Article ; Online: A Continuous Bedside Pressure Mapping System for Prevention of Pressure Ulcer Development in the Medical ICU: A Retrospective Analysis.
Wounds : a compendium of clinical research and practice
2013 Volume 25, Issue 12, Page(s) 333–339
Abstract: Objective: Patient repositioning to offload high-pressure areas is an essential component of pressure ulcer prevention for bed-bound patients. In most settings, the quantity and quality of offloading and repositioning are difficult to measure. Real-time ...
Abstract | Objective: Patient repositioning to offload high-pressure areas is an essential component of pressure ulcer prevention for bed-bound patients. In most settings, the quantity and quality of offloading and repositioning are difficult to measure. Real-time continuous bedside pressure mapping (CBPM) offers an opportunity to do so. Material and methods: Data was collected on 627 patients being treated in a medical intensive care unit (MICU): 307 patients placed on beds with a CBPM system and 320 historical controls placed on the same beds without the CBPM system 1 year prior to the study participants. A pressure ulcer prevention bundle was enhanced by the addition of a CBPM system that provides real-time digital imaging of the patient on the support surface to National Pressure Ulcer Advisory Panel guidelines. Results: During the 2-month study period, 1 (0.3%) patient in the CBPM cohort developed a pressure ulcer compared with 16 (5%) patients in the historical cohort (P = 0.001). In a survey of the MICU care providers, 90% of respondents reported that the CBPM contributed to improved pressure detection and relief, 88% indicated the CBPM assisted them with repositioning protocols, and 84% reported the pressure map provided for more efficient and effective patient repositioning. Conclusion: Real-time, ongoing pressure measurement using a pressure-sensing mat may be a useful tool to help care providers effectively reposition patients within the context of existing standardized protocols for the prevention and minimization of pressure ulcers. . |
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Language | English | |||||
Publishing date | 2013-12 | |||||
Publishing country | United States | |||||
Document type | Journal Article | |||||
ZDB-ID | 1214936-6 | |||||
ISSN | 1943-2704 ; 1044-7946 | |||||
ISSN (online) | 1943-2704 | |||||
ISSN | 1044-7946 | |||||
Shelf mark |
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Database | MEDical Literature Analysis and Retrieval System OnLINE |
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