Institute of Nursing, School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland.
Division of Neonatology and Pediatric Intensive Care, University Children's Hospital Zurich, Zurich, Switzerland.
BMC Pediatr. 2023 Nov 23;23(1):593. doi: 10.1186/s12887-023-04252-2.
Pressure Injuries are not exclusively an adult phenomenon; various risk factors contribute to a high prevalence rate of 43% in the neonatal and pediatric intensive care population. Effective preventive measures in this population are limited.
We performed a pilot study to analyze the distribution and localization of support surface interface pressures in neonates in a pediatric intensive care unit (PICU). The hypothesis was that pressure redistribution by a novel air mattress would reduce pressure peaks in critical neonates. The measurements were conducted in a 27-bed level III PICU between November and December 2020. This included measuring pressure distribution and pressure peaks for five neonates positioned on either a state-of-the-art foam mattress or a new prototype air mattress.
We confirmed that the pressure peaks were significantly reduced using the prototype air mattress, compared with the state-of-the-art foam mattress. The reduction of mean pressure values was 9-29%, while the reduction of the highest 10% of pressure values was 23-41%.
The journey to an effective, optimal, and approved product for severely ill neonates to reduce Pressure Injuries is challenging. However, a crucial step was completed by this pilot study with the first pressure measurements in a real-world setting and the successful realization of a decrease in pressure peaks obtained using a prototype air mattress.
压疮并非成人特有现象；各种风险因素导致新生儿和儿科重症监护人群的患病率高达 43%。该人群中有效的预防措施有限。
我们进行了一项试点研究，以分析儿科重症监护病房（PICU）中新生儿的支撑面界面压力分布和定位。假设新型空气床垫可实现压力再分布，从而降低重症新生儿的压力峰值。该测量于 2020 年 11 月至 12 月在一个拥有 27 张床位的三级 PICU 中进行，包括测量 5 名新生儿在最先进的泡沫床垫或新型原型空气床垫上的压力分布和压力峰值。
与最先进的泡沫床垫相比，我们证实使用原型空气床垫可显著降低压力峰值。平均压力值降低了 9%-29%，而最高 10%压力值的降低幅度为 23%-41%。
为严重患病的新生儿开发有效、最佳且经批准的产品以减少压疮的道路充满挑战。然而，本试点研究迈出了重要一步，首次在真实环境中进行压力测量，并成功实现了使用原型空气床垫降低压力峰值。
