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

July 5, 2015 updated by: Ahmed M El-Mehalawy, University of Alexandria

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

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.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Detailed 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

Study Type

Interventional

Enrollment (Actual)

150

Phase

  • Not Applicable

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

16 years and older (Child, Adult, Older Adult)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

Description

Inclusion Criteria:

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

Exclusion Criteria:

  • active or healed bed sores

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Prevention
  • Allocation: Randomized
  • Interventional Model: Parallel Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Active Comparator: 3 point turning
patients nursed by the traditional re-positioning (two hours on back, two hours on right and two hours on left).
Procedure: patient positioning
positioning patients, every 2 hours, either to standard (right, back, left sides) or only to right and left sides
Experimental: 2 points turning
patients nursed on the right and left side sonly in 30ْ avoiding the back
Procedure: patient positioning
positioning patients, every 2 hours, either to standard (right, back, left sides) or only to right and left sides

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
pressure ulcer occurence
Time Frame: 21 days
incidence
21 days

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

University of Alexandria

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

May 1, 2011

Primary Completion (Actual)

March 1, 2012

Study Completion (Actual)

July 1, 2012

Study Registration Dates

First Submitted

June 10, 2015

First Submitted That Met QC Criteria

June 20, 2015

First Posted (Estimate)

June 24, 2015

Study Record Updates

Last Update Posted (Estimate)

July 8, 2015

Last Update Submitted That Met QC Criteria

July 5, 2015

Last Verified

July 1, 2015

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • Faculty of Medicine 09052011

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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