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What Cochrane and NICE Say About Foam Mattresses and Pressure Ulcers

Quick answer

Cochrane evidence finds that foam alternatives to standard hospital foam mattresses reduce pressure-ulcer incidence in at-risk people, and NICE advises high-specification foam for at-risk adults.

News Development: Ongoing evidence · Published 2026-10-31 · By Sleepwit Sleep Team

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Key points

  • The evidence. A Cochrane review of support surfaces found that foam alternatives to standard hospital foam mattresses reduce the incidence of pressure ulcers in people at risk (relative risk 0.40, 95 percent confidence interval 0.21 to 0.74).
  • For buyers. These sources support specifying a suitable foam surface for at-risk patients.
  • What it means for you. Hospital and care buyers can use these sources to justify a foam specification.
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The evidence

A Cochrane review of support surfaces found that foam alternatives to standard hospital foam mattresses reduce the incidence of pressure ulcers in people at risk (relative risk 0.40, 95 percent confidence interval 0.21 to 0.74). It found the relative merits of alternating-pressure and constant low-pressure devices unclear.

The guidance

NICE guideline CG179, which replaced earlier pressure ulcer guidance, recommends a high-specification foam mattress for adults admitted to secondary care or assessed as being at high risk in primary and community care, according to a mirrored text of the guideline. Check NICE for the exact wording.

For buyers

These sources support specifying a suitable foam surface for at-risk patients. Clinical teams assess risk and choose the surface.

What it means for you

Hospital and care buyers can use these sources to justify a foam specification. See our hospital mattress guide and supplier page.

Hospital and healthcare mattress guide

Sources

  1. Cochrane: support surfaces for pressure ulcer prevention (CD001735) Source
  2. NICE CG179: pressure ulcers prevention and management Source

Links were checked when this post was written. Pages change; check the original for the current wording. Where sources are secondary coverage, the post says so.

More from the news desk

General information, not medical advice. Speak to a doctor about symptoms or medical devices.

Related reading

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