The effectiveness of three types of alternating pressure air mattresses in the prevention of pressure ulcers in Belgian hospitals
Article first published online: 1 AUG 2013
© 2013 Wiley Periodicals, Inc.
Research in Nursing & Health
Volume 36, Issue 5, pages 439–452, October 2013
How to Cite
Demarré, L., Verhaeghe, S., Van Hecke, A., Grypdonck, M., Clays, E., Vanderwee, K. and Beeckman, D. (2013), The effectiveness of three types of alternating pressure air mattresses in the prevention of pressure ulcers in Belgian hospitals. Res. Nurs. Health, 36: 439–452. doi: 10.1002/nur.21557
The authors wish to acknowledge the help, guidance, and support of the late Professor Dr. Tom Defloor in both original studies.
- Issue published online: 17 SEP 2013
- Article first published online: 1 AUG 2013
- Manuscript Accepted: 27 JUN 2013
- pressure ulcers;
- decubitus ulcers;
- alternating pressure air mattress;
- alternating low-pressure air mattress;
- support surfaces
To compare the effectiveness of multi-stage and one-stage alternating low-pressure air mattresses (ALPAM) and alternating pressure air mattress (APAM) overlays in preventing pressure ulcers among hospitalized patients, data were pooled (N = 617) from a study of patients allocated to multi-stage ALPAM (n = 252) or one-stage ALPAM (n = 264), and another study of patients allocated to APAM overlay (n = 101). Cumulative pressure ulcer incidence was 4.9% (n = 30) over 14 days. Fewer ulcers developed on multi-stage ALPAM compared with APAM overlay (OR = 0.33; 95% CI [0.11, 0.97]), but no difference was found between one-stage ALPAM and APAM overlay (OR = 0.40; 95% CI [0.14, 1.10]). Time to develop ulcers did not differ by mattress type. © 2013 Wiley Periodicals, Inc. Res Nurs Health 36: 439–452, 2013.