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Comparison of Two Repositioning Schedules for the Prevention of Pressure Ulcers in Patients on Mechanical Ventilation with Alternating Pressure Air Mattresses by Francisco Manzano; Manuel Colmenero; Ana María Pérez-Pérez; Delphine Roldán; María del Mar Jiménez-Quintana; María Reyes Mañas; María Angustias Sánchez-Moya; Carmen Guerrero; María Ángeles Moral-Marfil; Emilio Sánchez-Cantalejo; Enrique Fernández-Mondéjar is a Medicine article available to read on EtoBox.

What is Comparison of Two Repositioning Schedules for the Prevention of Pressure Ulcers in Patients on Mechanical Ventilation with Alternating Pressure Air Mattresses about?

## Purpose: The objective was to compare the effectiveness of repositioning every 2 or 4 h for preventing pressure ulcer development in patients in intensive care unit under mechanical ventilation (mv). ## Methods: This was a pragmatic, open-label randomized clinical trial in consecutive patients on an alternating pressure air mattress (apam) requiring invasive mv for at least 24 h in a university hospital in spain. eligible participants were randomly assigned to groups for repositioning every 2 (n = 165) or 4 (n = 164) h. the primary outcome was the incidence of a pressure ulcer of at least grade ii during icu stay. ## Results: A pressure ulcer of at least grade ii developed in 10.3% (17/165) of patients turned every 2 h versus 13.4% (22/164) of those turned every 4 h (hazard ratio [hr] 0.89, 95% confidence interval [ci] 0.46-1.71, p = 0.73). the composite end point of device-related adverse events was recorded in 47.9 versus 36.6% (hr 1.50, ci 95% 1.06-2.11, p = 0.02), unplanned extubation in 11.5 versus 6.7% (hr 1.77, 95% ci 0.84-3.75, p = 0. 13), and endotracheal tube obstruction in 36.4 versus 30.5%, respectively (hr 1.44, 95% ci 0.98-2.12, p = 0.065). the median (interquartil

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Author

Francisco Manzano; Manuel Colmenero; Ana María Pérez-Pérez; Delphine Roldán; María del Mar Jiménez-Quintana; María Reyes Mañas; María Angustias Sánchez-Moya; Carmen Guerrero; María Ángeles Moral-Marfil; Emilio Sánchez-Cantalejo; Enrique Fernández-Mondéjar

Publisher

Springer Science and Business Media LLC

Published

2014

Language

EN

Field

Medicine (Health Sciences)