Pressure Ulcer Clinical Trial
Official title:
Effectiveness of the Freedom Bed, Automatic Continuous Lateral Rotation Therapy System as Compared to a Standard Hospital Mattress With Manual Caregiver Turning Every 2 Hours for Prevention of Pressure Injuries in Persons With Limited Mobility Due to Traumatic Brain Injury and/or Spinal Cord Injury.
Observational comparison on Incidence of Pressure Injury between the Freedom Bed Automated Continuous lateral Rotation Therapy System and Manual Caregiver Re-positioning every 2 hours on a standard Hospital Bed.
This study will include 8 vent dependent subjects with comparable diagnoses and nutritional
levels. Of the subjects selected, 4 subjects will be placed on Freedom Beds and 4 will be
placed on standard hospital beds for a period not less than 6 months. A waiver of informed
consent is required prior to bed placement and data collection. Consented subjects will have
primary and secondary diagnosis recorded, pressure mapping in supine 30-degree elevation,
assessment of ventilator / oxygen support measured, oxygenation levels, nutrition levels,
and estimated cardiac condition. Subjects will receive daily skin assessments and treatment
as prescribed by the attending physician with weekly measurements and reporting of values.
Subjects will continue until they reach one of the study endpoints: 1) discharge from the
vent unit, or 2) withdrawal of informed consent, or 3) completion of the 6-month study.
Subjects placed on the Freedom Bed will be automatically turned in accordance with positions
determined as optimal by initial pressure mapping and approved by the attending physician.
All programmable turning angles, dwell times, head and leg elevations must be "dialed in"
within a week of the study beginning. Any modification to the program during the study must
be approved by the care team and documented accordingly.
Subjects placed on standard hospital bed will require manual re-positioning every 2 hours.
All turning and/or re-positioning must be timed and documented.
Subjects who experience either development of pressure injuries, or worsening of their skin
condition to the point a specialty bed is required will be deemed a test failure.
The primary and secondary outcome measures documented on each subject throughout the week
will be collected by the Clinical Research Coordinator (CRC) on a weekly basis and submitted
to the Principal Investigator. The weekly reports will then be consolidated by the CRC into
a monthly report and submitted to the Institutional Review Board (IRB), Principal
Investigators (PI) and Supervising Authorities (SA) for review.
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