![]() ![]() Included studies did not report health‐related quality of life. There is low‐certainty evidence that reactive air surfaces may cost an extra 26 US dollars for every ulcer‐free day in the first year of use (1 study, 87 participants). We are also uncertain whether there is any difference between these surfaces in patient comfort responses (1 study, 72 participants very low‐certainty evidence) and in adverse events (2 studies, 156 participants low‐certainty evidence). These results are sensitive to the choice of outcome measure so should be interpreted as uncertain. When time to complete pressure ulcer healing is considered using a hazard ratio, data from one small study (84 participants) suggests a greater hazard for complete ulcer healing on reactive air surfaces (hazard ratio 2.66, 95% CI 1.34 to 5.17 low‐certainty evidence). (2) Reactive air surfaces versus foam surfaces: it is uncertain if there is a difference in the proportion of participants with completely healed pressure ulcers between reactive air surfaces and foam surfaces (RR 1.32, 95% CI 0.96 to 1.80 I 2 = 0% 2 studies, 156 participants low‐certainty evidence). Included studies did not report time to complete ulcer healing, health‐related quality of life, or cost effectiveness. These outcomes have very low‐certainty evidence. There is also uncertainty for the outcomes of patient comfort (one study with 83 participants) and adverse events (one study with 49 participants). (1) Alternating pressure (active) air surfaces versus foam surfaces: we are uncertain if there is a difference between alternating pressure (active) air surfaces and foam surfaces in the proportion of participants whose pressure ulcers completely healed (two studies with 132 participants the reported risk ratio (RR) in one study was 0.97, 95% confidence interval (CI) 0.26 to 3.58). ![]() We summarise key findings for these four comparisons below. We synthesised data for four comparisons in the review: alternating pressure (active) air surfaces versus foam surfaces reactive air surfaces versus foam surfaces reactive water surfaces versus foam surfaces, and a comparison between two types of alternating pressure (active) air surfaces. Additionally, six (46.2%) of the 13 studies presented findings which were considered at high overall risk of bias. Of the 13 studies, three (224 participants) involved surfaces that were not well described and therefore could not be classified. Participants were recruited from acute care settings (six studies) and community and long‐term care settings (seven studies). The average age of participants ranged from 64.0 to 86.5 years (median: 82.7 years) and all studies recruited people with existing pressure ulcers (the baseline ulcer area size ranging from 4.2 to 18.6 cm 2,median 6.6 cm 2). Most studies were small (median study sample size: 72 participants). Each MDS Team Member follows established supplier standards and will conduct themselves with the highest degree of professionalism.We included 13 studies (972 participants) in the review. Our service team will take the time to explain, demonstrate and educate on the proper use of equipment. Our staff is fully trained in the proper use of all equipment and supplies we sell or rent. We do this by consistently offering quality brand name products, competitive pricing and exceptional customer service. We are committed to providing for all your home medical equipment and supply needs and stand by our promise with guaranteed service. We carry over 8,000 items in stock, including inventory in every major healthcare category: Respiratory (Gas & Liquid Oxygen, Portables, Nebulizers, Pulse Oximetry, CPAP/BIPAP), Mobility (Manual & Electric Wheelchairs, Lift Chairs, Scooters, Vehicle Lifts & Carriers, Walkers and Ambulatory Aids), Equipment (Electric Hospital Beds, Leisure Beds, Over Bed Tables, Hoyer Lifts, Suction Pumps, CPM Machines) Mastectomy, Urological Supplies, Incontinence, Ostomy, Wound Care, Orthopedic, (Soft Goods, Compression Stockings, Cervical Traction). Staff is a available Monday - Friday from 9am - 5pm for assistance by calling 1-86, by fax at 94, and by e-mail at is a full service Durable Medical Equipment (DME)/Home Medical Equipment (HME) provider of equipment and supplies for Sale, Rental or Repair. The Medical Department Store (MDS) has been serving SouthWest Florida for over 30 years and is proud to maintain an A+ rating from the Better Business Bureau. ![]()
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