Ricci E., Cassino R.*, Ippolito A.*. Chirurgia 2, ferite difficili, Casa di Cura San Luca, Pecetto Torinese. * Vulnera centro vulnologico italiano, Torino

1. A RANDOMIZED STUDY ON EFFICACY ON 2 OVERLAYS
IN PRESSURE SORES TREATMENT.
Ricci E., Cassino R.*, Ippolito A.*.
Chirurgia 2, ferite difficili, Casa di Cura San Luca, Pecetto Torinese.
* Vulnera centro vulnologico italiano, Torino
The use of preventive mattresses, both in terms of prevention and treatment, it is a fact and widespread in
the vulnological segment. Based on a limited number of evidences (1), normally these presidi are
prescribed on the basis of availability and reimbursement systems, rather than on actual assessments of
the garrison or in relation to the type of patient (2). The forces involved in the development of a pressure
ulcer are primarily pressure, friction and malnutrition, equally important are maceration and incontinence.
AIM OF THE STUDY
evaluating the performance and effectiveness of an
anti-bedsore overlay mattress in 3D structure of
new conception towards an overlay of proven
effectiveness. Evaluation parameters: wounds
area’s reduction, healing, safety and comfort.
MATERIALI E METODI
Open randomized multicenter study comparing the
two overlay mattresses for the treatment and
prevention of pressure sores. Patients hospitalized
in long term care. Recruitment and randomization
system using envelopes. Subjects wih pressure
ulcers from I to IV degree. Observation period
extended for 12 weeks. Data collection using paper
CRF.
RESULTS
We enrolled 72 patients: 35 in the study group and
37 in the control. The two groups were similar.
Mortality during the observation period was 13.8%,
unrelated events. Approximately 50% of patients
withdrew from the study before the end (trend in
favor of the overlay three-dimensional). The
resolution of the lesions occurred in 8 cases
(11.1%) 3 cases in the overlay 3D and 5 in the gel
group (p = NS). The reduction of the area was in
favor of the three-dimensional overlay (p <0.005%),
data with significance were obtained also in patient
comfort (p 0.08) and ease of care (p <0.001).
DISCUSSION
the first objective of this study was to evaluate the efficacy of a innovative anti-bedsore,
towards a overlay of which the efficacy was known and consolidated. The data obtained
showed a better performance, both in terms of treatment of lesions that in terms of comfort
for the patient and operators.
AIARTEX 3D structureAKTON 3D structure
BIBLIOGRAPHY
1.Essex HN, Clark M, Sims J, Warriner A, Cullum N. Health-related quality of life in hospital inpatients with
pressure ulceration: assessment using generic health-related quality of life measures. Wound Repair Regen
2009;17:797-805.
2.Gorecki C, Brown JM, Nelson EA, Briggs M, et al. Impact of pressure ulcers on quality of life in older patients:
a systematic review. J Am Geriatr Soc 2009;57:1175-83.