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mattress although no overall specific data (RR, percentages or others) to support these conclusions were reported.

On the economic side, two studies concluded that alternating pressure mattress overlays were associated with lower costs management and was a cost-effective strategy. Another study found that using low-pressure foam mattresses as a standard were associated with lower hospital costs.

In conclusion, there seems to be some advantages for using any type of overlay to reduce the incidence of PUs. These alternatives were also associated with lower hospital costs. Unfortunately, evidence-based information of other devices such as foam mattresses, low air loss surfaces and air-filled sacs still remains unclear.

Prepared by:

Brigitte Desjardins M.Sc, Health Economist Melissa Severn, MISt, Information Specialist Health Technology Inquiry Service Email: htis@cadth.ca Tel: 1-866-898-8439

Specialty Mattresses for Prevention of PUs in Acute and Critical Care

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