Thermal changes in the sacral region with different mattresses used in the prevention of pressure injuries

Itakura, Daniela Akemi; Nakato, Adriane Muller; Hembecker, Paula Karina; Nohama, Percy

doi:10.1016/j.jtherbio.2022.103366

Cited by 1 publication

(2 citation statements)

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“…20,41,42 Effects of the support surface with and without the coverlet were similar and the increase in temperature seemed to be lower compared to non-air support surfaces. 24,40,43 This indicates that both support surfaces were comparable to avoid too much temperature rise. Baseline erythema indices are comparable to previous research.…”

Section: Discussionmentioning

confidence: 91%

“…The temperature increase was mainly caused by the local accumulation of heat during loading and occlusion 20,41,42 . Effects of the support surface with and without the coverlet were similar and the increase in temperature seemed to be lower compared to non‐air support surfaces 24,40,43 . This indicates that both support surfaces were comparable to avoid too much temperature rise.…”

Section: Discussionmentioning

confidence: 97%

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Effects of a mattress cover with special airflow technology on the structure and function of the sacral and heel skin during loading: A two‐arm exploratory crossover trial

Kottner,

Amin,

Tomova‐Simitchieva

et al. 2024

International Wound Journal

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Prolonged mechanical loading of the skin and underlying soft tissue cause pressure ulceration. The use of special support surfaces are key interventions in pressure ulcer prevention. They modify the degree and duration of soft tissue deformation and have an impact on the skin microclimate. The objective of this randomized cross‐over trial was to compare skin responses and comfort after lying for 2.5 h supine on a support surface with and without a coverlet that was intended to assist with heat and moisture removal at the patient/surface interface. In addition, physiological saline solution was administered to simulate an incontinence episode on the mattress next to the participants' skin surface. In total, 12 volunteers (mean age 69 years) with diabetes mellitus participated. After loading, skin surface temperature, stratum corneum hydration and skin surface pH increased, whereas erythema and structural stiffness decreased at the sacral area. At the heel skin area, temperature, erythema, and stratum corneum hydration increased. These results indicate occlusion and soft tissue deformation which was aggravated by the saline solution. The differences in skin response showed only minor differences between the support surface with or without the coverlet.

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