Randomized controlled trial to determine the safety and efficacy of a multi-cell pulsating dynamic mattress system in the prevention of pressure ulcers in patients undergoing cardiovascular surgery.
Randomized controlled trial to determine the safety and efficacy of a multi-cell pulsating dynamic mattress system in the prevention of pressure ulcers in patients undergoing cardiovascular surgery.
复制标题
随机对照试验，以确定多细胞脉动动态床垫系统预防心血管手术患者压疮的安全性和有效性。
DOI：
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发表时间：
2000
期刊：
影响因子：
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通讯作者：
Lichtenstein Sl
中科院分区：
文献类型：
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作者：
James A. Russell;Lichtenstein Sl
本研究的目的是确定多细胞脉动动态床垫系统与传统管理方法相比，在预防心血管手术患者术中和术后期间压疮的有效性和安全性。该研究是一项单中心、前瞻性、随机对照试验。接受心血管手术至少 4 小时的患者在手术前被随机分配至动态床垫系统或传统管理——这两种治疗均在手术室开始，并在术后持续长达 7 天。每天使用标准化评分系统对患者进行评估。研究结果显示，动压系统组 (n = 98) 或常规管理组 (n = 100) 的 198 名患者在基线时情况相似。与传统管理组 (n = 7) 相比，动态压力系统组 (n = 2) 存在压疮减少的强烈趋势。该研究得出的结论是，多细胞脉动动态床垫系统是安全的，可以降低接受心血管手术的患者压疮的风险并降低其发生率。
The purpose of this study was to determine the efficacy and safety of a multi-cell pulsating dynamic mattress system in comparison with conventional management for the prevention of pressure ulcers in the operative and postoperative period in patients having cardiovascular surgery. The study was a single center, prospective, randomized, controlled trial. Patients who were having cardiovascular surgery for a duration of at least 4 hours were randomly assigned, prior to surgery, to dynamic mattress system or conventional management--both of which were initiated in the operating room and continued for up to 7 days postoperatively. Patients were assessed daily using a standardized scoring system. The results of the study showed that 198 patients in the dynamic pressure system (n = 98) or conventional management group (n = 100) were similar at baseline. A strong trend of decreased pressure ulcers existed in the dynamic pressure system group (n = 2) compared to the conventional management group (n = 7). The study concluded that a multi-cell pulsating dynamic mattress system is safe and mitigates risks for and decreases incidence of pressure ulcers in patients who undergo cardiovascular surgery.