Support surfaces are an integral component of a pressure injury prevention and treatment program because they enhance perfusion in at-risk or injured soft tissue. Use a mattress, bed and special cushions that help you sit or lie in a way that protects vulnerable skin. Rae KE(1), Isbel S(2), Upton D(3). One of the most effective ways to treat and prevent pressure ulcers in the trunk/pelvis area is by utilizing a specialty mattress or support surface. Cochrane Database of Systematic Reviews 2021, Issue 5. Effect of pressure ulcers on the survival of long-term care residents. They are common in the elderly and immobile, and costly in financial and human terms. To assist you with reimbursement, we are providing you with a guide on Therapeutic Support Surface reimbursement. 1 The evidence shows that pressure redistribution support surfaces can help reduce the incidence of pressure 3-8. Objectives: Treatment of pressure ulcers: Quick Reference Guide. Elizabeth McInnes. This means documenting more than one (1) pressure ulcer. In reviews of 53 studies, support surfaces (e.g., medical-grade sheepskin, high-specification foam mattresses) have been recognized as reducing the incidence of This is an update of an existing review. Support surfaces are used alongside other treatments such as wound dressings to treat pressure ulcers and this review has reviewed studies that compared different types of support surface. What is the aim of this review? When treating patients with deeper pressure ulcers, pressure redistribution with specialty beds and cushions is an integral part of the treatment plan. Many support surfaces redistribute pressure by immersing and/or enveloping the body into the surface. 1. Cochrane Reviews. It has been estimated that the treatment of pressure ulcers costs approximately 4% (between 1.4 and 2.1 billion) of the total health budget of the UK (1999/ 2000 financial year) [3]. Mattress and Bed Support Surfaces for Pressure Ulcer Prevention Pressure redistributing support surfaces are designed to either increase the body surface area that comes in contact with the support surface or to sequentially alter the parts of the body that bear load, thus reducing the duration of loading at any given anatomical site. Group 1 support surfaces are generally designed to be placed on top of standard hospital or home mattresses and include pressure pads and mattress overlays (foam, air, water, or gel). Cleaning and dressing wounds. The air overlay cradles the body, providing protection and treatment for pressure ulcers. bedsores, pressure sores, pressure injuries, decubitus ulcers) are areas of localised damage to the skin and underlying tissue. Pressure ulcers can greatly affect a patients' quality of life. Support surfaces for treating pressure ulcers. DOI: 10.1002/14651858.CD013624.pub2. A Pressure Ulcer Protocol may include the following assessment and therapy Recommendations. PRESSURE 2 was a randomised controlled trial (RCT), evaluating the clinical and cost-effectiveness of two types of pressure-relieving mattress frequently used in pressure ulcer prevention practice [1, 2]. The aim of this review was to find out whether different support surfaces such as speciallydesigned beds, mattresses or cushions can help to treat pressure ulcers. Not only are therapeutic support surfaces good for the patient, but also good for your business. Pressure-relieving support surfaces (i.e. CMS categorizes support surfaces into three groups: 1. Author information: (1)Occupational Therapist, PhD Candidate, ACT Health Directorate, Canberra, Australia, University of Canberra, Canberra, Australia. Beneficiary has been on a comprehensive ulcer treatment program for at least the past SUPPORT SURFACES. Trusted evidence. Support surfaces for treating pressure ulcers There is no conclusive evidence about the superiority of any support surface for the treatment of existing pressure ulcers. Support surfaces for treating pressure ulcers - McInnes, E - 2018 | Cochrane Library. 1. Some support surfaces, including antidecubitus mattresses and cushions, contain multiple air chambers that are alternately pumped. 3-8. English English. Abstract Background Pressure ulcers (i.e. The prevention of pressure ulcers involves the use of support surfaces such as cushions, mattresses, chairs, and overlays, which relieve the pressure on bony prominences of the body. Support surfaces for pressure ulcer prevention In people at high risk of pressure ulcer development, consideration should be given to the use of higher specification foam mattresses rather than standard hospital foam mattresses. Pressure-relieving support surfaces (i.e. Hydrocolloid or foam dressings should be used for the treatment of pressure ulcers. Accessed 13 August 2021. Methodological issues included variations in outcomes measured, sample sizes and comparison groups. As part of our commitment to adding value and for ease of use, the Support Medical Systems family of support surfaces set-up and program the same way. PRESSURE INJURIES are associated with increased morbidity, mortality, length of stay, and healthcare costs. Some support surfaces, including antidecubitus mattresses and cushions, contain multiple air chambers that are alternately pumped. 2011;12:CD009490. Title Abstract Keyword. 2016 Jan-Feb;24(1):112-26. Support Surfaces Whether you are trying to prevent pressure ulcers or you are treating a difficult to heal, highly exudating wound; SMS Medical has the support surface for you! pressure ulcers as well as support the healing of pressure ulcers. Organisa Many support surfaces redistribute pressure by immersing and/or enveloping the body into the surface. Pressure-redistributing support surface use and pressure ulcer incidence in elderly hip fracture patients. We recognise that each healthcare provider has its own unique blend of clinical and financial objectives to consider when addressing support surface solutions as part of a pressure ulcer prevention and management strategy. With an extensive choice of Active (Alternating Pressure) and : CD013624. A group 2 support surface is covered if the beneficiary meets at least one of the following three criteria: Criterion 1. Special support surfaces (including beds, mattresses and cushions) designed to redistribute pressure, are widely used as treatments. Group 1 support surfaces are generally designed to be placed on top of standard hospital or home mattresses and include pressure pads and mattress overlays (foam, air, water, or gel). in the incidence of pressure ulcers. in the incidence of pressure ulcers. Appropriate positioning and support surfaces for pressure ulcers; Kim PJ, Margolis D, Peters EJ, Attinger C. WHS guidelines update: Diabetic foot ulcer treatment guidelines. Support surfaces. Sheepskin overlays on top of mattresses were also found to prevent new pressure ulcer formation. There is unclear research on the effectiveness of alternating pressure mattresses. Pressure-redistributive mattresses are used to reduce high values of pressure on prominent or bony areas of the body. beds, mattresses, seat cushions etc) are used to help prevent ulcer development. Conclusions: This is the first network meta-analysis of the effects of support surfaces for pressure ulcer prevention. However, A Pressure Ulcer Protocol may include the following assessment and therapy Recommendations. Wound Repair Regen. Support surfaces play a pivotal role in this process; clinicians use them to redistribute pressure, reduce shearing forces, and control heat and humidity. Objective: Changes in technology have resulted in a lack of clarity regarding the comparative effectiveness between active and reactive support surfaces in the prevention and treatment of pressure ulcers (PUs).The purpose of this literature review was to evaluate the comparative effectiveness of active and reactive mattresses for prevention and treatment of PUs. 1 Support surfaces for the treatment and prevention of pressure ulcers: a systematic literature review Further research is needed to investigate the use of support surfaces in a domiciliary setting with an appropriate methodology aimed at minimising the limitations described in the existing literature. CMS categorizes support surfaces into three groups: 1. Berlowitz DR, Brandeis GH, Anderson J et al. Sign In. 4, 22. The air overlay cradles the body, providing protection and treatment for pressure ulcers. Note the criterion includes multiple stage III or IV pressure ulcers as an option for coverage. Many studies had small sample sizes and often there was inadequate descripti The relative merits of higher-tech constant low pressure and alternating pressure for prevention are unclear. Asmara Jammali-Blasi. Pressure Redistributing Support Surfaces in the Prevention of Pressure Ulcers Hawkes, W. G., Margolis, D. J., Amr, S., Miller, R., & Baumgarten, M. (2011b ). 1, 6 An active support surface is a powered surface that alternates the anatomical area sustaining the highest applied pressure loads. Support surfaces for treating pressure ulcers. A group 2 support surface is covered if the beneficiary meets at least one of the following three Criteria (1, 2 or 3): The beneficiary has large or multiple stage 3 or 4 pressure ulcer (s) on the trunk or pelvis (refer to the ICD-10 code list section in the LCD-related Policy Article for applicable diagnoses), Conclusions: This is the first network meta-analysis of the effects of support surfaces for pressure ulcer prevention. Powered active air-surfaces probably reduce pressure ulcer incidence, but are probably less comfortable than standard hospital surfaces. beds, mattresses, seat cushions etc) are used to help prevent ulcer development. L89.104 Pressure ulcer of unspecified part of back, stage 4 L89.110 Pressure ulcer of right upper back, unstageable L89.112 Pressure ulcer of right upper back, stage 2 L89.113 Pressure ulcer of right upper back, stage 3 L89.114 Pressure ulcer of right upper back, stage 4 L89.120 Pressure ulcer of left upper back, unstageable Background Pressure ulcers are a prevalent and global issue and support surfaces are widely used for preventing ulceration. Many support surfaces redistribute pressure by immersing and/or enveloping the body into the surface. Objectives: Treatment. Active support surfaces are support surfaces that provide a high technology option for mattress and bed system design. Better health. There are many types from which to It may result in longer hospital stays, greater likelihood of a readmission within 30 days of discharge, and higher rates of patient discharge from hospitals into institutional or long-term care facilities. Washington DC: National Pressure Ulcer Advisory Panel; 2009. European Pressure Ulcer Advisory Panel and National Pressure Ulcer Advisory Panel. Support surfaces for treating pressure ulcers Based on the current evidence, it is unclear whether any particular type of low- or high-tech support surface is more effective at healing pressure ulcers than standard support surfaces. Hingorani A, LaMuraglia GM, Henke P, et al. Baba-Akbari Sari A, Flemming K, Cullum NA, Wollina U. Treating pressure ulcers involves reducing pressure on the affected skin, caring for wounds, controlling pain, preventing infection and maintaining good nutrition. In addition, suggested guidelines may reduce hospital readmissions, reduce costs associated with treating pressure ulcers and decrease the risk of litigation while improving the quality of life. In this news, fifteen percent of acute-care patients develop pressure ulcers. Using support surfaces. 2016 Jan-Feb;24(1):112-26. Special support surfaces (including beds, mattresses and cushions) designed to redistribute pressure, are widely used as treatments. Hingorani A, LaMuraglia GM, Henke P, et al. The extent to which pressure-relieving support surfaces reduce the incidence of pressure ulcers compared with standard support surfaces, and their comparative effectiveness in ulcer prevention is established, are established, and higher-specification constant low-pressure and alternating-pressure support surfaces are suggested. Informed decisions. 1 Use of a Group 2 support surface to reduce pressure and shear forces on healing ulcers and to prevent new ulcer formation; and. Pressure ulcer staging and support surfaces. Medical Review Tip: Suppliers should work with the treating practitioner to thoroughly describe the characteristics of the pressure ulcers for which the PRSS is being prescribed. B. This discussion presents CMS guidelines for selecting specialty beds for all stages of pressure injuries. Multiple stage II pressure ulcers located on trunk or pelvis which have failed to improve over the past month; and. Changes in technology have resulted in a lack of clarity regarding the comparative effectiveness between active and reactive support surfaces in the prevention and treatment of pressure ulcers (PUs). any mattress, integrated bed system, mattress replacement, overlay, or seat cushion, or seat cushion overlay) 3. Wound Repair Regen. Browse Advanced search. So many choices of support surfaces Support surfaces such as medical grade beds, mattresses or overlays are widely-used in patient care to relieve pressure on the body with the aim of preventing and treating pressure ulcers. BACKGROUND Pressure ulcers (i.e. Annual total costs for treating and (2) which pressure relieving support surfaces are most pressure injuries in the UK have been estimated as being effective in healing pressure injuries between 1.4 and 2.1 billion pounds (Phillips and Buttery, 2009) and between 2.2 and 3.6 billion dollars in the United 2.