Evidence map›Paper›PMID 40964090›Full record

ArticleHuman factors in healthcare2023

Biomechanical investigation of optimal bed height for egressing and ingressing hospital beds.

Ahmad Raza Usmani, Susan E Kotowski, Jay Kim, Thomas R Huston, Kermit G Davis

Abstract read
In one paragraph

Article in Human factors in healthcare, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Effects of Bed Height on Balance during Ingress and Egress from a Hospital Bed.International journal of nursing and health care research · 2024
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ahmad Raza UsmaniDepartment of Mechanical and Materials Engineering, College of Engineering and Applied Science, University of Cincinnati, 2901 Woodside Drive, Cincinnati, OH 45219, USA.
Susan E KotowskiDepartment of Rehabilitation, Exercise, and Nutrition Sciences, College of Allied Health Sciences, University of Cincinnati, 3225 Eden Ave., 292D HSB, Cincinnati, OH 45267, USA.
Jay KimDepartment of Mechanical and Materials Engineering, College of Engineering and Applied Science, University of Cincinnati, 2901 Woodside Drive, Cincinnati, OH 45219, USA.
Thomas R HustonDepartment of Mechanical and Materials Engineering, College of Engineering and Applied Science, University of Cincinnati, 2901 Woodside Drive, Cincinnati, OH 45219, USA.
Kermit G DavisDepartment of Environmental and Public Health Sciences, College of Medicine, University of Cincinnati, Kettering Lab Complex 423, 160 Panzeca Way, Cincinnati, OH 45267, USA.

Funding

NIOSH CDC HHS T42 OH008432
6 · The paper itself

Abstract

Aims and objectives: To determine what bed heights are optimal for egress and ingress to the bed, based on quantitative measures and subjective perception. Background: Many patient falls are related to the patient's interaction with the hospital bed. Beds with lower heights were introduced to reduce the impact of injury due to patient falls. However, low-height beds imposed different kinds of issues during ingress/egress without assistance, such as greater forces and increased inertia required to overcome the center of mass being below the knees. Design: A cross-sectional controlled laboratory study with 24 healthy adults was conducted to assess the biomechanical parameters at different bed heights. Methodology: The bed height ranged from 43 cm to 86 cm, in 2.54 cm increments (completed in random order). Two force plates measured ground reaction force and center of pressure. Perception of stability and difficulty were collected from the subject after each trial. Documentation of hand-support of subject was also recorded for each trial. A two-factor Analysis of Variance was conducted to determine the significance between ingress/egress and bed height with post hoc Tukey test to determine source for significance. Results: Bed Height emerged as a significant factor in determining the ability to ingress/egress from a hospital bed. The results indicated that for medium bed heights (51-66 cm), ingress/egress were less difficult (1-2, on a scale of 10), more stable (approximately 9/10), and had less vertical ground reaction forces (<1000 N). Conclusion: The ingress/egress was found to be best executed at medium heights (51-66 cm) as participants performed better biomechanically and were more stable than lower or higher heights. Relevance to clinical practice: The results conclude that hospitals should endorse policies to keep the bed heights between 51 and 66 cm for ingress and egress. Patient or public contribution: No Patient or Public Contribution.

Indexed as

BiomechanicsCenter of pressureErgonomicsFall injuryGround reaction forcesHealthcarePatient falls

Identifiers

PMID40964090
PMCPMC12439606

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

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.