ORIGINAL ARTICLE   Free

Panminerva Medica 2018 December;60(4):161-9

DOI: 10.23736/S0031-0808.18.03491-2

Copyright © 2018 EDIZIONI MINERVA MEDICA

lingua: Inglese

Prevention of pressure ulcers with a motorized air support in at-risk patients hospitalized in rehabilitation departments APAM + an observational prevalence study with historical control and incidence study

Brigitte BARROIS ¹, Marie-Line GAUBERT-DAHAN ², François-André ALLAERT ³ ✉, Ilinca URZICA ⁴, Bernard BORDET ⁵, Jean-Marc MICHEL ⁶, Marie-Ange BLANCHON ⁷, Cédric CHOL ⁷

¹ Department of Quality, Gonesse Hospital, Gonesse, France; ² Department of Rehabilitation, Raincy-Montfermeil Hospital, Montfermeil, France; ³ Medical Evaluation Chair BSB and CEN Biotech, Dijon, France; ⁴ Department Rehabilitation, COS Pasteur, Troyes, France; ⁵ Department of Rehabilitation, Cosne-sur-Loire, France; ⁶ Department of Rehabilitation, Hospital of Colmar, Colmar, France; ⁷ Department of Rehabilitation, University Hospital, Saint-Etienne, France

BACKGROUND: The main study was a cross-sectional multicenter study of the prevalence of pressure ulcers in rehabilitation services (RS) where Axtair Automorpho® Plus mattresses were made available ad libitum. The primary objective was to enable comparison with prevalence as observed in the national PERSE study (historical control) in similar departments using a variety of prevention aids.
METHODS: This cross-sectional prevalence study was combined with a prospective study of the incidence of pressure ulcer occurrence in the high-risk target population whose beds were systematically equipped with the studied support.
RESULTS: On the day of the prevalence study, 18 of the 456 patients presented pressure ulcers which occurred during the period when Axtair Automorpho® Plus supports were made available to the departments. This corresponds to a prevalence of 3.9% [2.4, 6.2] which is significantly lower than those recorded in the PERSE study: 11.8% [10.8; 12.8] p <0.0001. The ulcer incidence study covers 57 patients who were hospitalized on a bed with an Axtair Automorpho® Plus support because of their risk of contracting pressure ulcers. One pressure ulcer occurred in 3 patients and 3 pressure ulcers occurred in another patient, i.e. 4 out of 57 corresponding to an incidence of 7.0% [2.0; 17.0].
CONCLUSIONS: The results of the pressure ulcer prevalence study in rehabilitation departments where Axtair Automorpho® Plus supports were available as well as results of the study of pressure ulcer incidence in patients bedridden on Axtair Automorpho® Plus, confirm the expected benefit provided to patients in terms of prevention.

KEY WORDS: Pressure ulcers - Incidence - Prevalence - Prevention - Axtair Automorpho® Plus