AI Article Synopsis
- The study aimed to assess the effectiveness of a powered alternating pressure air mattress (P-APAM) in preventing pressure injuries (PIs) among patients classified as medium to high risk.
- Conducted as a noncomparative observational study involving 86 patients in nursing homes and a long-term care facility in France, the research monitored patients for 35 days while using the P-APAM, with a focus on PI development on specific body areas.
- Results showed a 0% incidence of PIs, with high levels of patient satisfaction regarding comfort, stability, and noise level of the mattress, supporting its clinical value in PI prevention when used with standard care practices.
Article Abstract
Purpose: The aim of the study was to determine the clinical value of using a powered alternating pressure air mattress (P-APAM) in the prevention of pressure injury (PI) in patients at medium to high risk.
Design: Noncomparative, observational study.
Subjects And Setting: The sample comprised 86 patients who were >18 years old, were classified as having medium to high risk of PI, had no PI at baseline, and were lying more than 15 hours a day on a specific P-APAM. Data were collected between September 2018 and July 2019, in 4 nursing homes, and 1 long-term care geriatrics hospital department in France.
Methods: In addition to guideline-based care for PI prevention, patients were followed up for 35 days following placement on the P-APAM. The main outcome was the percentage of patients who developed between day 0 and day 35 at least 1 PI of at least stage 2 on the sacrum, spine, or heel. Secondary outcomes were patient assessments of comfort, caregiver satisfaction, mattress noise level, and mattress safety.
Results: No patients experienced a PI (incidence = 0%; 95% confidence interval, 0.00%-4.28%). Patients were satisfied or very satisfied with the mattress in most cases in terms of comfort (77.9%) and stability (73.0%). Patients also rated the noise level of the mattress as satisfactory or very satisfactory in all cases (100%).
Conclusion: When combined with guideline-based PI prevention measures, use of the P-APAM was associated with a low incidence of PI.
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| http://dx.doi.org/10.1097/WON.0000000000001104 | DOI Listing |
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