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At least 19 recordsLinked to original sources

Comparative study of a foam mattress and a water mattress.

In order to determine the effectiveness of high-quality foam replacement mattresses in the treatment of pressure ulcers, one such mattress (TheraRest) was compared with a water mattress (Secutex). One hundred and twenty nursing home patients with pressure ulcers were randomised into two groups and nursed on one of the mattresses for four weeks. After four weeks, 45% of the patients using the foam mattress were completely healed, compared with 48.3% of those using the water mattress. This difference is not significant. Since high-quality foam mattresses are cheaper in the long term than water mattresses, and are easier for nursing staff to manage, it is suggested that these mattresses are preferable.

Activities of Daily Living↗

Biomechanical evaluation of meniscal repair systems: a comparison of the Meniscal Viper Repair System, the vertical mattress FasT-Fix Device, and vertical mattress ethibond sutures.

BACKGROUND: The biomechanical characteristics of the Meniscal Viper Repair System have not been previously studied. HYPOTHESIS: Comparable meniscal lesion fixation standards will exist among the Meniscal Viper Repair System, the vertical FasT-Fix device, and vertical mattress sutures. STUDY DESIGN: Controlled laboratory study. METHODS: Porcine menisci (3 groups of 7 menisci each) were repaired using different devices. A servohydraulic device cycled each construct between 5 N and 50 N for 500 cycles before load to failure (5 mm/min). Group differences were evaluated with 1-way analysis of variance and Tukey post hoc tests. RESULTS: During cyclic testing, the vertical mattress suture group (2.3 +/- 0.2 mm) showed less mean displacement than did the vertical FasT-Fix or the Viper system groups (3.9 +/- 0.7 mm and 3.9 +/- 0.5 mm, respectively); the vertical mattress suture group (21.8 +/- 2 N/mm) also displayed superior mean stiffness to the vertical FasT-Fix or the Viper system groups (13.2 +/- 2 N/mm and 13.1 +/- 1.8 N/mm, respectively). During load-to-failure testing, the vertical FasT-Fix group (145.9 +/- 9 N) withstood greater mean loads than did the Viper system group (111.2 +/- 30 N), but it did not differ significantly from loads withstood by the vertical mattress suture group (133.4 +/- 10 N). The Viper system and vertical FasT-Fix groups (14.6 +/- 2 N/mm and 12.1 +/- 1 N/mm, respectively) displayed superior mean stiffness to the vertical mattress suture group (9.8 +/- 0.5 N/mm) during load-to-failure testing. CLINICAL RELEVANCE: Standard vertical mattress sutures provided superior fixation during cyclic loading compared with the 2 all-inside methods of suture fixation, suggesting a potential for better meniscal lesion healing with vertical mattress sutures when confronted with the stresses associated with early, progressive rehabilitation activities. Stronger sutures and less meniscal segment purchase in tears located 3 to 4 mm from the periphery may contribute to the failure of the Viper repair system.

Absorbable Implants↗

[Reduction of colonization of new mattresses with bacteria, moulds and house dust mites by complete mattress covers].

BACKGROUND AND OBJECTIVE: We investigated if the colonisation of new mattresses with house dust mites, bacteria, and fungi could be reduced by using synthetic mattress covers as compared to common cotton covers. PATIENTS/METHODS: 84 healthy volunteers were assigned to two groups. Group A (n = 43) received the cotton covers, group B (n = 41) the synthetic covers which were made of a polyester microfaser with a polyurethane surface layer (Pro-Tex, Germed, Schwarzenbek, Germany). RESULTS: The mite antigen concentration after six months was significantly lower in group B. Three months after the start of the study counts of bacteria and moulds were significantly higher in group A compared to group B. CONCLUSIONS: It can be recommended that patients suffering from an allergy to mites or moulds may reduce their domestic allergen exposure by using the synthetic mattress covers tested in this study. Since cotton covers are very likely to become colonised by bacteria and moulds, they must be cleaned periodically (at least every 2nd-3d month).

Animals↗

Comparison of a new foam mattress with the standard hospital mattress.

This study evaluates pressure ulcer incidence rates and comfort perceptions in 100 subjects admitted to a district general hospital. Subjects were divided into two groups, Group A using the standard hospital mattress (Transfoam), which had been in use in the hospital for three years, and Group B using the study mattress (Transfoamwave), which was new at the beginning of the trial. Due to the low observed incidence of pressure ulcers, it has not been possible to determine whether there is a difference in the clinical performance of the mattresses. Both appear to provide similar levels of comfort. Seat cushions were provided for each trial subject but staff failed to make good use of them, which suggests that more education is required in this area.

Aged↗

Decubitus prophylaxis: a prospective trial on the efficiency of alternating-pressure air-mattresses and water-mattresses.

Six hundred patients at risk for pressure sores were randomized in either a control group or one of two experimental groups placed on alternating-pressure air-mattresses and water-mattresses. The groups remained comparable throughout the 10-day study period. Twenty-one patients from the control group developed decubitus ulcers, compared with 7 in each of the other groups. Patient and ward personnel opinions on the acceptability of the three types of mattresses were registered.

Adolescent↗

Allergens, Der p 1, Der f 1, Fel d 1 and Can f 1, in newly bought mattresses for infants.

BACKGROUND: To avoid allergen exposure of newborn babies, the use of a new mattress for the baby bed may be recommended. However, it is not certain that new mattresses are always free of allergens. OBJECTIVE: In the present study the allergen content of new infant mattresses was investigated. METHODS: Dust samples were vacuumed from 90 new mattresses for infant beds bought in 50 different Dutch shops, and the concentrations of Der p 1, Der f 1, Fel d 1 and Can f 1 were determined by radioimmunoassays. RESULTS: Most mattresses contained some allergen and often the allergen concentrations were surprisingly high. Only 15 of the 90 mattresses contained no detectable amounts of any of the four allergens. The highest concentration found for each allergen was 3.1, 46.5, 20.2 and 95.7 microg/g of dust, respectively. However, the total amount of allergen in a mattress was still rather low because the new mattresses contained only modest amounts of dust. Baby mattresses more often contained an increased allergen load than the larger, standard-sized, infant mattresses. This may be caused by differences in manufacturing procedure. Also, mattresses that were sold without a plastic encasement more often contained an increased allergen load. CONCLUSIONS: It is advisable to buy a mattress that is wrapped in plastic, but it may still contain a substantial amount of allergen. Thorough vacuuming of a newly bought mattress before it is installed on a child's bed, is also advisable. After instalment, regular vacuuming of the mattress and washing of the bed linen as well as measures to eliminate allergen reservoirs in other parts of the house are important, because our observations indicate that mattresses easily pick up allergens from the environment.

Allergens↗

House-dust mites and mattresses.

BACKGROUND: Despite considerable efforts to develop anti dust mite strategies, surprisingly few studies have evaluated the allergen content in different types of mattresses in everyday use. This study investigated the presence of mite feces (an indicator of mite allergens) in foam and spring mattresses. METHODS: The homes of 152 schoolchildren in Northern Norway were investigated. Dust samples were collected in a standardized way from 24 foam mattresses without covers, 68 foam mattresses with covers, and 24 spring mattresses, and the presence of mite feces detected by a guanine colorimetric paper test (Acarex). RESULTS: We found mite feces in 15 (40.5%) of the dust samples from the foam mattresses without covers and 18 (26.3%) of the foam mattresses with covers. Only three (12.5%) of the spring mattresses contained detectable amounts of feces. Signs of dampness, age of mattress, cleaning of mattress, frequency of vacuuming the bedroom, mechanical ventilation, bedroom temperature and bedroom relative humidity were associated with the presence of mite feces. After adjustment for relevant confounders, the risk of finding mite feces was four times higher in foam compared to spring mattresses (odds ratio 4.0, 95% confidence interval (CI) 1.1-15.1), and eight times higher for the foam mattresses without cover (OR 8.1, 95% CI 1.8-36.9). CONCLUSION: A simple replacement of foam mattresses with spring mattresses may reduce the exposure to house-dust-mite allergens.

Air Pollution, Indoor↗

Efficacy and cost-effectiveness of the Thermo contour mattress.

Use of air mattresses in reduction of pressure sore incidence is an important part of quality patient care. However, there will never be enough air mattresses to match the demand as increased education and an increase in the general provision of air mattresses can lead to an unrealistic expectation of obtaining air mattresses when required for patients. This raises the demand for air mattresses and increases costs within hospital trusts. This study examined a way to redress the balance through use of an alternative, cost-effective type of mattress (thermoelastic polymer) in the prevention of pressure sores. Prime consideration was given to the comfort of the patient. The claims of the manufacturers, Barrington Healthcare, that 'patients with Waterlow scores of 23 can be nursed safely on this product' were explored as part of the study. A total of 407 patients took part over a 6-month period. Twenty-four Thermo contour mattresses were loaned to one ward for the study and patients were allocated to the mattress through admission to the experimental ward. Patients were then split into two groups on two wards. Group B were allocated to a Thermo contour mattress and group A were nursed on air mattresses and foam mattresses generally used throughout the trust. Results showed that more patients were comfortable on the Thermo contour mattresses than on all other mattresses. Patients with Waterlow scores under 25 did not develop pressure sores on the Thermo contour mattress. However, the sample of patients with a Waterlow score of between 20 and 25 was small and therefore further research is required.

Adult↗

Comparison of total body tissue interface pressure of specialized pressure-relieving mattresses.

OBJECTIVE: The pressure-relieving ability of three specialized support surface mattresses was investigated and compared to a standard hospital mattress by measuring total body tissue interface pressure in a laboratory experiment designed to simulate clinical conditions predisposing to formation of pressure ulcers. SUMMARY BACKGROUND DATA: Pressure ulcers are commonly seen in the elderly; in patients with trauma, burns, spinal cord injury, neurological deficits, peripheral vascular disease, and stroke; and in other patient groups with debilitating or emaciating illness. They represent from 4 to 29% of all hospital admissions. This study was undertaken to compare three different types of specialty beds to a standard hospital mattress in order to find a mattress that prevents the occurrence of pressure ulcers. METHODS: The tested beds and mattresses were the Orthoderm Convertible II (Bio-Clinic Inc., Ontario, Canada) low air-loss mattress on a Stryker PMS (Stryker Inc., Kalamazoo, Michigan, USA) bed; the FluidAir Elite (KCI Inc., San Antonio, Texas, USA) air-fluidized bed; the Pegasus Airwave mattress (Pegasus Airwave Inc., Boca Raton, Florida, USA) on a Stryker PMS bed; and a standard hospital mattress on a Stryker PMS bed. The nineteen test subjects were all healthy with exclusion criteria of spinal cord injury, immobility, or other neurological or physical impairment. The Force Management System (Numotech Inc., Northridge, California, USA) was used to measure tissue interface pressure. RESULTS: The study data show that the Pegasus Airwave mattress total surface pressure values of the anatomical regions (total body, torso, hips) of the body are lower than those of the other three tested mattresses. The total body and hip pressure resulting from pressure maturation is significantly less on the Pegasus Airwave mattress than on to the hospital bed, the air-fluidized bed, and the low air-loss bed. CONCLUSIONS: The Pegasus Airwave mattress outperforms the other tested support surfaces by decreasing overall pressure. Therefore, the Pegasus Airwave mattress is an excellent addition to augment nursing care in the prevention and treatment of pressure sores.

Beds↗

Complete mattress encasing is not superior to partial encasing in the reduction of mite allergen.

BACKGROUND: Partial mattress encasing was found to be effective in reducing exposure to mite allergen in our previous investigation. We aimed to compare the short-term efficacy of partial and complete mattress encasing and to study mite-allergen levels within these mattresses. METHODS: Thirty-one mattresses with high mite-allergen content were selected and were randomized into one of three study groups (10 for the control group [CG], 11 for the partial encasing group [PE], and 10 for the complete encasing group [CE]). A special mite-impermeable membrane was used. In the PE group, mattresses were encased on tops and sides only, whereas complete mattress encasement was undertaken in the CE group. Regular bedsheets were applied to all groups. Dust samples were collected over bedsheets at baseline and at months 3 and 6, and over mattresses at baseline and at the end of the study. Group I mite allergens in these samples were measured and compared. RESULTS: At baseline, mattress mite allergens were similar in all groups (P=0.84). Mite allergen at the surfaces of bedsheets (over membranes) from both encasing groups were significantly reduced as compared to the CG group (P=0.003). Such reduction was maintained throughout the 6-month study. At the end of the study, mite antigens within mattresses in the CG and CE groups were increased as compared to baselines, whereas a decrease was observed in the PE group. Significant difference was observed only between the CG and PE groups (P=0.006). CONCLUSIONS: Mattress encasing with a special membrane in this study was highly efficacious in the reduction of mite allergen (>90%). However, with complete encasing, mite allergens within mattresses were increased at the end of the study. Complete mattress encasing in a tropical environment does not offer any advantage over partial encasing.

Allergens↗