%0 Journal Article
%T The effect of support surface on the prevention of pressure injury in acute care settings: A multi-center prospective observational study.
%A Shim MO
%A Kim CG
%A Min JK
%A Kwak SY
%A Ghil H
%A Park S
%J J Tissue Viability
%V 0
%N 0
%D 2024 Jun 22
%M 38937250
%F 3.374
%R 10.1016/j.jtv.2024.06.009
%X <B>OBJECTIVE: </B>This study aimed to analyze if a multi-foam core mattress with a laminated cover can reduce the incidence of pressure injuries, compared to an alternating air mattress overlay among critically ill patients in acute settings.<BR><B>METHODS: </B>Prospective observational study.<BR><B>METHODS: </B>and setting: Patients with a Braden scale score ≤16 on intensive care unit admission at five general hospitals in Korea were included in this study between February 2022 and March 2022.<BR><B>METHODS: </B>One hundred and twenty patients in acute settings were enrolled and categorized into two groups: a multi-form core mattress with a laminated cover group (n = 60) and an alternating air mattress overlay group (n = 60). Data were collected for 7 days by wound care nurses.<BR><B>RESULTS: </B>Pressure injury developed at a significantly lower rate in the multi-form core mattress with a laminated cover group (n = 4/60, 6.7 %) than in the alternating air mattress overlay group (n = 25/60, 25.0 %) (P = 0.011). Using a multi-foam core mattress with a laminated cover demonstrated a protective effect against pressure injuries (odds ratio 0.123, 95 % confidence interval 0.024-0.620, P = 0.011).<BR><B>CONCLUSIONS: </B>A multi-foam core mattress with a laminated cover was significantly more effective than an alternating air mattress overlay in preventing pressure injury in critically ill patients.