Bed Sore, Pressure Injury, Pressure Sore, Pressure Ulcer
Conditions
Keywords
Static air support surface, Support device, Elderly, Prevention
Brief summary
Pressure Ulcers are a serious and common problem for residents admitted to long-term care facilities and community care patients. They represent a major burden to patients, carers and the Healthcare system, affecting approximately 1 in 20 community patients. International guidelines recommend the use of pressure redistribution support surfaces, systematic patient repositioning and preventive skin care to prevent pressure ulcers. It has been acknowledged that a significant proportion of pressure ulcers are avoidable. The prevalence of pressure ulcers is 1 of the 4 common harms recorded in the UK NHS Safety Thermometer, a local improvement tool for measuring, monitoring and analyzing patient harms across a range of settings, including nursing homes, community nursing and hospitals on a monthly basis. Static or reactive overlay mattresses are an example of a low-tech constant low-pressure support. Static air mattresses maintain a continuous low air pressure that exerts a pressure redistributing effect. Serraes and Beeckman found a pressure ulcer incidence of 5.1% in patients placed on static air support (mattress overlay, heel wedge and seat cushion) in a high risk population in a nursing home setting in Belgium. The CuroCell SAM PRO (Care of Sweden AB) is a static air mattress overlay system used as prevent and treat pressure ulcers (up to category 3) and for pain therapy. The aim of current study is to measure pressure ulcer incidence on the CuroCell Sam PRO static air mattress in nursing home residents at risk for pressure ulcer development over a 30-day period in Belgium.
Interventions
DEVICECuroCell S.A.M. ® pro mattress
During 30 days, participants will use the static air mattress.
Sponsors
Care of Sweden
University Ghent
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
PREVENTION
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
* At risk of pressure ulcer development based on a Braden score ≤ 17 * Bedbound or chair bound * Aged ≥ 65
Exclusion criteria
* Short-stay residents (expected length of stay ≤14 days) * End of life care * Medical contraindication for patient repositioning/turning * Pressure ulcer Cat. II+ present on initial evaluation
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Pressure ulcer incidence (Cat. II+), (NPUAP classification system) | 30 days | Development of at least 1 pressure ulcer Cat. II+ during study period, not associated with the use of medical devices |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence rate of Cat. I pressure ulcers, (NPUAP classification system) | 30 days | Development of at least 1 pressure ulcer Cat. I during study period, not associated with the use of medical devices |
| Comfort of participants (self developed questionnaire) | 30 days | A quantitative approach to obtain insight in residents' experiences and perceptions of comfort by using a questionnaire |
Countries
Belgium
Outcome results
None listed