Two Points Versus Three Points Turning in Prevention of Bed Sores in Critically Ill Patients

NCT ID: NCT02479425

Last Updated: 2015-07-08

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-05-31

Study Completion Date

2012-07-31

Brief Summary

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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

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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

Conditions

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Pressure Ulcer

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

PREVENTION

Blinding Strategy

NONE

Study Groups

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3 point turning

patients nursed by the traditional re-positioning (two hours on back, two hours on right and two hours on left).

Group Type ACTIVE_COMPARATOR

patient positioning

Intervention Type PROCEDURE

positioning patients, every 2 hours, either to standard (right, back, left sides) or only to right and left sides

2 points turning

patients nursed on the right and left side sonly in 30ْ avoiding the back

Group Type EXPERIMENTAL

patient positioning

Intervention Type PROCEDURE

positioning patients, every 2 hours, either to standard (right, back, left sides) or only to right and left sides

Interventions

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patient positioning

positioning patients, every 2 hours, either to standard (right, back, left sides) or only to right and left sides

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* patients admitted to critical care medicine department and expected to have long stay

Exclusion Criteria

* active or healed bed sores
Minimum Eligible Age

16 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University of Alexandria

OTHER

Sponsor Role lead

Responsible Party

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Ahmed M El-Mehalawy

Ahmed M El-Mehalawy, MD, lecturer of Critical Care Medicine

Responsibility Role PRINCIPAL_INVESTIGATOR

Other Identifiers

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Faculty of Medicine 09052011

Identifier Type: -

Identifier Source: org_study_id

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