The Experts below are selected from a list of 1347 Experts worldwide ranked by ideXlab platform

Dimitri Beeckman - One of the best experts on this subject based on the ideXlab platform.

  • An exploration of nursing home residents' experiences of a non-powered static Air Mattress overlay to prevent pressure ulcers.
    International wound journal, 2020
    Co-Authors: Brecht Serraes, Ann Van Hecke, Hanne Van Tiggelen, Charlotte Anrys, Sofie Verhaeghe, Dimitri Beeckman
    Abstract:

    Pressure ulcers are injuries to the skin and underlying tissue and are associated with a negative impact on well-being and health-related quality of life. This explorative, qualitative study aimed to explore the true meaning of elderly nursing home residents' perspectives and critical success factors when implementing a new non-powered static Air Mattress overlay to prevent pressure ulcers. Individual, loosely structured interviews were conductedin 12 nursing homes in Flanders, the Northern region of Belgium, a convenience sampling of 14 nursing home residents were selected based on the following eligibility criteria: high risk for pressure ulcer and/or with category 1 pressure ulcer, being bedbound and/or chAir-bound, aged >65 years, and use of an alternating Air pressure Mattress previous to the application of the non-powered static Air Mattress overlay. Interviews were conducted in the participants' personal rooms between June 2017 and March 2018. Interviews included broad, open-ended questions, to invite and encourage participants to openly discuss their perspectives and experiences. Participants were interviewed once during the 14-day observation period between day 3 and day 14. All interviews were audio-recorded and fully transcribed by an experienced transcriber. Interviews were read several times to reveal emerging patterns and were marked with codes into NVivo 10 qualitative data analysis software. During the process, (sub) themes were discussed by the authors until a consensus was reached. Three main themes emerged from the analysis process: rest and sleep; mobility; and discomfort and pain associated with the use of the support surface. Themes were divided into multiple subthemes: motion, noise, sensation, repositioning, and transfer in and out of bed. Through interviews, critical success factors associated with the implementation were identified, including the lack of information and time needed to evaluate the functionality and effects of a new Mattress overlay. Implementation of a non-powered static Air Mattress overlay to prevent pressure ulcers has a far-reaching impact on nursing home residents' experiences. This study provides insight into the true meaning of patients' perspectives by focusing on learning from the patients' experiences that provide valuable information for healthcare professionals and other stakeholders.

  • A multicentre prospective randomised controlled clinical trial comparing the effectiveness and cost of a static Air Mattress and alternating Air pressure Mattress to prevent pressure ulcers in nursing home residents.
    International journal of nursing studies, 2019
    Co-Authors: Dimitri Beeckman, Brecht Serraes, Ann Van Hecke, Hanne Van Tiggelen, Charlotte Anrys, Sofie Verhaeghe
    Abstract:

    Abstract Background Pressure ulcers are a global issue and substantial concern for healthcare systems. Various types of support surfaces that prevent pressure ulcer are available. Data about the effectiveness and cost of static Air support surfaces and alternating Air pressure Mattresses is lacking. Objectives To compare the effectiveness and cost of static Air support surfaces versus alternating Air pressure support surfaces in a nursing home population at high risk for pressure ulcers. Design Prospective, multicentre, randomised controlled clinical, non-inferiority trial. Setting Twenty-six nursing homes in Flanders, Belgium. Participants A consecutive sample of 308 participants was selected based on the following eligibility criteria: high risk for pressure ulcer and/or with category 1 pressure ulcer, being bedbound and/or chAir bound, aged > 65 years, and use of an alternating Air pressure Mattress. Methods The participants were allocated to the intervention group (n = 154) using static Air support surfaces and the control group (n = 154) using alternating Air pressure support surfaces. The main outcome measures were cumulative incidence and incidence density of the participants developing a new category II–IV pressure ulcer within a 14-day observation period, time to develop a new pressure ulcer, and purchase costs of the support surfaces. Results The intention-to-treat analysis revealed a significantly lower incidence of category II–IV pressure ulcer in the intervention group (n = 8/154, 5.2%) than in the control group (n = 18/154, 11.7%) (p = 0.04). The median time to develop a pressure ulcer was significantly longer in the intervention group (10.5 days, interquartile range [IQR]: 1–14) than in the control group (5.4 days, [IQR]: 1–12; p = 0.05). The probability to remain pressure ulcer free differed significantly between the two study groups (log-rank X² = 4.051, df = 1, p = 0.04). The overall cost of the Mattress was lower in the intervention group than in the control group. Conclusions A static Air Mattress was significantly more effective than an alternating Air pressure Mattress in preventing pressure ulcer in a high-risk nursing home population. Considering multiple lifespans and purchase costs, static Air Mattresses were more cost-effective than alternating Air pressure Mattresses.

  • Prevention of pressure ulcers with a static Air support surface: A systematic review
    International wound journal, 2018
    Co-Authors: Brecht Serraes, Ann Van Hecke, Sofie Verhaeghe, Martin Van Leen, Jos M. G. A. Schols, Dimitri Beeckman
    Abstract:

    The aims of this study were to identify, assess, and summarise available evidence about the effectiveness of static Air Mattress overlays to prevent pressure ulcers. The primary outcome was the incidence of pressure ulcers. Secondary outcomes included costs and patient comfort. This study was a systematic review. Six electronic databases were consulted: Cochrane Library, EMBASE, PubMed (Medline), CINAHL (EBSCOhost interface), Science direct, and Web of Science. In addition, a hand search through reviews, conference proceedings, and the reference lists of the included studies was performed to identify additional studies. Potential studies were reviewed and assessed by 2 independent authors based on the title and abstract. Decisions regarding inclusion or exclusion of the studies were based on a consensus between the authors. Studies were included if the following criteria were met: reporting an original study; the outcome was the incidence of pressure ulcer categories I to IV when using a static Air Mattress overlay and/or in comparison with other pressure-redistribution device(s); and studies published in English, French, and Dutch. No limitation was set on study setting, design, and date of publication. The methodological quality assessment was evaluated using the Critical Appraisal Skills Program Tool. Results were reported in a descriptive way to reflect the exploratory nature of the review. The searches included 13 studies: randomised controlled trials (n = 11) and cohort studies (n = 2). The mean pressure ulcer incidence figures found in the different settings were, respectively, 7.8% pressure ulcers of categories II to IV in nursing homes, 9.06% pressure ulcers of categories I to IV in intensive care settings, and 12% pressure ulcers of categories I to IV in orthopaedic wards. Seven comparative studies reported a lower incidence in the groups of patients on a static Air Mattress overlay. Three studies reported a statistical (P < .1) lower incidence compared with a standard hospital Mattress (10 cm thick, density 35 kg/m3 ), a foam Mattress (15 cm thick), and a viscoelastic foam Mattress (15 cm thick). No significant difference in incidence, purchase costs, and patient comfort was found compared with dynamic Air Mattresses. This review focused on the effectiveness of static Air Mattress overlays to prevent pressure ulcers. There are indications that these Mattress overlays are more effective in preventing pressure ulcers compared with the use of a standard Mattress or a pressure-reducing foam Mattress in nursing homes and intensive care settings. However, interpretation of the evidence should be performed with caution due to the wide variety of methodological and/or reporting quality levels of the included studies.

  • The effectiveness of three types of alternating pressure Air Mattresses in the prevention of pressure ulcers in Belgian hospitals.
    Research in nursing & health, 2013
    Co-Authors: Liesbet Demarré, Ann Van Hecke, Sofie Verhaeghe, Katrien Vanderwee, Maria Grypdonck, Els Clays, Dimitri Beeckman
    Abstract:

    To compare the effectiveness of multi-stage and one-stage alternating low-pressure Air Mattresses (ALPAM) and alternating pressure Air Mattress (APAM) overlays in preventing pressure ulcers among hospitalized patients, data were pooled (N?=?617) from a study of patients allocated to multi-stage ALPAM (n?=?252) or one-stage ALPAM (n?=?264), and another study of patients allocated to APAM overlay (n?=?101). Cumulative pressure ulcer incidence was 4.9% (n?=?30) over 14 days. Fewer ulcers developed on multi-stage ALPAM compared with APAM overlay (OR?=?0.33; 95% CI [0.11, 0.97]), but no difference was found between one-stage ALPAM and APAM overlay (OR?=?0.40; 95% CI [0.14, 1.10]). Time to develop ulcers did not differ by Mattress type.

  • Multi-stage versus single-stage inflation and deflation cycle for alternating low pressure Air Mattresses to prevent pressure ulcers in hospitalised patients: a randomised-controlled clinical trial.
    International journal of nursing studies, 2011
    Co-Authors: Liesbet Demarré, Dimitri Beeckman, Katrien Vanderwee, Tom Defloor, Maria Grypdonck, Sofie Verhaeghe
    Abstract:

    Abstract Introduction The duration and the amount of pressure and shear must be reduced in order to minimize the risk of pressure ulcer development. Alternating low pressure Air Mattresses with multi-stage inflation and deflation cycle of the Air cells have been developed to relieve pressure by sequentially inflating and deflating the Air cells. Evidence about the effectiveness of this type of Mattress in clinical practice is lacking. Aim This study aimed to compare the effectiveness of an alternating low pressure Air Mattress that has a standard single-stage inflation and deflation cycle of the Air cells with an alternating low pressure Air Mattress with multi-stage inflation and deflation cycle of the Air cells. Methods and materials A randomised controlled trial was performed in a convenience sample of 25 wards in five hospitals in Belgium. In total, 610 patients were included and randomly assigned to the experimental group ( n =298) or the control group ( n =312). In the experimental group, patients were allocated to an alternating low pressure Air Mattress with multi-stage inflation and deflation cycle of the Air cells. In the control group, patients were allocated to an alternating low pressure Air Mattress with a standard single-stage inflation and deflation cycle of the Air cells. The outcome was defined as cumulative pressure ulcer incidence (Grade II–IV). An intention-to-treat analysis was performed. Results There was no significant difference in cumulative pressure ulcer incidence (Grade II–IV) between both groups (Exp.=5.7%, Contr.=5.8%, p =0.97). When patients developed a pressure ulcer, the median time was 5.0days in the experimental group (IQR=3.0–8.5) and 8.0days in the control group (IQR=3.0–8.5) (Mann–Whitney U -test=113, p =0.182). The probability to remain pressure ulcer free during the observation period in this trial did not differ significantly between the experimental group and the control group (log-rank χ 2 =0.013, df=1, p =0.911). Conclusion An alternating low pressure Air Mattress with multi-stage inflation and deflation of the Air cells does not result in a significantly lower pressure ulcer incidence compared to an alternating low pressure Air Mattress with a standard single-stage inflation and deflation cycle of the Air cells. Both alternating Mattress types are equally effective to prevent pressure ulcer development.

Sofie Verhaeghe - One of the best experts on this subject based on the ideXlab platform.

  • An exploration of nursing home residents' experiences of a non-powered static Air Mattress overlay to prevent pressure ulcers.
    International wound journal, 2020
    Co-Authors: Brecht Serraes, Ann Van Hecke, Hanne Van Tiggelen, Charlotte Anrys, Sofie Verhaeghe, Dimitri Beeckman
    Abstract:

    Pressure ulcers are injuries to the skin and underlying tissue and are associated with a negative impact on well-being and health-related quality of life. This explorative, qualitative study aimed to explore the true meaning of elderly nursing home residents' perspectives and critical success factors when implementing a new non-powered static Air Mattress overlay to prevent pressure ulcers. Individual, loosely structured interviews were conductedin 12 nursing homes in Flanders, the Northern region of Belgium, a convenience sampling of 14 nursing home residents were selected based on the following eligibility criteria: high risk for pressure ulcer and/or with category 1 pressure ulcer, being bedbound and/or chAir-bound, aged >65 years, and use of an alternating Air pressure Mattress previous to the application of the non-powered static Air Mattress overlay. Interviews were conducted in the participants' personal rooms between June 2017 and March 2018. Interviews included broad, open-ended questions, to invite and encourage participants to openly discuss their perspectives and experiences. Participants were interviewed once during the 14-day observation period between day 3 and day 14. All interviews were audio-recorded and fully transcribed by an experienced transcriber. Interviews were read several times to reveal emerging patterns and were marked with codes into NVivo 10 qualitative data analysis software. During the process, (sub) themes were discussed by the authors until a consensus was reached. Three main themes emerged from the analysis process: rest and sleep; mobility; and discomfort and pain associated with the use of the support surface. Themes were divided into multiple subthemes: motion, noise, sensation, repositioning, and transfer in and out of bed. Through interviews, critical success factors associated with the implementation were identified, including the lack of information and time needed to evaluate the functionality and effects of a new Mattress overlay. Implementation of a non-powered static Air Mattress overlay to prevent pressure ulcers has a far-reaching impact on nursing home residents' experiences. This study provides insight into the true meaning of patients' perspectives by focusing on learning from the patients' experiences that provide valuable information for healthcare professionals and other stakeholders.

  • A multicentre prospective randomised controlled clinical trial comparing the effectiveness and cost of a static Air Mattress and alternating Air pressure Mattress to prevent pressure ulcers in nursing home residents.
    International journal of nursing studies, 2019
    Co-Authors: Dimitri Beeckman, Brecht Serraes, Ann Van Hecke, Hanne Van Tiggelen, Charlotte Anrys, Sofie Verhaeghe
    Abstract:

    Abstract Background Pressure ulcers are a global issue and substantial concern for healthcare systems. Various types of support surfaces that prevent pressure ulcer are available. Data about the effectiveness and cost of static Air support surfaces and alternating Air pressure Mattresses is lacking. Objectives To compare the effectiveness and cost of static Air support surfaces versus alternating Air pressure support surfaces in a nursing home population at high risk for pressure ulcers. Design Prospective, multicentre, randomised controlled clinical, non-inferiority trial. Setting Twenty-six nursing homes in Flanders, Belgium. Participants A consecutive sample of 308 participants was selected based on the following eligibility criteria: high risk for pressure ulcer and/or with category 1 pressure ulcer, being bedbound and/or chAir bound, aged > 65 years, and use of an alternating Air pressure Mattress. Methods The participants were allocated to the intervention group (n = 154) using static Air support surfaces and the control group (n = 154) using alternating Air pressure support surfaces. The main outcome measures were cumulative incidence and incidence density of the participants developing a new category II–IV pressure ulcer within a 14-day observation period, time to develop a new pressure ulcer, and purchase costs of the support surfaces. Results The intention-to-treat analysis revealed a significantly lower incidence of category II–IV pressure ulcer in the intervention group (n = 8/154, 5.2%) than in the control group (n = 18/154, 11.7%) (p = 0.04). The median time to develop a pressure ulcer was significantly longer in the intervention group (10.5 days, interquartile range [IQR]: 1–14) than in the control group (5.4 days, [IQR]: 1–12; p = 0.05). The probability to remain pressure ulcer free differed significantly between the two study groups (log-rank X² = 4.051, df = 1, p = 0.04). The overall cost of the Mattress was lower in the intervention group than in the control group. Conclusions A static Air Mattress was significantly more effective than an alternating Air pressure Mattress in preventing pressure ulcer in a high-risk nursing home population. Considering multiple lifespans and purchase costs, static Air Mattresses were more cost-effective than alternating Air pressure Mattresses.

  • Prevention of pressure ulcers with a static Air support surface: A systematic review
    International wound journal, 2018
    Co-Authors: Brecht Serraes, Ann Van Hecke, Sofie Verhaeghe, Martin Van Leen, Jos M. G. A. Schols, Dimitri Beeckman
    Abstract:

    The aims of this study were to identify, assess, and summarise available evidence about the effectiveness of static Air Mattress overlays to prevent pressure ulcers. The primary outcome was the incidence of pressure ulcers. Secondary outcomes included costs and patient comfort. This study was a systematic review. Six electronic databases were consulted: Cochrane Library, EMBASE, PubMed (Medline), CINAHL (EBSCOhost interface), Science direct, and Web of Science. In addition, a hand search through reviews, conference proceedings, and the reference lists of the included studies was performed to identify additional studies. Potential studies were reviewed and assessed by 2 independent authors based on the title and abstract. Decisions regarding inclusion or exclusion of the studies were based on a consensus between the authors. Studies were included if the following criteria were met: reporting an original study; the outcome was the incidence of pressure ulcer categories I to IV when using a static Air Mattress overlay and/or in comparison with other pressure-redistribution device(s); and studies published in English, French, and Dutch. No limitation was set on study setting, design, and date of publication. The methodological quality assessment was evaluated using the Critical Appraisal Skills Program Tool. Results were reported in a descriptive way to reflect the exploratory nature of the review. The searches included 13 studies: randomised controlled trials (n = 11) and cohort studies (n = 2). The mean pressure ulcer incidence figures found in the different settings were, respectively, 7.8% pressure ulcers of categories II to IV in nursing homes, 9.06% pressure ulcers of categories I to IV in intensive care settings, and 12% pressure ulcers of categories I to IV in orthopaedic wards. Seven comparative studies reported a lower incidence in the groups of patients on a static Air Mattress overlay. Three studies reported a statistical (P < .1) lower incidence compared with a standard hospital Mattress (10 cm thick, density 35 kg/m3 ), a foam Mattress (15 cm thick), and a viscoelastic foam Mattress (15 cm thick). No significant difference in incidence, purchase costs, and patient comfort was found compared with dynamic Air Mattresses. This review focused on the effectiveness of static Air Mattress overlays to prevent pressure ulcers. There are indications that these Mattress overlays are more effective in preventing pressure ulcers compared with the use of a standard Mattress or a pressure-reducing foam Mattress in nursing homes and intensive care settings. However, interpretation of the evidence should be performed with caution due to the wide variety of methodological and/or reporting quality levels of the included studies.

  • The effectiveness of three types of alternating pressure Air Mattresses in the prevention of pressure ulcers in Belgian hospitals.
    Research in nursing & health, 2013
    Co-Authors: Liesbet Demarré, Ann Van Hecke, Sofie Verhaeghe, Katrien Vanderwee, Maria Grypdonck, Els Clays, Dimitri Beeckman
    Abstract:

    To compare the effectiveness of multi-stage and one-stage alternating low-pressure Air Mattresses (ALPAM) and alternating pressure Air Mattress (APAM) overlays in preventing pressure ulcers among hospitalized patients, data were pooled (N?=?617) from a study of patients allocated to multi-stage ALPAM (n?=?252) or one-stage ALPAM (n?=?264), and another study of patients allocated to APAM overlay (n?=?101). Cumulative pressure ulcer incidence was 4.9% (n?=?30) over 14 days. Fewer ulcers developed on multi-stage ALPAM compared with APAM overlay (OR?=?0.33; 95% CI [0.11, 0.97]), but no difference was found between one-stage ALPAM and APAM overlay (OR?=?0.40; 95% CI [0.14, 1.10]). Time to develop ulcers did not differ by Mattress type.

  • Multi-stage versus single-stage inflation and deflation cycle for alternating low pressure Air Mattresses to prevent pressure ulcers in hospitalised patients: a randomised-controlled clinical trial.
    International journal of nursing studies, 2011
    Co-Authors: Liesbet Demarré, Dimitri Beeckman, Katrien Vanderwee, Tom Defloor, Maria Grypdonck, Sofie Verhaeghe
    Abstract:

    Abstract Introduction The duration and the amount of pressure and shear must be reduced in order to minimize the risk of pressure ulcer development. Alternating low pressure Air Mattresses with multi-stage inflation and deflation cycle of the Air cells have been developed to relieve pressure by sequentially inflating and deflating the Air cells. Evidence about the effectiveness of this type of Mattress in clinical practice is lacking. Aim This study aimed to compare the effectiveness of an alternating low pressure Air Mattress that has a standard single-stage inflation and deflation cycle of the Air cells with an alternating low pressure Air Mattress with multi-stage inflation and deflation cycle of the Air cells. Methods and materials A randomised controlled trial was performed in a convenience sample of 25 wards in five hospitals in Belgium. In total, 610 patients were included and randomly assigned to the experimental group ( n =298) or the control group ( n =312). In the experimental group, patients were allocated to an alternating low pressure Air Mattress with multi-stage inflation and deflation cycle of the Air cells. In the control group, patients were allocated to an alternating low pressure Air Mattress with a standard single-stage inflation and deflation cycle of the Air cells. The outcome was defined as cumulative pressure ulcer incidence (Grade II–IV). An intention-to-treat analysis was performed. Results There was no significant difference in cumulative pressure ulcer incidence (Grade II–IV) between both groups (Exp.=5.7%, Contr.=5.8%, p =0.97). When patients developed a pressure ulcer, the median time was 5.0days in the experimental group (IQR=3.0–8.5) and 8.0days in the control group (IQR=3.0–8.5) (Mann–Whitney U -test=113, p =0.182). The probability to remain pressure ulcer free during the observation period in this trial did not differ significantly between the experimental group and the control group (log-rank χ 2 =0.013, df=1, p =0.911). Conclusion An alternating low pressure Air Mattress with multi-stage inflation and deflation of the Air cells does not result in a significantly lower pressure ulcer incidence compared to an alternating low pressure Air Mattress with a standard single-stage inflation and deflation cycle of the Air cells. Both alternating Mattress types are equally effective to prevent pressure ulcer development.

Ann Van Hecke - One of the best experts on this subject based on the ideXlab platform.

  • An exploration of nursing home residents' experiences of a non-powered static Air Mattress overlay to prevent pressure ulcers.
    International wound journal, 2020
    Co-Authors: Brecht Serraes, Ann Van Hecke, Hanne Van Tiggelen, Charlotte Anrys, Sofie Verhaeghe, Dimitri Beeckman
    Abstract:

    Pressure ulcers are injuries to the skin and underlying tissue and are associated with a negative impact on well-being and health-related quality of life. This explorative, qualitative study aimed to explore the true meaning of elderly nursing home residents' perspectives and critical success factors when implementing a new non-powered static Air Mattress overlay to prevent pressure ulcers. Individual, loosely structured interviews were conductedin 12 nursing homes in Flanders, the Northern region of Belgium, a convenience sampling of 14 nursing home residents were selected based on the following eligibility criteria: high risk for pressure ulcer and/or with category 1 pressure ulcer, being bedbound and/or chAir-bound, aged >65 years, and use of an alternating Air pressure Mattress previous to the application of the non-powered static Air Mattress overlay. Interviews were conducted in the participants' personal rooms between June 2017 and March 2018. Interviews included broad, open-ended questions, to invite and encourage participants to openly discuss their perspectives and experiences. Participants were interviewed once during the 14-day observation period between day 3 and day 14. All interviews were audio-recorded and fully transcribed by an experienced transcriber. Interviews were read several times to reveal emerging patterns and were marked with codes into NVivo 10 qualitative data analysis software. During the process, (sub) themes were discussed by the authors until a consensus was reached. Three main themes emerged from the analysis process: rest and sleep; mobility; and discomfort and pain associated with the use of the support surface. Themes were divided into multiple subthemes: motion, noise, sensation, repositioning, and transfer in and out of bed. Through interviews, critical success factors associated with the implementation were identified, including the lack of information and time needed to evaluate the functionality and effects of a new Mattress overlay. Implementation of a non-powered static Air Mattress overlay to prevent pressure ulcers has a far-reaching impact on nursing home residents' experiences. This study provides insight into the true meaning of patients' perspectives by focusing on learning from the patients' experiences that provide valuable information for healthcare professionals and other stakeholders.

  • A multicentre prospective randomised controlled clinical trial comparing the effectiveness and cost of a static Air Mattress and alternating Air pressure Mattress to prevent pressure ulcers in nursing home residents.
    International journal of nursing studies, 2019
    Co-Authors: Dimitri Beeckman, Brecht Serraes, Ann Van Hecke, Hanne Van Tiggelen, Charlotte Anrys, Sofie Verhaeghe
    Abstract:

    Abstract Background Pressure ulcers are a global issue and substantial concern for healthcare systems. Various types of support surfaces that prevent pressure ulcer are available. Data about the effectiveness and cost of static Air support surfaces and alternating Air pressure Mattresses is lacking. Objectives To compare the effectiveness and cost of static Air support surfaces versus alternating Air pressure support surfaces in a nursing home population at high risk for pressure ulcers. Design Prospective, multicentre, randomised controlled clinical, non-inferiority trial. Setting Twenty-six nursing homes in Flanders, Belgium. Participants A consecutive sample of 308 participants was selected based on the following eligibility criteria: high risk for pressure ulcer and/or with category 1 pressure ulcer, being bedbound and/or chAir bound, aged > 65 years, and use of an alternating Air pressure Mattress. Methods The participants were allocated to the intervention group (n = 154) using static Air support surfaces and the control group (n = 154) using alternating Air pressure support surfaces. The main outcome measures were cumulative incidence and incidence density of the participants developing a new category II–IV pressure ulcer within a 14-day observation period, time to develop a new pressure ulcer, and purchase costs of the support surfaces. Results The intention-to-treat analysis revealed a significantly lower incidence of category II–IV pressure ulcer in the intervention group (n = 8/154, 5.2%) than in the control group (n = 18/154, 11.7%) (p = 0.04). The median time to develop a pressure ulcer was significantly longer in the intervention group (10.5 days, interquartile range [IQR]: 1–14) than in the control group (5.4 days, [IQR]: 1–12; p = 0.05). The probability to remain pressure ulcer free differed significantly between the two study groups (log-rank X² = 4.051, df = 1, p = 0.04). The overall cost of the Mattress was lower in the intervention group than in the control group. Conclusions A static Air Mattress was significantly more effective than an alternating Air pressure Mattress in preventing pressure ulcer in a high-risk nursing home population. Considering multiple lifespans and purchase costs, static Air Mattresses were more cost-effective than alternating Air pressure Mattresses.

  • Prevention of pressure ulcers with a static Air support surface: A systematic review
    International wound journal, 2018
    Co-Authors: Brecht Serraes, Ann Van Hecke, Sofie Verhaeghe, Martin Van Leen, Jos M. G. A. Schols, Dimitri Beeckman
    Abstract:

    The aims of this study were to identify, assess, and summarise available evidence about the effectiveness of static Air Mattress overlays to prevent pressure ulcers. The primary outcome was the incidence of pressure ulcers. Secondary outcomes included costs and patient comfort. This study was a systematic review. Six electronic databases were consulted: Cochrane Library, EMBASE, PubMed (Medline), CINAHL (EBSCOhost interface), Science direct, and Web of Science. In addition, a hand search through reviews, conference proceedings, and the reference lists of the included studies was performed to identify additional studies. Potential studies were reviewed and assessed by 2 independent authors based on the title and abstract. Decisions regarding inclusion or exclusion of the studies were based on a consensus between the authors. Studies were included if the following criteria were met: reporting an original study; the outcome was the incidence of pressure ulcer categories I to IV when using a static Air Mattress overlay and/or in comparison with other pressure-redistribution device(s); and studies published in English, French, and Dutch. No limitation was set on study setting, design, and date of publication. The methodological quality assessment was evaluated using the Critical Appraisal Skills Program Tool. Results were reported in a descriptive way to reflect the exploratory nature of the review. The searches included 13 studies: randomised controlled trials (n = 11) and cohort studies (n = 2). The mean pressure ulcer incidence figures found in the different settings were, respectively, 7.8% pressure ulcers of categories II to IV in nursing homes, 9.06% pressure ulcers of categories I to IV in intensive care settings, and 12% pressure ulcers of categories I to IV in orthopaedic wards. Seven comparative studies reported a lower incidence in the groups of patients on a static Air Mattress overlay. Three studies reported a statistical (P < .1) lower incidence compared with a standard hospital Mattress (10 cm thick, density 35 kg/m3 ), a foam Mattress (15 cm thick), and a viscoelastic foam Mattress (15 cm thick). No significant difference in incidence, purchase costs, and patient comfort was found compared with dynamic Air Mattresses. This review focused on the effectiveness of static Air Mattress overlays to prevent pressure ulcers. There are indications that these Mattress overlays are more effective in preventing pressure ulcers compared with the use of a standard Mattress or a pressure-reducing foam Mattress in nursing homes and intensive care settings. However, interpretation of the evidence should be performed with caution due to the wide variety of methodological and/or reporting quality levels of the included studies.

  • The effectiveness of three types of alternating pressure Air Mattresses in the prevention of pressure ulcers in Belgian hospitals.
    Research in nursing & health, 2013
    Co-Authors: Liesbet Demarré, Ann Van Hecke, Sofie Verhaeghe, Katrien Vanderwee, Maria Grypdonck, Els Clays, Dimitri Beeckman
    Abstract:

    To compare the effectiveness of multi-stage and one-stage alternating low-pressure Air Mattresses (ALPAM) and alternating pressure Air Mattress (APAM) overlays in preventing pressure ulcers among hospitalized patients, data were pooled (N?=?617) from a study of patients allocated to multi-stage ALPAM (n?=?252) or one-stage ALPAM (n?=?264), and another study of patients allocated to APAM overlay (n?=?101). Cumulative pressure ulcer incidence was 4.9% (n?=?30) over 14 days. Fewer ulcers developed on multi-stage ALPAM compared with APAM overlay (OR?=?0.33; 95% CI [0.11, 0.97]), but no difference was found between one-stage ALPAM and APAM overlay (OR?=?0.40; 95% CI [0.14, 1.10]). Time to develop ulcers did not differ by Mattress type.

Brecht Serraes - One of the best experts on this subject based on the ideXlab platform.

  • An exploration of nursing home residents' experiences of a non-powered static Air Mattress overlay to prevent pressure ulcers.
    International wound journal, 2020
    Co-Authors: Brecht Serraes, Ann Van Hecke, Hanne Van Tiggelen, Charlotte Anrys, Sofie Verhaeghe, Dimitri Beeckman
    Abstract:

    Pressure ulcers are injuries to the skin and underlying tissue and are associated with a negative impact on well-being and health-related quality of life. This explorative, qualitative study aimed to explore the true meaning of elderly nursing home residents' perspectives and critical success factors when implementing a new non-powered static Air Mattress overlay to prevent pressure ulcers. Individual, loosely structured interviews were conductedin 12 nursing homes in Flanders, the Northern region of Belgium, a convenience sampling of 14 nursing home residents were selected based on the following eligibility criteria: high risk for pressure ulcer and/or with category 1 pressure ulcer, being bedbound and/or chAir-bound, aged >65 years, and use of an alternating Air pressure Mattress previous to the application of the non-powered static Air Mattress overlay. Interviews were conducted in the participants' personal rooms between June 2017 and March 2018. Interviews included broad, open-ended questions, to invite and encourage participants to openly discuss their perspectives and experiences. Participants were interviewed once during the 14-day observation period between day 3 and day 14. All interviews were audio-recorded and fully transcribed by an experienced transcriber. Interviews were read several times to reveal emerging patterns and were marked with codes into NVivo 10 qualitative data analysis software. During the process, (sub) themes were discussed by the authors until a consensus was reached. Three main themes emerged from the analysis process: rest and sleep; mobility; and discomfort and pain associated with the use of the support surface. Themes were divided into multiple subthemes: motion, noise, sensation, repositioning, and transfer in and out of bed. Through interviews, critical success factors associated with the implementation were identified, including the lack of information and time needed to evaluate the functionality and effects of a new Mattress overlay. Implementation of a non-powered static Air Mattress overlay to prevent pressure ulcers has a far-reaching impact on nursing home residents' experiences. This study provides insight into the true meaning of patients' perspectives by focusing on learning from the patients' experiences that provide valuable information for healthcare professionals and other stakeholders.

  • A multicentre prospective randomised controlled clinical trial comparing the effectiveness and cost of a static Air Mattress and alternating Air pressure Mattress to prevent pressure ulcers in nursing home residents.
    International journal of nursing studies, 2019
    Co-Authors: Dimitri Beeckman, Brecht Serraes, Ann Van Hecke, Hanne Van Tiggelen, Charlotte Anrys, Sofie Verhaeghe
    Abstract:

    Abstract Background Pressure ulcers are a global issue and substantial concern for healthcare systems. Various types of support surfaces that prevent pressure ulcer are available. Data about the effectiveness and cost of static Air support surfaces and alternating Air pressure Mattresses is lacking. Objectives To compare the effectiveness and cost of static Air support surfaces versus alternating Air pressure support surfaces in a nursing home population at high risk for pressure ulcers. Design Prospective, multicentre, randomised controlled clinical, non-inferiority trial. Setting Twenty-six nursing homes in Flanders, Belgium. Participants A consecutive sample of 308 participants was selected based on the following eligibility criteria: high risk for pressure ulcer and/or with category 1 pressure ulcer, being bedbound and/or chAir bound, aged > 65 years, and use of an alternating Air pressure Mattress. Methods The participants were allocated to the intervention group (n = 154) using static Air support surfaces and the control group (n = 154) using alternating Air pressure support surfaces. The main outcome measures were cumulative incidence and incidence density of the participants developing a new category II–IV pressure ulcer within a 14-day observation period, time to develop a new pressure ulcer, and purchase costs of the support surfaces. Results The intention-to-treat analysis revealed a significantly lower incidence of category II–IV pressure ulcer in the intervention group (n = 8/154, 5.2%) than in the control group (n = 18/154, 11.7%) (p = 0.04). The median time to develop a pressure ulcer was significantly longer in the intervention group (10.5 days, interquartile range [IQR]: 1–14) than in the control group (5.4 days, [IQR]: 1–12; p = 0.05). The probability to remain pressure ulcer free differed significantly between the two study groups (log-rank X² = 4.051, df = 1, p = 0.04). The overall cost of the Mattress was lower in the intervention group than in the control group. Conclusions A static Air Mattress was significantly more effective than an alternating Air pressure Mattress in preventing pressure ulcer in a high-risk nursing home population. Considering multiple lifespans and purchase costs, static Air Mattresses were more cost-effective than alternating Air pressure Mattresses.

  • Prevention of pressure ulcers with a static Air support surface: A systematic review
    International wound journal, 2018
    Co-Authors: Brecht Serraes, Ann Van Hecke, Sofie Verhaeghe, Martin Van Leen, Jos M. G. A. Schols, Dimitri Beeckman
    Abstract:

    The aims of this study were to identify, assess, and summarise available evidence about the effectiveness of static Air Mattress overlays to prevent pressure ulcers. The primary outcome was the incidence of pressure ulcers. Secondary outcomes included costs and patient comfort. This study was a systematic review. Six electronic databases were consulted: Cochrane Library, EMBASE, PubMed (Medline), CINAHL (EBSCOhost interface), Science direct, and Web of Science. In addition, a hand search through reviews, conference proceedings, and the reference lists of the included studies was performed to identify additional studies. Potential studies were reviewed and assessed by 2 independent authors based on the title and abstract. Decisions regarding inclusion or exclusion of the studies were based on a consensus between the authors. Studies were included if the following criteria were met: reporting an original study; the outcome was the incidence of pressure ulcer categories I to IV when using a static Air Mattress overlay and/or in comparison with other pressure-redistribution device(s); and studies published in English, French, and Dutch. No limitation was set on study setting, design, and date of publication. The methodological quality assessment was evaluated using the Critical Appraisal Skills Program Tool. Results were reported in a descriptive way to reflect the exploratory nature of the review. The searches included 13 studies: randomised controlled trials (n = 11) and cohort studies (n = 2). The mean pressure ulcer incidence figures found in the different settings were, respectively, 7.8% pressure ulcers of categories II to IV in nursing homes, 9.06% pressure ulcers of categories I to IV in intensive care settings, and 12% pressure ulcers of categories I to IV in orthopaedic wards. Seven comparative studies reported a lower incidence in the groups of patients on a static Air Mattress overlay. Three studies reported a statistical (P < .1) lower incidence compared with a standard hospital Mattress (10 cm thick, density 35 kg/m3 ), a foam Mattress (15 cm thick), and a viscoelastic foam Mattress (15 cm thick). No significant difference in incidence, purchase costs, and patient comfort was found compared with dynamic Air Mattresses. This review focused on the effectiveness of static Air Mattress overlays to prevent pressure ulcers. There are indications that these Mattress overlays are more effective in preventing pressure ulcers compared with the use of a standard Mattress or a pressure-reducing foam Mattress in nursing homes and intensive care settings. However, interpretation of the evidence should be performed with caution due to the wide variety of methodological and/or reporting quality levels of the included studies.

Kyoung-joung Lee - One of the best experts on this subject based on the ideXlab platform.

  • Cardiopulmonary Coupling Analysis Using Home Sleep Monitoring System Based on Air Mattress.
    Journal of medical systems, 2017
    Co-Authors: Jong-uk Park, Erdenebayar Urtnasan, E. Joo, Kyoung-joung Lee
    Abstract:

    This study investigates the feasibility of cardiopulmonary coupling (CPC) using home sleep monitoring system. We have designed a system to measure respiratory signals and normal-to-normal (NN) interval series in a non-contact based on Air Mattress. Then, CPC analysis was conducted using extracted respiratory signals and NN interval series, and six CPC parameters were extracted (VLFC, LFC, HFC, e-LFC, e-LFCNB and e-LFCBB). To evaluate the proposed method, two statistical analyses were conducted between the CPC parameters extracted by the electrocardiogram-based conventional method and the Air Mattress-based proposed method for five patients with obstructive sleep apnea and hypopnea (OSAH). Wilcoxon’s signed rank test on the CPC parameters of the two methods indicated no significant differences (p > 0.05) and Spearman’s rank correlation analysis showed high positive correlations (r ≥ 0.7, p < 0.05) between the two methods. Therefore, the proposed method has the potential for performing CPC analysis using Air Mattress-based system.

  • Cardiopulmonary Coupling Analysis Using Home Sleep Monitoring System Based on Air Mattress
    Journal of Medical Systems, 2017
    Co-Authors: Jong-uk Park, Erdenebayar Urtnasan, Eun-yeon Joo, Kyoung-joung Lee
    Abstract:

    This study investigates the feasibility of cardiopulmonary coupling (CPC) using home sleep monitoring system. We have designed a system to measure respiratory signals and normal-to-normal (NN) interval series in a non-contact based on Air Mattress. Then, CPC analysis was conducted using extracted respiratory signals and NN interval series, and six CPC parameters were extracted (VLFC, LFC, HFC, e-LFC, e-LFC_NB and e-LFC_BB). To evaluate the proposed method, two statistical analyses were conducted between the CPC parameters extracted by the electrocardiogram-based conventional method and the Air Mattress-based proposed method for five patients with obstructive sleep apnea and hypopnea (OSAH). Wilcoxon’s signed rank test on the CPC parameters of the two methods indicated no significant differences ( p  > 0.05) and Spearman’s rank correlation analysis showed high positive correlations ( r  ≥ 0.7, p