The effectiveness of three types of alternating pressure air mattresses in the prevention of pressure ulcers in Belgian hospitals

Authors

  • Liesbet Demarré,

    Corresponding author
    • Nursing Science, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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    • PhD candidate.
  • Sofie Verhaeghe,

    1. Nursing Science, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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    • Professor.
  • Ann Van Hecke,

    1. Nursing Science, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
    2. Ghent University Hospital, Ghent, Belgium
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    • Professor.
  • Maria Grypdonck,

    1. Nursing Science, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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    • Professor Emeritus.
  • Els Clays,

    1. Epidemiology, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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    • Assistant Professor.
  • Katrien Vanderwee,

    1. Nursing Science, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
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    • Professor.
  • Dimitri Beeckman

    1. Nursing Science, Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, Ghent, Belgium
    2. Florence Nightingale School of Nursing and Midwifery, King's College London, London, UK
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    • Professor.

  • The authors wish to acknowledge the help, guidance, and support of the late Professor Dr. Tom Defloor in both original studies.

Correspondence to Liesbet Demarré

Abstract

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.

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