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Record W2887660195

Reducing the use of dynamic mattress systems in clinical practice using the TREZZO HS advanced system

2018· article· en· W2887660195 on OpenAlexaff
Grace Parfitt, Karen Ousey, John Stephenson

Bibliographic record

VenueHuddersfield Research Portal (University of Huddersfield) · 2018
Typearticle
Languageen
FieldHealth Professions
TopicPressure Ulcer Prevention and Management
Canadian institutionsInstitute of Infection and Immunity
Fundersnot available
KeywordsClinical PracticeComputer scienceMedicineNursing
DOInot available

Abstract

fetched live from OpenAlex

Background: This study aimed to determine whether the TREZZO HS advanced foam mattress system could reduce the use of dynamic mattress systems (Alternating and Constant Low Pressure) in patients on vascular and stroke wards. Methods: TREZZO HS mattresses were evaluated in a vascular and stroke wards over a 6-week period with respect to the outcome of reduction in the need for dynamic mattress use and any effect on skin integrity. Data was compared with corresponding retrospective data from the previous year in which high-specification pressure-reducing foam mattresses were available. Mean length of patient stay on both types of mattresses, and the dynamic mattress was evaluated. Cox semiparametric time-to-event methods were used to assess the hazard of patient transfer to a dynamic mattress in patients positioned on TREZZO HS, rather than the previously used foam mattress. Results: Use of the TREZZO system reduced the mean length of stay on a dynamic mattress by 70% over both wards; from 41.0 days to 12.6 days. The proportion of patient-days spent on dynamic mattress systems decreased from 47.8% to 7.1%. Mattress type was significantly associated with the event (p=0.036); hazard ratio 0.328 (95% confidence interval 0.116 to 0.929). Ward type was not significantly associated with the event (p=0.333). Conclusion: The TREZZO HS system has been shown to substantially reduce the use of dynamic mattress usage and may be a cost-effective way of reducing the likelihood of pressure ulceration in vascular and stroke patients.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.006
metaresearch head score (Gemma)0.001
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Qualitative · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.971
Threshold uncertainty score0.995

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0060.001
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.001
Science and technology studies0.0010.001
Scholarly communication0.0000.001
Open science0.0010.001
Research integrity0.0000.001
Insufficient payload (model declined to judge)0.0130.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.345
GPT teacher head0.520
Teacher spread0.175 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designQualitative
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations0
Published2018
Admission routes1
Has abstractyes

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