Review article – The effects of clinical support surfaces on pressure as a risk factor in the development of pressure ulcers, from a radiographical perspective: a narrative literature review

Patricia Collé, Sjors Lutjeboer, C. Everton, S. Bird, W. Brito, A.P. Franco, K. Nodeland, S. Rième, M. Siddika, J. Webb, S. Angmorterh

Research output: Chapter in Book/Report/Conference proceedingContribution to conference proceedingAcademicpeer-review

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Abstract

Purpose: Pressure ulcers are a high cost, high volume issue for health and medical care providers, having a detrimental effect on patients and relatives. Pressure ulcer prevention is widely covered in the literature, but little has been published regarding the risk to patients in the radiographical setting. This
review of the current literature is to identify findings relevant to radiographical context.
Methods: Literature searching was performed using Science Direct and Medline databases. The search was limited to articles published in the last ten years to remain current and excluded studies containing participants less than 17 years of age. In total 14 studies were acquired; three were excluded as they were not relevant. The remaining 11 studies were compared and reviewed.
Discussion: Eight of the studies used ‘healthy’ participants and three used symptomatic participants. Nine studies explored interface pressure with a range of pressure mat technologies, two studies measured shear (MRI finite element modelling, and a non-invasive instrument), and one looked at blood flow and haemoglobin oxygenation. A range of surfaces were considered from trauma, nursing and surgical backgrounds for their ability to reduce pressure including standard mattresses, high specification mattresses, rigid and soft layer spine boards, various overlays (gel, air filled, foam).
Conclusion: The current literature is not appropriate for the radiographic patient and cannot be extrapolated to a radiologic context. Sufficient evidence is presented in this review to support the need for further work specific to radiography in order to minimise the development of PU in at risk patients.
Original languageEnglish
Title of host publicationOPTIMAX 2014 – radiation dose and image quality optimisation in medical imaging
Place of PublicationLisbon, Portugal
Pages69-74
Publication statusPublished - 2015
EventOPTIMAX 2014: radiation dose and image quality optimisation in medical imaging - Lisbon , Portugal
Duration: 1 Aug 201431 Aug 2014

Seminar

SeminarOPTIMAX 2014
CountryPortugal
CityLisbon
Period1/08/1431/08/14

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Keywords

  • radiography
  • radiology
  • pressure ulcer interface pressure
  • comfort
  • supine

Cite this

Collé, P., Lutjeboer, S., Everton, C., Bird, S., Brito, W., Franco, A. P., ... Angmorterh, S. (2015). Review article – The effects of clinical support surfaces on pressure as a risk factor in the development of pressure ulcers, from a radiographical perspective: a narrative literature review. In OPTIMAX 2014 – radiation dose and image quality optimisation in medical imaging (pp. 69-74). Lisbon, Portugal.