Incidence of Pressure Injuries in Patients at Risk Using a Powered Alternating Pressure Air Mattress: A Noninterventional Study in a Real-World Setting.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2024-09-01 Epub Date: 2024-09-21 DOI:10.1097/WON.0000000000001104

Sylvie Meaume, Renaud Urbinelli, Marc Marty

{"title":"Incidence of Pressure Injuries in Patients at Risk Using a Powered Alternating Pressure Air Mattress: A Noninterventional Study in a Real-World Setting.","authors":"Sylvie Meaume, Renaud Urbinelli, Marc Marty","doi":"10.1097/WON.0000000000001104","DOIUrl":null,"url":null,"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.","PeriodicalId":1,"journal":{"name":"Accounts of Chemical Research","volume":null,"pages":null},"PeriodicalIF":16.4000,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Accounts of Chemical Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/WON.0000000000001104","RegionNum":1,"RegionCategory":"化学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/9/21 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"CHEMISTRY, MULTIDISCIPLINARY","Score":null,"Total":0}

引用次数: 0

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.

查看原文本刊更多论文

使用电动交变压力气垫床的高危患者压伤发生率：在真实世界环境中进行的非介入性研究。

目的：本研究旨在确定使用动力交变压力气垫床（P-APAM）预防中高风险患者压力损伤（PI）的临床价值：设计：非比较性观察研究：样本包括 86 名年龄大于 18 岁、被归类为中高风险压力损伤患者、基线时无压力损伤、每天在特定 P-APAM 上躺卧超过 15 小时的患者。数据收集于2018年9月至2019年7月期间，在法国的4家疗养院和1家长期护理老年病医院科室进行：除了基于指南的预防 PI 护理外，还在患者使用 P-APAM 后对其进行了 35 天的随访。主要结果是在第 0 天到第 35 天期间，骶骨、脊柱或足跟部位至少出现 1 次第 2 期以上 PI 的患者比例。次要结果是患者对舒适度、护理人员满意度、床垫噪音水平和床垫安全性的评估：没有患者出现 PI（发生率 = 0%；95% 置信区间，0.00%-4.28%）。大多数患者对床垫的舒适度（77.9%）和稳定性（73.0%）表示满意或非常满意。在所有病例中，患者还将床垫的噪音水平评为满意或非常满意（100%）：结论：如果与基于指南的 PI 预防措施相结合，使用 P-APAM 可降低 PI 发病率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.