{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,4]],"date-time":"2025-12-04T14:40:25Z","timestamp":1764859225200},"reference-count":5,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2020,5,1]],"date-time":"2020-05-01T00:00:00Z","timestamp":1588291200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,5]]},"abstract":"<jats:sec>\n            <jats:title>BACKGROUND:<\/jats:title>\n            <jats:p>We evaluated a new bed that updates the functionality of the current air fluidized therapy (AFT)\/continuous low-pressure (CLP) pressure redistributing beds. This bed was evaluated in conjunction with standard wound care interventions in a long-term acute care hospital (LTACH). The AFT feature is designed to provide pressure distribution via a fluid-like medium that forces air though millions of tiny silicone beads that float the patient's body to achieve maximum immersion and envelopment. The CLP feature of the bed provides pressure distribution for the upper body. Standard wound care was provided that included debridement, topical treatments, and biophysical therapies such as negative pressure wound therapy, as indicated.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CASES:<\/jats:title>\n            <jats:p>Our multiple case series comprised 10 medically compromised patients with 25 wounds. Their mean age was 63 years, 50% were male, and the mean cumulative Braden Scale score was 12.4 out of 23, indicating a high risk for pressure injury (PI). Seven of 10 patients were incontinent of urine, 6 had fecal incontinence, and 2 had ostomies. Types of wounds treated included 2 large tissue defects from surgical excisions for the treatment of gangrene and 23 PIs. On admission, wounds had an average surface area of 139.1 cm<jats:sup>2<\/jats:sup>. The mean percentage of reduction in wound surface area was 59.3% over an average of 31.3 days of therapy. No new wounds formed during their course of care despite being at elevated risk.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>CONCLUSIONS:<\/jats:title>\n            <jats:p>Findings from this multiple case series suggest that the AFT\/CLP bed facilitates healing of advanced wounds in medically complex patients when included as part of a wound care program. Despite mild to high risk, no new PIs developed, and severe PIs and large tissue defects significantly improved or completely resolved. One hundred percent of surveyed staff members recommend use of the AFT\/CLP bed.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/won.0000000000000646","type":"journal-article","created":{"date-parts":[[2020,5,8]],"date-time":"2020-05-08T20:48:58Z","timestamp":1588970938000},"page":"284-290","source":"Crossref","is-referenced-by-count":5,"title":["Wound Healing in the Long-Term Acute Care Setting Using an Air Fluidized Therapy\/Continuous Low-Pressure Therapeutic Bed"],"prefix":"10.1097","volume":"47","author":[{"given":"Malgorzata","family":"Arnold","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cecilia","family":"Yanez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Blanca","family":"Yanez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"issue":"3","key":"R1-20230826","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1097\/WON.0000000000000321","article-title":"WOCN 2016 guideline for prevention and management of pressure injuries (ulcers): an executive summary","volume":"44","year":"2017","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"1","key":"R6-20230826","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1097\/WON.0000000000000103","article-title":"Identifying the right surface for the right patient at the right time: generation and content validation of an algorithm for support surface selection","volume":"42","author":"McNichol","year":"2015","journal-title":"J Wound Ostomy Continence Nurs"},{"issue":"2","key":"R8-20230826","first-page":"38","article-title":"Comparison of air-fluidized therapy with other support surfaces used to treat pressure ulcers in nursing home residents","volume":"51","author":"Ochs","year":"2005","journal-title":"Ostomy Wound Manage"},{"issue":"5","key":"R9-20230826","doi-asserted-by":"crossref","first-page":"641","DOI":"10.7326\/0003-4819-107-5-641","article-title":"Air-fluidized beds or conventional therapy for pressure sores","volume":"107","author":"Allman","year":"1987","journal-title":"Ann Int Med"},{"issue":"3","key":"R10-20230826","doi-asserted-by":"crossref","first-page":"364","DOI":"10.1097\/SAP.0b013e3181cd3d73","article-title":"Air fluidized therapy: physical properties and clinical uses","volume":"65","author":"VanGilder","year":"2010","journal-title":"Ann Plast Surg"}],"container-title":["Journal of Wound, Ostomy &amp; Continence Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/10.1097\/WON.0000000000000646","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,26]],"date-time":"2023-08-26T07:23:50Z","timestamp":1693034630000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/10.1097\/WON.0000000000000646"}},"subtitle":["A Multiple Case Series"],"short-title":[],"issued":{"date-parts":[[2020,5]]},"references-count":5,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2020]]}},"URL":"https:\/\/doi.org\/10.1097\/won.0000000000000646","relation":{},"ISSN":["1071-5754"],"issn-type":[{"value":"1071-5754","type":"print"}],"subject":[],"published":{"date-parts":[[2020,5]]}}}