Effect of visco-elastic foam mattresses on the development of pressure ulcers in patients with hip fractures

Journal of Wound Care
Lena GunningbergP O Sjödén

Abstract

This study had three aims: to investigate if visco-elastic foam mattresses are more effective than standard hospital mattresses in reducing the incidence of pressure ulcers in patients with hip fractures; to compare pressure ulcer grade and location and documented nursing prevention and treatment interventions in patients using the two types of mattresses; to identify possible predictors of pressure ulcer development. Using a prospective randomised controlled trial design 101 patients (mean age: 84 years) were randomly allocated either a visco-elastic foam mattress or a standard mattress. There was no significant difference in the incidence of pressure ulcers between the two groups, but patients on standard mattresses tended to develop more severe pressure ulcers. Furthermore, according to the documentation, patients with grade I pressure ulcers who were allocated a standard mattress received more preventive interventions, which may have reduced the differences in outcomes between the two groups. The researchers concluded that the results support the use of the test mattress. Significant predictors of pressure ulcer development were long waiting times for surgery and low haemoglobin levels at hospital admission.

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Citations

Feb 11, 2004·Journal of Tissue Viability·Elizabeth McInnes, UNKNOWN National Institite for Clinical Excellence
Sep 21, 2001·Scandinavian Journal of Caring Sciences·L GunningbergP O Sjödén
Oct 16, 2016·Microbial Ecology·Kashif RahimOctavio Luiz Franco
Dec 10, 2016·Research in Nursing & Health·Patricia A PatricianLori A Loan
Dec 4, 2003·Advances in Skin & Wound Care·Linda J RussellUNKNOWN PPUS-1 Study Group
Jun 25, 2009·Journal of Orthopaedic Trauma·Kenneth A Egol, Eric J Strauss
Feb 3, 2007·Journal of Applied Physiology·Leandro R SolisVivian K Mushahwar
Sep 4, 2015·The Cochrane Database of Systematic Reviews·Elizabeth McInnesNicky Cullum
May 1, 2021·Polymers·Krystyna Wrześniewska-TosikKamila Sałasińska
May 11, 2021·The Cochrane Database of Systematic Reviews·Chunhu ShiElizabeth McInnes
May 11, 2021·The Cochrane Database of Systematic Reviews·Chunhu ShiElizabeth McInnes
May 18, 2021·The Cochrane Database of Systematic Reviews·Chunhu ShiElizabeth McInnes
Jun 8, 2021·The Cochrane Database of Systematic Reviews·Chunhu ShiElizabeth McInnes
Jun 8, 2021·The Cochrane Database of Systematic Reviews·Chunhu ShiElizabeth McInnes

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