RESTART the Prevention of Pressure Ulcers: Comparing the Effectiveness and Cost of a Reactive Static Air Mattress and Alternating Air Pressure Mattress
NCT ID: NCT06294327
Last Updated: 2024-03-07
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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RECRUITING
NA
308 participants
INTERVENTIONAL
2024-01-22
2025-04-30
Brief Summary
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The costs associated with pressure ulcers are considerable. According to the Agency for Healthcare Research \& Quality (2011), the US healthcare system has allocated approximately $ 9.1 - $ 11.6 billion annually for the health care cost of pressure ulcer. In addition to direct treatment-related costs, the development of pressure ulcer also results in litigation and government penalties, and affects hospital performance metrics. A systematic review has reported that the cost for treatment of pressure ulcer was higher than its prevention. That is, the cost per patient per day ranged from € 1.71 to € 470.49 (for treatment) and from € 2.65 to € 87.57 (for prevention) across all settings.
This randomized controlled trial will be performed in a general hospital in a random sample of 308 patients (nursing wards geriatric n=3 and orthopedic (n=3)) who are at high risk of developing pressure ulcers. Patients will be included in the study for a period \> 2 hospitalisation days. Skin assessment and risk factor registration will be done on a daily base by the ward nurses. Reliability checks and time measurements will be completed by the researcher.
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Detailed Description
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Conditions
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Study Design
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RANDOMIZED
PARALLEL
PREVENTION
NONE
Study Groups
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Reactive static air support surfaces (Repose®)
Intervention with Repose® devices
Standard repositioning protocol is applied.
Reactive static air support surfaces
* Repose® Mattress
* Repose® Cushion
* Repose® Wedge
* Repose® Foot Protectors
Alternating air pressure mattress (ArjoHuntleigh® Alpha Response)
Standard care with mattress type: ArjoHuntleigh® Alpha Response
Standard repositioning protocol is applied.
No interventions assigned to this group
Interventions
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Reactive static air support surfaces
* Repose® Mattress
* Repose® Cushion
* Repose® Wedge
* Repose® Foot Protectors
Other Intervention Names
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Eligibility Criteria
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Inclusion Criteria
* Bed and/or chairfast
* no pressure ulcers or at least pressure ulcer category I
Exclusion Criteria
* Pressure ulcers category II, III, IV, deep tissue injury (DTI) or unstageable pressure ulcer
* Expected length of hospital stay \< 2 days
* Medical contraindication for use of reactive static air support surfaces
* End of life care (or Do Not Reanimate (DNR) code IV)
* Age \< 18 years
18 Years
ALL
Yes
Sponsors
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University Ghent
OTHER
Vitaz
OTHER
Responsible Party
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Locations
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Vitaz (General Hospital)
Sint-Niklaas, East Flanders, Belgium
Countries
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Central Contacts
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Facility Contacts
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Peter Desmet, MD
Role: backup
References
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Anrys C, Van Tiggelen H, Verhaeghe S, Van Hecke A, Beeckman D. Independent risk factors for pressure ulcer development in a high-risk nursing home population receiving evidence-based pressure ulcer prevention: Results from a study in 26 nursing homes in Belgium. Int Wound J. 2019 Apr;16(2):325-333. doi: 10.1111/iwj.13032. Epub 2018 Nov 9.
Shi C, Dumville JC, Cullum N, Rhodes S, Leung V, McInnes E. Reactive air surfaces for preventing pressure ulcers. Cochrane Database Syst Rev. 2021 May 7;5(5):CD013622. doi: 10.1002/14651858.CD013622.pub2.
Beeckman D, Serraes B, Anrys C, Van Tiggelen H, Van Hecke A, Verhaeghe S. A multicentre prospective randomised controlled clinical trial comparing the effectiveness and cost of a static air mattress and alternating air pressure mattress to prevent pressure ulcers in nursing home residents. Int J Nurs Stud. 2019 Sep;97:105-113. doi: 10.1016/j.ijnurstu.2019.05.015. Epub 2019 Jun 8.
Serraes B, van Leen M, Schols J, Van Hecke A, Verhaeghe S, Beeckman D. Prevention of pressure ulcers with a static air support surface: A systematic review. Int Wound J. 2018 Jun;15(3):333-343. doi: 10.1111/iwj.12870. Epub 2018 Mar 5.
Related Links
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SKIN INTEGRITY RESEARCH GROUP (SKINT)
University
Study location; VITAZ (general) Hospital and Health Care VITAZ, Moerlandstraat 1, B-9100 Sint-Niklaas Belgium
Other Identifiers
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EC23027
Identifier Type: -
Identifier Source: org_study_id
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