Assessment of alternating-pressure air mattresses using a time-based pressure threshold technique and continuous measurements of transcutaneous gases

Abstract

Alternating-pressure air mattresses (APAMs) are used increasingly for the prevention and treatment of pressure sores. Laboratory evaluation techniques have centred largely on interface pressure (IP) measurement, typically analysing discrete maximum and minimum levels, or average pressure. However, since pressure relief varies with time, a time-based analysis technique has been developed for performance assessment. IP was recorded continuously, and the duration of pressures below three thresholds (30, 20 and 10 mmHg) was calculated automatically using a computerized rig. Fifteen healthy volunteers were used to evaluate the pressure-relieving characteristics of four APAMs, including one overlay. Results indicated significant differences (P < 0.001) between products when durations below the 20 and 10 mmHg thresholds were analysed, showing that some devices were only capable of momentarily relieving pressure. Maximum contact pressures on the sacrum were significantly lower (P < 0.0001) on devices whose inflation pressure was adjusted according to subject's body mass. This technique could assist in the selection of alternating or dynamic surfaces of any description with further clinical validation.