Two Points Versus Three Points Turning in Prevention of Bed NCT02479425

Clinical Trial Details — Status: Completed

Administrative data
NCT number	NCT02479425
Other study ID #	Faculty of Medicine 09052011
Secondary ID
Status	Completed
Phase	N/A
First received	June 10, 2015
Last updated	July 5, 2015
Start date	May 2011
Est. completion date	July 2012

Study information
Verified date	July 2015
Source	Faculty of Medicine, University of Alexandria
Contact	n/a
Is FDA regulated	No
Health authority	Egypt: Institutional Review Board
Study type	Interventional

Clinical Trial Summary

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

Recruitment information / eligibility
Status	Completed
Enrollment	150
Est. completion date	July 2012
Est. primary completion date	March 2012
Accepts healthy volunteers	No
Gender	Both
Age group	16 Years and older
Eligibility	Inclusion Criteria: - patients admitted to critical care medicine department and expected to have long stay Exclusion Criteria: - active or healed bed sores

Study Design

Allocation: Randomized, Endpoint Classification: Efficacy Study, Intervention Model: Parallel Assignment, Masking: Open Label, Primary Purpose: Prevention

Related Conditions & MeSH terms

Intervention

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

Locations
Country	Name	City	State
n/a

Sponsors *(1)*
Lead Sponsor	Collaborator
Faculty of Medicine, University of Alexandria

Outcome
Type	Measure	Description	Time frame	Safety issue
Primary	pressure ulcer occurence	incidence	21 days	No

See also
Status	Clinical Trial	Phase
Completed	`NCT03351049` - An RCT on Support Surfaces for Pressure Ulcer Prevention	N/A
Completed	`NCT05112068` - Comparative Assessment of Effectiveness and Safety of Methods for Skin and Hair Care in Severe Intensive Care Unit Patients
Completed	`NCT05575869` - Evaluation of the Impact of the PRONEtect Education Hub vs. Classic Lecture, on the Competencies of Nursing Students	N/A
Completed	`NCT03220451` - Use of Adhesive Elastic Taping for the Therapy of Medium/Severe Pressure Ulcers in Spinal Cord Injured Patients	N/A
Terminated	`NCT05234632` - Study to Evaluate the PICO 14 Negative Pressure Wound Therapy System in the Management of Acute and Chronic Wounds	N/A
Completed	`NCT04540822` - Peripheral Catheter Pressure Ulcer Prevention in Pediatry : Use of Compresses Versus Standard Care	N/A
Terminated	`NCT01966380` - Proof of Concept (Design Validation) in Patient With Hard to Heal Wounds Such as Pressure Ulcer, Diabetic Foot Ulcer and Leg Ulcer, Leia	Phase 2
Completed	`NCT02092870` - Adipose Derived Regenerative Cellular Therapy of Chronic Wounds	Phase 2
Completed	`NCT01438541` - A Multi-centre Evaluation of the Performance of Window Dressings on Subjects With High Risk Pressure Ulceration	Phase 4
Completed	`NCT00365430` - SAFE or SORRY? Patient Safety Study of the Prevention of Adverse Patient Outcomes	N/A
Completed	`NCT04251897` - Novel Support Surface to Alleviate Pressure Ulcer	N/A
Completed	`NCT03391310` - Use of Honey for Pressure Ulcers in Critically Ill Children	N/A
Recruiting	`NCT04559165` - Efficacy and Safety of Sericin and Chitosan Cream for Preventing and Limiting the Progressive of Pressure Sore	N/A
Completed	`NCT05646121` - Suprasorb® A + Ag in the Treatment of Wounds at Risk of Infection and Infected Wounds
Not yet recruiting	`NCT06421454` - Clinical Trial for the Evaluation of Melatonin in the Treatment of Pressure Ulcers	N/A
Terminated	`NCT05547191` - Evaluate Efficacy and Safety of ChloraSolv When Treating Pressure Ulcers in Need of Debridement	N/A
Completed	`NCT05458050` - An Investigation to Identify Subjects Admitted to Hospital With an Increased Risk of Developing Pressure Ulcers	N/A
Active, not recruiting	`NCT03048357` - Effectiveness of Freedom Bed Compared to Manual Turning in Prevention of Pressure Injuries in Persons With Limited Mobility Due to Traumatic Brain Injury and/or Spinal Cord Injury.	N/A
Completed	`NCT06025370` - Pressures During Prone Positions in Healthy Volunteers	N/A
Recruiting	`NCT05033470` - A Multicentre Prospective Study Evaluating an Off-loading Mattress Overlay System in Healing of Stage 3 Pressure Ulcers	N/A

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

Clinical Trial Details — Status: Completed

Administrative data

Study information

Clinical Trial Summary

Description:

Recruitment information / eligibility

Study Design

Related Conditions & MeSH terms

Intervention

Locations

Sponsors (1)

Outcome