Two Points Versus Three Points Turning in Prevention of Bed Sores in Critically Ill Patients
Primary Purpose
Pressure Ulcer
Status
Completed
Phase
Not Applicable
Locations
Study Type
Interventional
Intervention
patient positioning
Sponsored by
About this trial
This is an interventional prevention trial for Pressure Ulcer focused on measuring pressure ulcer, Positioning
Eligibility Criteria
Inclusion Criteria:
- patients admitted to critical care medicine department and expected to have long stay
Exclusion Criteria:
- active or healed bed sores
Sites / Locations
Arms of the Study
Arm 1
Arm 2
Arm Type
Active Comparator
Experimental
Arm Label
3 point turning
2 points turning
Arm Description
patients nursed by the traditional re-positioning (two hours on back, two hours on right and two hours on left).
patients nursed on the right and left side sonly in 30ْ avoiding the back
Outcomes
Primary Outcome Measures
pressure ulcer occurence
incidence
Secondary Outcome Measures
Full Information
1. Study Identification
Unique Protocol Identification Number
NCT02479425
Brief Title
Two Points Versus Three Points Turning in Prevention of Bed Sores in Critically Ill Patients
Official Title
Two Pints Versus Three Points Turning in Prevention of Bed Sores in Critically Ill Patients
Study Type
Interventional
2. Study Status
Record Verification Date
July 2015
Overall Recruitment Status
Completed
Study Start Date
May 2011 (undefined)
Primary Completion Date
March 2012 (Actual)
Study Completion Date
July 2012 (Actual)
3. Sponsor/Collaborators
Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
University of Alexandria
4. Oversight
Data Monitoring Committee
No
5. Study Description
Brief Summary
Several studies were searched the preventive measures of bed sores. Although repositioning is the mainstay in most preventive measures, there is no evidence to recommend specific turning regimen.
The aim of this study is to comparative the impact of the two points repositioning in lateral lying position on the right and left versus the traditional three points repositioning on the right, back, and left in the occurrence of bed sores.
This study was conducted on 150 patients admitted to the critical care department of Alexandria Main University Hospital after obtaining an informed consent from their relatives.
The investigators excluded patients who: have active or healed bed sores.
Patients were randomly divided into two groups by allocated randomization:
Group 1: traditional three points rotation.
Group 2: two points rotation.
Detailed Description
Several studies were searched the preventive measures of bed sores. Although repositioning is the mainstay in most preventive measures, there is no evidence to recommend specific turning regimen.
Aim of the study:
The aim of this study was designed to evaluate the comparative impact of the two points repositioning in lateral lying position on the right and left versus the traditional three points repositioning on the right, back, and left in the occurrence of bed sores.
Patients:
This study was conducted on 150 patients admitted to the critical care department of Alexandria Main University Hospital after obtaining an informed consent from their relatives.
The investigators excluded patients who: have active or healed bed sores.
Patients were randomly divided into two groups by allocated randomization:
Group 1: traditional three points rotation.
Group 2: two points rotation.
Methods:
The studied patients were subjected to:
Complete history taking, physical examination, primary ICU diagnosis, routine laboratory investigation and recording Glasgaw coma scale (GCS), use of sedation, vasopressors and mechanical ventilation
Patients in group 1 nursed by traditional protocol [ two hours on the right side in 30 degree lateral position, two hours on the back and two hours on the left side in 30 degree lateral position] Patients in group 2 nursed in lateral position with 30 degree two hours on the right and two hours on the left with elevation of the head of bed by 30 degree in the two groups.
both groups were monitored for bed sores incidence, timing and sites of occurence
6. Conditions and Keywords
Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Pressure Ulcer
Keywords
pressure ulcer, Positioning
7. Study Design
Primary Purpose
Prevention
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
150 (Actual)
8. Arms, Groups, and Interventions
Arm Title
3 point turning
Arm Type
Active Comparator
Arm Description
patients nursed by the traditional re-positioning (two hours on back, two hours on right and two hours on left).
Arm Title
2 points turning
Arm Type
Experimental
Arm Description
patients nursed on the right and left side sonly in 30ْ avoiding the back
Intervention Type
Procedure
Intervention Name(s)
patient positioning
Intervention Description
positioning patients, every 2 hours, either to standard (right, back, left sides) or only to right and left sides
Primary Outcome Measure Information:
Title
pressure ulcer occurence
Description
incidence
Time Frame
21 days
10. Eligibility
Sex
All
Minimum Age & Unit of Time
16 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria:
patients admitted to critical care medicine department and expected to have long stay
Exclusion Criteria:
active or healed bed sores
12. IPD Sharing Statement
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Two Points Versus Three Points Turning in Prevention of Bed Sores in Critically Ill Patients
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