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The objective of this randomized cross\u2010over trial was to compare skin responses and comfort after lying for 2.5\u2009h supine on a support surface with and without a coverlet that was intended to assist with heat and moisture removal at the patient\/surface interface. In addition, physiological saline solution was administered to simulate an incontinence episode on the mattress next to the participants' skin surface. In total, 12 volunteers (mean age 69\u2009years) with diabetes mellitus participated. After loading, skin surface temperature, stratum corneum hydration and skin surface pH increased, whereas erythema and structural stiffness decreased at the sacral area. At the heel skin area, temperature, erythema, and stratum corneum hydration increased. These results indicate occlusion and soft tissue deformation which was aggravated by the saline solution. The differences in skin response showed only minor differences between the support surface with or without the coverlet.<\/jats:p>","DOI":"10.1111\/iwj.14957","type":"journal-article","created":{"date-parts":[[2024,7,12]],"date-time":"2024-07-12T12:39:21Z","timestamp":1720787961000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Effects of a mattress cover with special airflow technology on the structure and function of the sacral and heel skin during loading: A two\u2010arm exploratory crossover trial"],"prefix":"10.1111","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0750-3818","authenticated-orcid":false,"given":"Jan","family":"Kottner","sequence":"first","affiliation":[{"name":"Institute for Clinical Nursing Science Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruhul","family":"Amin","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology, Clinical Research Center for Hair and Skin Science Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin  Berlin Germany"},{"name":"BCSIR Laboratories Dhaka Bangladesh Council of Scientific and Industrial Research  Dhaka Bangladesh"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tsenka","family":"Tomova\u2010Simitchieva","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology, Clinical Research Center for Hair and Skin Science Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathrin","family":"Hillmann","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology, Clinical Research Center for Hair and Skin Science Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ulrike","family":"Blume\u2010Peytavi","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Allergology, Clinical Research Center for Hair and Skin Science Charit\u00e9 \u2013 Universit\u00e4tsmedizin Berlin  Berlin Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,7,12]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Prevention and Treatment of Pressure Ulcers\/Injuries: Clinical Practice Guideline. 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