Relationship between a pressure redistributing foam mattress and pressure injuries: An observational prospective cohort study.
<h4>Background and purpose</h4>Pressure injuries remain a significant health care issue in various settings. The purpose of this study was to examine the relationship between a pressure redistributing foam mattress (PRFM) and the development of pressure injuries.<h4>Methods</h4&...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Public Library of Science (PLoS)
2020-01-01
|
| Series: | PLoS ONE |
| Online Access: | https://doi.org/10.1371/journal.pone.0241276 |
| _version_ | 1818835291549466624 |
|---|---|
| author | Dorothy Li Bai Tsai-Wen Liu Hsiu-Ling Chou Yeh-Liang Hsu |
| author_facet | Dorothy Li Bai Tsai-Wen Liu Hsiu-Ling Chou Yeh-Liang Hsu |
| author_sort | Dorothy Li Bai |
| collection | DOAJ |
| description | <h4>Background and purpose</h4>Pressure injuries remain a significant health care issue in various settings. The purpose of this study was to examine the relationship between a pressure redistributing foam mattress (PRFM) and the development of pressure injuries.<h4>Methods</h4>This study employed an observational prospective cohort study design. We enrolled 254 participants from the intensive care unit who were at risk of developing pressure injuries. Participants were exposed to either a nonpressure redistributing foam mattress (NPRFM), which was the standard mattress used at the study site, or a PRFM made of viscoelastic, temperature-sensitive, polyurethane memory foam. The patients' assignment to either a PRFM or NPRFM was performed upon their admission, before the study eligibility screening. The relationship between the PRFM and the development of pressure injuries was studied using a logistic regression model.<h4>Results</h4>The overall incidence of pressure injuries was 5.9% (15/254) in our study, with 1.6% (2/127) for participants who used a PRFM and 10.2% (13/127) for those using a NPRFM. After adjusting for potential confounding variables, use of a PRFM was associated with an 88% reduced risk of pressure injury development (OR = 0.12, 95% CI: 0.03, 0.56, P = 0.007). The use of a PRFM also contributed to a postponed occurrence of pressure injuries by 4.2 days on average in comparison with that of a NPRFM (P = 0.041).<h4>Conclusions</h4>A PRFM is associated with a significantly reduced incidence and postponed occurrence of pressure injuries. It is recommended to use a PRFM for patients at risk of developing pressure injuries. |
| first_indexed | 2024-12-19T02:48:23Z |
| format | Article |
| id | doaj.art-6e9822bb73a04d22bf91296f02f31f89 |
| institution | Directory Open Access Journal |
| issn | 1932-6203 |
| language | English |
| last_indexed | 2024-12-19T02:48:23Z |
| publishDate | 2020-01-01 |
| publisher | Public Library of Science (PLoS) |
| record_format | Article |
| series | PLoS ONE |
| spelling | doaj.art-6e9822bb73a04d22bf91296f02f31f892022-12-21T20:38:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-011511e024127610.1371/journal.pone.0241276Relationship between a pressure redistributing foam mattress and pressure injuries: An observational prospective cohort study.Dorothy Li BaiTsai-Wen LiuHsiu-Ling ChouYeh-Liang Hsu<h4>Background and purpose</h4>Pressure injuries remain a significant health care issue in various settings. The purpose of this study was to examine the relationship between a pressure redistributing foam mattress (PRFM) and the development of pressure injuries.<h4>Methods</h4>This study employed an observational prospective cohort study design. We enrolled 254 participants from the intensive care unit who were at risk of developing pressure injuries. Participants were exposed to either a nonpressure redistributing foam mattress (NPRFM), which was the standard mattress used at the study site, or a PRFM made of viscoelastic, temperature-sensitive, polyurethane memory foam. The patients' assignment to either a PRFM or NPRFM was performed upon their admission, before the study eligibility screening. The relationship between the PRFM and the development of pressure injuries was studied using a logistic regression model.<h4>Results</h4>The overall incidence of pressure injuries was 5.9% (15/254) in our study, with 1.6% (2/127) for participants who used a PRFM and 10.2% (13/127) for those using a NPRFM. After adjusting for potential confounding variables, use of a PRFM was associated with an 88% reduced risk of pressure injury development (OR = 0.12, 95% CI: 0.03, 0.56, P = 0.007). The use of a PRFM also contributed to a postponed occurrence of pressure injuries by 4.2 days on average in comparison with that of a NPRFM (P = 0.041).<h4>Conclusions</h4>A PRFM is associated with a significantly reduced incidence and postponed occurrence of pressure injuries. It is recommended to use a PRFM for patients at risk of developing pressure injuries.https://doi.org/10.1371/journal.pone.0241276 |
| spellingShingle | Dorothy Li Bai Tsai-Wen Liu Hsiu-Ling Chou Yeh-Liang Hsu Relationship between a pressure redistributing foam mattress and pressure injuries: An observational prospective cohort study. PLoS ONE |
| title | Relationship between a pressure redistributing foam mattress and pressure injuries: An observational prospective cohort study. |
| title_full | Relationship between a pressure redistributing foam mattress and pressure injuries: An observational prospective cohort study. |
| title_fullStr | Relationship between a pressure redistributing foam mattress and pressure injuries: An observational prospective cohort study. |
| title_full_unstemmed | Relationship between a pressure redistributing foam mattress and pressure injuries: An observational prospective cohort study. |
| title_short | Relationship between a pressure redistributing foam mattress and pressure injuries: An observational prospective cohort study. |
| title_sort | relationship between a pressure redistributing foam mattress and pressure injuries an observational prospective cohort study |
| url | https://doi.org/10.1371/journal.pone.0241276 |
| work_keys_str_mv | AT dorothylibai relationshipbetweenapressureredistributingfoammattressandpressureinjuriesanobservationalprospectivecohortstudy AT tsaiwenliu relationshipbetweenapressureredistributingfoammattressandpressureinjuriesanobservationalprospectivecohortstudy AT hsiulingchou relationshipbetweenapressureredistributingfoammattressandpressureinjuriesanobservationalprospectivecohortstudy AT yehlianghsu relationshipbetweenapressureredistributingfoammattressandpressureinjuriesanobservationalprospectivecohortstudy |