Randomised, controlled trial of alternating pressure mattresses compared with alternating pressure overlays for the prevention of pressure ulcers: PRESSURE (pressure relieving support surfaces) trial.

Abstract:

OBJECTIVE:To compare whether differences exist between alternating pressure overlays and alternating pressure mattresses in the development of new pressure ulcers, healing of existing pressure ulcers, and patient acceptability. DESIGN:Pragmatic, open, multicentre, randomised controlled trial. SETTING:11 hospitals in six NHS trusts. PARTICIPANTS:1972 people admitted to hospital as acute or elective patients. INTERVENTIONS:Participants were randomised to an alternating pressure mattress (n = 982) or an alternating pressure overlay (n = 990). MAIN OUTCOME MEASURES:The proportion of participants developing a new pressure ulcer of grade 2 or worse; time to development of new pressure ulcers; proportions of participants developing a new ulcer within 30 days; healing of existing pressure ulcers; and patient acceptability. RESULTS:Intention to treat analysis found no difference in the proportions of participants developing a new pressure ulcer of grade 2 or worse (10.7% overlay patients, 10.3% mattress patients; difference 0.4%, 95% confidence interval--2.3% to 3.1%, P = 0.75). More overlay patients requested change owing to dissatisfaction (23.3%) than mattress patients (18.9%, P = 0.02). CONCLUSION:No difference was found between alternating pressure mattresses and alternating pressure overlays in the proportion of people who develop a pressure ulcer. TRIAL REGISTRATION:ISRCTN 78646179.

journal_name

BMJ

authors

Nixon J,Cranny G,Iglesias C,Nelson EA,Hawkins K,Phillips A,Torgerson D,Mason S,Cullum N

doi

10.1136/bmj.38849.478299.7C

subject

Has Abstract

pub_date

2006-06-17 00:00:00

pages

1413

issue

7555

eissn

0959-8138

issn

1756-1833

pii

bmj.38849.478299.7C

journal_volume

332

pub_type

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