: SF-36 health status survey and VAS pain and sleep quality scales. RESULTS: On VAS scales, 95% showed pain improvement, and 88% reported better sleep. The average improvements were a 32% pain decrease and a 73% increase in sleep quality, significant at P less than.001 (two-tail t test). Eighty percent improved on the SF-36 physical functioning dimension and 88% improved on the bodily pain dimension. The average score on each dimension improved (P less than.001). Eighty-five percent preferred the adjustable airbed. DISCUSSION AND CONCLUSION: SF-36 and VAS outcomes measures showed a highly significant benefit for the airbed design in this short-term comparison. The airbed appears to be a useful sleep aid and an adjunct to medical and physical therapies for chronic back pain sufferers.

Adult↗
PubMed2000

Investigating the efficacy of a nonpowered pressure-reducing therapeutic mattress: a retrospective multi-site study.

To ascertain the ability of combining data to examine the effectiveness of a lateral support surface, data from independent studies were analyzed. Patients placed on the surface (N = 75) were elderly (mean age 70.2 years), had multiple comorbities, and an average Braden score of 12.66. Of these patients, 8.4% had a history of preexisting pressure ulcers and their average albumin was 3.56. Seventeen patients without wounds and believed to be "at risk" (average Braden score = 10.75) were treated prophylactically for an average of 63.3 days. Records of 45 wounds (32 subjects) were sufficiently complete to be included in the wound healing rate analysis. No ulcers occurred in the preventive group. No impact was associated with combining the data across the setting. A slight impact was anticipated when combining the data by setting and wound stage. Wounds on 28 of the subjects healed or were reduced in size, three remained unchanged, and one worsened. Overall, wound size reduced by an average of 68.85% over 84.69 days on the mattress, or 25.5% per week (n = 45, P = 0.0004). Stage I pressure ulcers reduced 46% per week (n = 6, P = 0.022), Stage II ulcers at 33% per week (n = 22, P = 0.05), Stage III ulcers at 6.97% per week (n = 13, P = 0.004), and Stage IV at 3.24% per week (n = 4, P = 0.058). The results of this retrospective review indicate that data from various sites can be combined and that the support surface may be an effective intervention modality. However, wound healing is a complex process, and support surfaces are only one of many interventions needed to facilitate healing. Future research using valid wound-healing instruments is needed.

Adult↗
PubMed2003

Case report of a pressure ulcer in an infant receiving extracorporeal life support: the use of a novel mattress surface for pressure reduction.

This case report describes a 4350-gram male infant of 38 weeks gestation who was placed on extracorporeal life support. On day 4 of life, a large bilateral ecchymotic area involving the scapula and extending to the mid sacral-lumbar-thoracic area was noted, placing the infant at significant risk for pressure ulcer formation. The infant's initial presentation, evaluation, treatment, and response to therapy are discussed. A review of the anatomy and physiology of neonatal skin and the etiology of pressure ulcers is described. The incidence and staging of pressure ulcers is outlined, and high-risk infants and skin zones are identified. Skin care challenges in the patient on extracorporeal life support (ECLS) are outlined, and strategies to assess and treat affected areas are offered. The use of a novel mattress surface for global pressure reduction in the infant undergoing ECLS therapy is discussed.

Bedding and Linens↗
PubMed2004

Cot-nursing using a heated, water-filled mattress and incubator care: a randomized clinical trial.

AIMS: To evaluate the thermal responses and weight gain in preterm infants nursed in a cot on a heated, water-filled mattress (HWM) compared with infants receiving care in an air-heated incubator and to compare mothers' stress, anxiety levels and perceptions of their infants in the two groups. METHODS: Stable preterm infants weighing 1300 to 1500 g were enrolled, being randomly allocated to either the study group (n = 41) receiving care in a cot on an HWM, or the control group (n = 33) receiving incubator care. The mean daily body temperature and episodes of cold stress and hyperthermia were recorded. Weight gain (g kg(-1) body weight d(-1)) was also calculated. The mothers completed questionnaires on their perceptions of their infants, and their anxiety and stress levels before randomization, and 2-3 wk later during the trial. RESULTS: The mean body temperature was similar for the first week of the trial (study group 36.9 degrees C vs controls 36.9 degrees C). There were no significant differences in the incidence of cold stress, while more hyperthermic episodes were seen in the study group (p = 0.03). There were no significant differences in weight gain during the first (study group 21.4 g vs controls 19.6 g) or second weeks of the trial (study group 20.5 g vs controls 19.2 g). Neonatal morbidity did not differ between the groups. There were no differences in mothers' perceptions of their babies, or feelings of stress or anxiety. CONCLUSION: There were no differences between infants cot-nursed on an HWM and those receiving incubator care, with the exception of episodes of high temperature. The results suggest that the HWM may be used safely for low-weight preterm infants.

Beds↗
PubMed2004

Lateral rotation mattresses for wound healing.

Continuous lateral rotation therapy utilizes mattresses and beds that move the patient in a regular pattern around a longitudinal axis. Although these devices have been used for several decades for other medical purposes, literature is scant regarding their role in the treatment of skin breakdown in the bedridden, difficult-to-reposition patient. A descriptive study was undertaken to ascertain the rate of wound healing and number of weeks to achieve wound closure when continuous lateral rotation therapy was employed in patients with partial-thickness (n=10) and full-thickness (n=20) ulcers on the trunk or pelvis. Patients receiving the services of Advanced Therapy Surfaces in home or long-term care between March 15, 2002 and April 1, 2003 were enrolled. Partial-thickness wounds healed at an average rate of 16.68% per week, with an average time for continuous lateral rotation therapy of 9.25 weeks. Full-thickness wounds healed at an average rate of 14.38% per week (time to healing 11.25 weeks). No additional areas of skin breakdown were observed. These encouraging results suggest that additional research is warranted.

Beds↗
PubMedDate not supplied

Minimising cross-infection risks associated with beds and mattresses.

The spread of infection can be associated with inanimate objects in the environment, referred to as fomites. These include beds, mattresses, curtains, bedpans and sphygmomanometers, all of which may be contaminated with micro-organisms (Wilson, 2001).

Bedding and Linens↗
PubMed1991

Glaucoma filtration surgery: new horizontal mattress closure of conjunctival incision.

We developed a conjunctival wound closure technique with the idea of decreasing the incidence of wound leak following glaucoma filtration surgery. A micropoint 9-0 nylon vascular needle is used as a running mattress suture to close the limbal conjunctiva in routine fornix-based flap trabeculectomy surgery, trabeculectomy surgery with 5-fluorouracil (5-FU), and combined cataract and trabeculectomy surgery. In a series of 52 eyes in 52 patients in which we used this technique, there have been no cases of flat anterior chamber or significant choroidal effusion, complications often occurring secondary to trabeculectomy which require further intervention.

Cataract Extraction↗
PubMed1987

Abdominal hernioplastics sewn by horizontovertical mattress sutures.

An abdominal reconstruction made by overlapping is reported. Operation was performed by horizontovertical mattress sutures. It did not significantly impair the vascularization and innervation of the tissues, representing, therefore, both anatomically and functionally favourable type of reconstructive operation of the abdominal wall.

Hernia, Umbilical↗