Evaluation of Two Levels of Frequency of Repositioning in the Reduction of Pressure Ulcers
NCT ID: NCT04604665
Last Updated: 2024-01-22
Study Results
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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COMPLETED
NA
3300 participants
INTERVENTIONAL
2021-04-10
2023-12-10
Brief Summary
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
OTHER
DOUBLE
Study Groups
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High frequency postural change
Repositioning or rotation of patients hospitalized in bed in intensive care units will be carried out with a frequency interval that we call "high-frequency". It has to be performed on each patient between an interval less than or equal to every 2 hours in a full day (24 hours) (minimum goal of 8-10 in 24 hours subtracting 2 or 4 at night and not alter the circadian cycle). The position must be modified in each postural change to the right lateral, supine, left lateral, supine, or prone position to supine position. The repositioning will be provided until a patient is discharged from ICU, die or begin ambulation. When providing each repositioning, avoid dragging the patient, the shear, and the friction to increase UPP risk. This must be applied to avoiding massage. Patients in any position should use pressure-reducing items such as pillows.
High frequency postural change
Repositioning of patients hospitalized in bed in intensive care units will be carried out with a frequency interval that we call "high-frequency" to be performed on each patient between an interval between less than or equal to every 2 hours in a full day (24 hours) (minimum goal of 8-10 in 24 hours subtracting 2 or 4 at night and not alter the circadian cycle). The position must be modified in each postural change to right lateral, supine, left lateral, or prone to supine if the position changes every 2 hrs.
Conventional care
Repositioning or rotation of patients hospitalized will be the conventional or usual care. Units in this group are not going to receive any intervention. Will be only observed in their current intervention of repositioning.
Conventional care
Repositioning of patients hospitalized will be performed in the current way it is commonly applied to patients.
Interventions
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High frequency postural change
Repositioning of patients hospitalized in bed in intensive care units will be carried out with a frequency interval that we call "high-frequency" to be performed on each patient between an interval between less than or equal to every 2 hours in a full day (24 hours) (minimum goal of 8-10 in 24 hours subtracting 2 or 4 at night and not alter the circadian cycle). The position must be modified in each postural change to right lateral, supine, left lateral, or prone to supine if the position changes every 2 hrs.
Conventional care
Repositioning of patients hospitalized will be performed in the current way it is commonly applied to patients.
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Patients are admitted in critical condition (with life support);
* The director accepts the commitment of the care assigned in the randomization (for a period of 3 months).
Exclusion Criteria
* Covid patients or other patients exposed to different mobilization patterns (e.g., 12 hours prone vs 12 supine)
18 Years
90 Years
ALL
No
Sponsors
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Universidad Autónoma de Bucaramanga
OTHER
Fundación Cardioinfantil Instituto de Cardiología
OTHER
Responsible Party
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Olga Cortés, RN, MSc, PhD
Reseear Associated, Research Department, Principal Investigator
Principal Investigators
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Olga L Cortés, PhD
Role: PRINCIPAL_INVESTIGATOR
Fundación Cardioinfantil Instituto de Cardiología
Locations
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Hospital IPS Universitaria
Medellín, Antioquia, Colombia
Hospital San Vicente de Paul
Medellín, Antioquia, Colombia
Hospital San Vicente_RioNegro
Rionegro, Antioquia, Colombia
Hospital Central Barranquilla
Barranquilla, Atlántico, Colombia
Clínica Palermo
Bogotá, Bogota D.C., Colombia
Hospital Militar Central
Bogotá, Bogota D.C., Colombia
Hospital San José
Bogotá, Bogota D.C., Colombia
S.E.S Hospital Universitario de Caldas
Manizales, Caldas Department, Colombia
Centro Policlínico de Olaya
Bogotá, Cundinamarca, Colombia
Clinica Nogales
Bogotá, Cundinamarca, Colombia
Fundación CardioInfantil Instituto de Cardiología
Bogotá, Cundinamarca, Colombia
Hospital Erasmo Meoz
Cúcuta, Norte de Santander Department, Colombia
Fundación Cardiovascular Bucaramanga
Bucaramanga, Santander Department, Colombia
International Hospital of Colombia -HIC
Bucaramanga, Santander Department, Colombia
Hospital Federico Lleras Acosta
Ibagué, Tolima Department, Colombia
Hospital Universitario Norte Barranquilla
Barranquilla, , Colombia
Clínica de Occidente
Bogotá, , Colombia
Clínica SHAIO
Bogotá, , Colombia
Hospital Universitario La Samaritana
Bogotá, , Colombia
Clìnica FOSCAL Internacional
Bucaramanga, , Colombia
Clìnica Foscal_Carlos Ardila lulle
Bucaramanga, , Colombia
Countries
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References
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Gillespie BM, Chaboyer WP, McInnes E, Kent B, Whitty JA, Thalib L. Repositioning for pressure ulcer prevention in adults. Cochrane Database Syst Rev. 2014 Apr 3;2014(4):CD009958. doi: 10.1002/14651858.CD009958.pub2.
Ulrika Källman. (2015). Evaluation of Repositioning in Pressure Ulcer Prevention. Linköping University Medical Dissertations No. 1455. Division of Nursing science Department of Medical and Health Sciences. Linköping University, Sweden.
Hawkins S, Stone K, Plummer L. An holistic approach to turning patients. Nurs Stand. 1999 Oct 6-12;14(3):51-6. doi: 10.7748/ns1999.10.14.3.51.c2689.
Burk RS, Grap MJ. Backrest position in prevention of pressure ulcers and ventilator-associated pneumonia: conflicting recommendations. Heart Lung. 2012 Nov-Dec;41(6):536-45. doi: 10.1016/j.hrtlng.2012.05.008. Epub 2012 Jul 21.
Eldridge S., Kerry S. Designing interventions in: A practical guide to cluster randomized trials in health services research. Page 44-57. Centre for Primary Care and Public Health, Barts, and The London School of Medicine and Dentistry, Queen Mary University of London UK. 2012 John Wiley & Sons, Ltda.
Cortes OL, Herrera-Galindo M, Villar JC, Rojas YA, Del Pilar Paipa M, Salazar L. Frequency of repositioning for preventing pressure ulcers in patients hospitalized in ICU: protocol of a cluster randomized controlled trial. BMC Nurs. 2021 Jul 5;20(1):121. doi: 10.1186/s12912-021-00616-0.
Other Identifiers
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844-2019
Identifier Type: -
Identifier Source: org_study_id
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