Specialty mattresses for the prevention and management of pressure ulcers: a review of the clinical effectiveness, cost-effectiveness, and guidelines

Tran K, Nkansah E
Record ID 32011001223
Authors' recommendations: The literature identified indicates that both “low-tech” CLP devices and “high-tech” AP devices are more effective than standard hospital foam mattresses in preventing the development of pressure ulcers in high risk patients. Specific data about memory foam, bead filled mattresses, and static air mattresses were included within one of the included systematic reviews. There was no difference in effectiveness between static air mattresses and water mattresses or AP mattresses, and visco-elastic (memory) foam mattresses compared with standard foam mattresses. Alternative foam mattresses and bead beds were found to have a lower incidence of pressure ulcers compared with standard foam mattresses.When comparing between AP overlays, AP mattress replacements, and standard hospital mattresses, the literature shows that AP overlays may be cost-effective for the prevention of pressure ulcers, whereas AP mattress replacements may be cost-effective for the treatment of superficial and severe pressure ulcers. Most guidelines recommend the use of high-specification foam mattresses for high risk patients of developing pressure ulcers.
Project Status: Completed
Year Published: 2009
English language abstract: An English language summary is available
Publication Type: Not Assigned
Country: Canada
MeSH Terms
  • Beds
  • Pressure Ulcer
Organisation Name: Canadian Agency for Drugs and Technologies in Health
Contact Address: 600-865 Carling Avenue, Ottawa, ON K1S 5S8 Canada. Tel: +1 613 226 2553; Fax: +1 613 226 5392;
Contact Name: requests@cadth.ca
Contact Email: requests@cadth.ca
Copyright: Canadian Agency for Drugs and Technologies in Health (CADTH)
This is a bibliographic record of a published health technology assessment from a member of INAHTA or other HTA producer. No evaluation of the quality of this assessment has been made for the HTA database.