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Assessment of suport surfaces (static & mixed) for neonates

Conference Paper · May 2014

DOI: 10.6084/m9.figshare.977866

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Montse Sanchez Pablo García-Molina

CONSELLERIA DE SANITAT University of Valencia
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 ASSESSMENT OF SUPPORT
SURFACES (STATIC & MIXED)

FP-50002 EWMA/GNEAUPP 2014

FOR NEONATES
M. M. Sánchez-Lorente1; P. García-Molina2-3; C. Vergara-Hernández2;
E. Sanchis-Sánchez2; J. Martos-Torres2; A. Álvarez-Ordiales4;
& E. Balaguer-López2-3

1. Conselleria de Sanitat, Valencia (SPA).

2. University of Valencia, Valencia (SPA).
3. Hospital Clínico Universitario, Valencia (SPA).
4. Hospital Universitari i Politècnic “La Fe”, Valencia (SPA).

Presenting author: Mr. Pablo García-Molina

Background

FP-50002 EWMA/GNEAUPP 2014

Existence of several neonatal support surfaces

however…

Lack of evaluation
regarding…

 Interface pressure & pressure redistribution

 Efficacy in the prevention or treatment of PU
Aim 5
2

FP-50002 EWMA/GNEAUPP 2014

1

• To assess the interface pressure and pressure redistribution

of five devices of constant low pressure (static and mixed
support surfaces).
3
4
Methods

FP-50002 EWMA/GNEAUPP 2014

Study design
• Laboratory study with repeated measures design.

Sample
• Eight neonatal simulation dummies with different characteristics
regarding head circumference, weight and height.
 Methods

FP-50002 EWMA/GNEAUPP 2014

Support devices
Visc-T Visc-White Visc-Gray Visc-Blue Pol-3D
Viscoelastic Viscoelastic Viscoelastic Viscoelastic Polyester
Structure
“T” units Block Block Block filaments

Layers 1 2 2 2 1

Density (Kg/m3) 50 50/50 50/50 40 NA

Hardness (Kpa) 1.6 1.01/5 1.01/3.6 2.5 NA

Compression factor 2 2/2 2/2 - NA

Methods

FP-50002 EWMA/GNEAUPP 2014

Variables
• Mean pressure (mmHg).
• Maximum pressure (mmHg).
• Mean pressure in head region (mmHg).
• Area of contact (cm2).

Equipment
• XSENSOR X3 PX100:40.40.002 device.

Procedure
• See: E-poster no. 50006.
Methods

FP-50002 EWMA/GNEAUPP 2014

Statistical analysis
• Descriptive statistics.

• Due to a small sample size, a non-parametric test (Friedman test) was carried
out to assess differences among groups. If a significant difference was found,
post hoc comparisons among groups were performed using the Wilcoxon-
Nemenyi-McDonald-Thompson test.

• The analysis was carried out by means of the R environment (The R

Foundation for Statistical Computing).

• Data set and code employed for the analysis can be found at
www.figshare.com (*).
*http://dx.doi.org/10.6084/m9.figshare.977866
 Results
Lowest values!

FP-50002 EWMA/GNEAUPP 2014

Visc-T Visc-White Visc-Gray Visc-Blue Pol-3D

Mean pres., x̅ (SD) 16.26 (2.77) 17.51 (3.32) 18.12 (3.32) 17.11 (3.07) 17.82 (2.58)

Max. pres., x̅ (SD) 24.58 (7.39) 26.79 (8.88) 28.15 (7.91) 25.49 (7.55) 27.53 (6.12)

Head pres., x̅ (SD) 17.25 (3.37) 18.58 (4.17) 19.53 (4.45) 17.95 (3.71) 18.7 (2.92)

Area, x̅ (SD) 19.29 (11.29) 22.11 (12.13) 22 (9.75) 23.52 (13.21) 29.23 (12.46)

Highest values!
Results

FP-50002 EWMA/GNEAUPP 2014

Friedman test χ2 Df P-value

Mean pres., x̅ (SD) 14,3 4 0,006

Max. pres., x̅ (SD) 11,2 4 0,02

Head pres., x̅ (SD) 8,7 4 0,07

Area, x̅ (SD) 18,51 4 < 0,001

Results

FP-50002 EWMA/GNEAUPP 2014

Post hoc analysis: mean pressure (p-value)

Row-Column Visc-T Visc-White Visc-Gray Visc-Blue Pol-3D

Visc-T - - - - -

Visc-White 0,24 - - - -

Visc-Gray 0,005 0,61 - - -

Visc-Blue 0,71 0,93 0,17 - -

Pol-3D 0,056 0,97 0,93 0,61 -

Results
Results

FP-50002 EWMA/GNEAUPP 2014

Post hoc analysis: maximum pressure (p-value)

Row-Column Visc-T Visc-White Visc-Gray Visc-Blue Pol-3D

Visc-T - - - - -

Visc-White 0,32 - - - -

Visc-Gray 0,014 0,71 - - -

Visc-Blue 0,88 0,88 0,17 - -

Pol-3D 0,32 1 0,71 0,88 -

Results
Results

FP-50002 EWMA/GNEAUPP 2014

Post hoc analysis: pressure area (p-value)

Row-Column Visc-T Visc-White Visc-Gray Visc-Blue Pol-3D

Visc-T - - - - -

Visc-White 0,71 - - - -

Visc-Gray 0,95 0,98 - - -

Visc-Blue 0,27 0,95 0,71 - -

Pol-3D < 0,001 0,053 0,01 0,27 -

Results
 Conclusion

The “T” device presents the best values of pressure

relief.
The polyester fiber device presents the best values of
pressure redistribution.

Adding an upper layer of polyester fiber to the “T” device

could result in a better support surface.
Next step: studying the properties of the new support
surface in healthy subjects under clinical conditions.

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