The aim of the study is 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. This study is noncomparative, observational study. Patients older than 18 years of age, with a medium to high risk of PI, without PI, up during the day, and lying more than 15 hours a day on a specific P-APAM were included. The study was conducted in nursing homes, and in long-stay geriatrics department. Patients are followed up for 35 days. The use of the P-APAM is associated with the usual PI prevention measures. The primary outcome is the percentage of patients who developed between day 0 and day 35 at least one PI of at least stage 2 on the sacrum, spine, or heel. Secondary endpoints are patient assessments of comfort, caregiver satisfaction, mattress noise level, and mattress safety.
Study Type
OBSERVATIONAL
Enrollment
86
Patients with a medium to high risk of pressure injury, without pressure injury, up during the day, will ly a on a specific P-APAM (DOMUS 4 /AUTO)
Ehpad Du Parc Chateau D'Abondant
Abondant, France
Ehpad Esbv
Baugé-en-Anjou, France
Ehpad Residence Le Parc
Fontenay-aux-Roses, France
Ehpad Duc de Lorge
Saint-Jean-d'Illac, France
Ehpad Villa Du Tertre
Saint-Parres-aux-Tertres, France
percentage of patients who developed at least one stage 2 pressure injury
Percentage of patients who developed at least one stage 2 PI of the sacrum, backbone, or heel (areas of support when lying down)
Time frame: 35 days after installation on the mattress (at day 35)
Percentage of patients who developed a o pressure injury (any stage), other than those of the sacrum, backbone, or heel between
Time frame: 35 days after installation on the mattress (at day 35)
Assessment by the patient (or family or staff in the case of incapacity) of the comfort of the mattress (general comfort, stability)
On a scale from 0 (not satisfied at all) to 4 (very satisfied)
Time frame: 35 days after installation on the mattress (at day 35)
Assessment by the nursing staff with the use of the mattress (implementation, cleaning maintenance turning, changing to a sitting position)
On a scale from 0 (not satisfied at all) to 4 (very satisfied)
Time frame: 35 days after installation on the mattress (at day 35)
Assessment of the degree of maceration
On a scale from 1 (constantly moist) to 4 rarely moist
Time frame: 35 days after installation on the mattress (at day 35)
Assessment of mattress safety
by collecting any adverse event or mattress malfunction during the follow up
Time frame: At day 35
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