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Air-Fluidized Beds or Conventional Therapy for Pressure Sores: A Randomized Trial

RICHARD M. ALLMAN, M.D.; JOANNE M. WALKER, R.N., M.S.E.T.; MARY K. HART, R.N., B.S.N.; CAROL A. LAPRADE, R.N., M.B.A., M.S.; LINDA B. NOEL, R.N., M.S.N.; and CRAIG R. SMITH, M.D.
[+] Article and Author Information

Grant support: in part by Support Systems International, Inc. Air mattresses and foam pads provided by American Pharmaceal Company. Dr. Allman was a Henry J. Kaiser Family Foundation Fellow in General Internal Medicine when the study was planned. Dr. Smith is a Burroughs-Wellcome Scholar in Pharmacoepidemiology.

Presented in part as a poster at the national meeting of the Society for Research and Education in Primary Care Internal Medicine, Washington, D.C., 2 May 1986; and as an abstract at the national meeting of the American Geriatrics Society in Chicago, 19 November 1986.

▸Requests for reprints should be addressed to Richard M. Allman, M.D.; University of Alabama at Birmingham, Division of General and Preventive Medicine, Room 611 Medical Education Facility, University Station; Birmingham, AL 35294.


Baltimore, Maryland


©1987 American College of PhysiciansAmerican College of Physicians


Ann Intern Med. 1987;107(5):641-648. doi:10.7326/0003-4819-107-5-641
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This excerpt has been provided in the absence of an abstract.

Study Objective: To compare the effectiveness and adverse effects of air-fluidized beds and conventional therapy for patients with pressure sores.

Design: Randomized trial with both masked and unmasked comparisons of outcome after a median follow-up of 13 days (range, 4 to 77 days).

Setting: Urban, academic referral, and primary care medical center.

Patients: Of 140 potentially eligible hospitalized patients with pressure sores, 72 consented to randomization; 65 (90%) completed the study.

Interventions: Thirty-one patients on air-fluidized beds (Clinitron Therapy, Support Systems International, Inc., Charleston, South Carolina) repositioned every 4 hours from 0700h to 2300h without use of other antipressure devices.

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