Trial reportBMJ (Clinical research ed.)2006
Pressure relieving support surfaces (PRESSURE) trial: cost effectiveness analysis.
Trial report in BMJ (Clinical research ed.), 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 21 papers, 8 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
21 citing papers in PubMed, 8 syntheses or guidelines pooled it, 84 citations in OpenAlex.
- Beds, overlays and mattresses for treating pressure ulcers.The Cochrane database of systematic reviews · 2021Pooled it
- Alternating pressure (active) air surfaces for preventing pressure ulcers.The Cochrane database of systematic reviews · 2021Pooled it
- Reactive air surfaces for preventing pressure ulcers.The Cochrane database of systematic reviews · 2021Pooled it
- Alternative reactive support surfaces (non-foam and non-air-filled) for preventing pressure ulcers.The Cochrane database of systematic reviews · 2021Pooled it
- Foam surfaces for preventing pressure ulcers.The Cochrane database of systematic reviews · 2021Pooled it
- Support surfaces for pressure ulcer prevention.The Cochrane database of systematic reviews · 2015Pooled it
- Pressure ulcers.BMJ clinical evidence · 2011Pooled it
- Pressure ulcers.BMJ clinical evidence · 2008Pooled it
- Effects of combining ergonomic interventions and motor control exercises on muscle activity and kinematics in people with work-related neck-shoulder pain.European journal of applied physiology · 2018Trial
- Randomised, controlled trial of alternating pressure mattresses compared with alternating pressure overlays for the prevention of pressure ulcers: PRESSURE (pressure relieving support surfaces) trial.BMJ (Clinical research ed.) · 2006Trial
- Strategies in surface engineering for the regulation of microclimates in skin-medical product interactions.Heliyon · 2024Review
- Level of nurses' knowledge on pressure ulcer prevention: A systematic review and meta-analysis study in Ethiopia.Heliyon · 2021Article
- The direct cost of pressure injuries in an Australian residential aged care setting.International wound journal · 2019Article
- Economic Evaluations of Strategies to Prevent Hospital-Acquired Pressure Injuries.Advances in skin & wound care · 2017Review
- Improved wound management at lower cost: a sensible goal for Australia.International wound journal · 2016Review
- Cost effectiveness of nutrition support in the prevention of pressure ulcer in hospitals.European journal of clinical nutrition · 2013Article
- High cost of stage IV pressure ulcers.American journal of surgery · 2010Article
- An economic appraisal of the Australian Medical Sheepskin for the prevention of sacral pressure ulcers from a nursing home perspective.BMC health services research · 2010Article
- Cost-effectiveness of a pressure ulcer quality collaborative.Cost effectiveness and resource allocation : C/E · 2010Article
- The economics of pressure relieving surfaces: an illustrative case study of the impact of high-specification surfaces on hospital finances.International wound journal · 2010Article
Corrections and comments
- Commented on by
- Commented on by
- Erratum issued
Authors and funding
10 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveTo assess the cost effectiveness of alternating pressure mattresses compared with alternating pressure overlays for the prevention of pressure ulcers in patients admitted to hospital.
designCost effectiveness analysis carried out alongside the pressure relieving support surfaces (PRESSURE) trial; a multicentre UK based pragmatic randomised controlled trial.
setting11 hospitals in six UK NHS trusts.
participantsIntention to treat population comprising 1971 participants.
main outcome measuresKaplan Meier estimates of restricted mean time to development of pressure ulcers and total costs for treatment in hospital.
resultsAlternating pressure mattresses were associated with lower overall costs (283.6 pounds sterling per patient on average, 95% confidence interval--377.59 pounds sterling to 976.79 pounds sterling) mainly due to reduced length of stay in hospital, and greater benefits (a delay in time to ulceration of 10.64 days on average,--24.40 to 3.09). The differences in health benefits and total costs for hospital stay between alternating pressure mattresses and alternating pressure overlays were not statistically significant; however, a cost effectiveness acceptability curve indicated that on average alternating pressure mattresses compared with alternating pressure overlays were associated with an 80% probability of being cost saving.
conclusionAlternating pressure mattresses for the prevention of pressure ulcers are more likely to be cost effective and are more acceptable to patients than alternating pressure overlays.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.