- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02925741
Silk-Like Bed Linens for Prevention of Unit-Acquired Ulcers
July 31, 2020 updated by: Mary Montague, The Cleveland Clinic
Clinical Trial of Silk-Like Linens for Prevention of Unit-Acquired Pressure Ulcers
This study will use a traditional parallel randomization design with patients in five medical intensive care units at the Cleveland Clinic to evaluate the efficacy of silk-like bed sheets and underpads for prevention of Unit-Acquired Pressure Ulcers (UAPU).
Adult hospitalized patients in beds with standard bed linens versus those with silk-like linens will be compared for 1) rate of development of UAPU, 2) time to develop the first UAPU, and the maximum severity of any UAPU that develop.
Bed linens will be changed per unit protocol.
Patient characteristics will be summarized using frequencies and percentages for categorical factors and means, standard deviations, percentiles and median and range for continuous measures.
For the primary outcome of unit-acquired pressure ulcer rate, generalized linear mixed models, assuming a Poisson distribution for the outcome, and unit length of stay as an offset will be used.
For the time to event analysis, frailty models will be used to assess whether time to first pressure ulcer differs between treatment types.
Generalized linear mixed models will be used for other secondary endpoints, including maximum severity of observed pressure ulcers
Study Overview
Detailed Description
Although there has been a large amount of research published on contributing factors to pressure ulcers, there has been little research related to the role that bed linens play in affecting moisture, friction, and shear that may lead to development of unit-acquired pressure ulcers (UAPU) for patients in acute care settings.
This study will use a traditional parallel randomized design with patients in five medical intensive care units at the Cleveland Clinic to evaluate the efficacy of silk-like bed sheets and underpads for prevention of Unit-Acquired Pressure Ulcers (UAPU).
Patients were randomly assigned by personnel who were blinded to the intervention based on bed availability.
Nurses will assess all patients on standard bed linens and silk-like linens for development of UAPU.
Adult hospitalized patients in beds with standard bed linens versus those with silk-like linens will be compared for 1) rate of development of UAPU, 2) time to develop the first UAPU, and the maximum severity of any UAPU that develop.
Upon entry into the study, all patients will be assessed for baseline skin integrity by the admitting nurse.
Demographic data (MRN; unit name; type of linen on bed; admitting diagnosis; dates of admission/discharge; age; gender; race; weight; Braden score; date, location, and stages of UAPU development; lab values (albumin, total protein); and categories of the Charlson Comorbidity Index will be recorded on data collection form by research nurse.
Bed linens will be changed per unit protocol.
A sample size of 3456 patients is estimated.
Patient characteristics will be summarized using frequencies and percentages for categorical factors and means, standard deviations, percentiles and median and range for continuous measures.
Comparisons of these patient characteristics, including Braden score, Charlson comorbidity index, unit length of stay and hospital length of stay, will be compared between linen types using generalized linear mixed effect models.
For the primary outcome of unit-acquired pressure ulcer rate, generalized linear mixed models, assuming a Poisson distribution for the outcome, and unit length of stay as an offset will be used.
In these models, linen type and study period will be used as fixed effects and each unit will be included as a random effect.
For the time to event analysis, frailty models will be used to assess whether time to first pressure ulcer differs between treatment types.
Generalized linear mixed models will be used for other secondary endpoints, including maximum severity of observed pressure ulcers.
Study Type
Interventional
Enrollment (Actual)
3343
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
Ohio
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Cleveland, Ohio, United States, 44195
- Cleveland Clinic
-
-
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
18 years and older (ADULT, OLDER_ADULT)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- All patients admitted into the medical intensive care unit during the one year study period
Exclusion Criteria:
- Patients who are transferred from one study unit to another study unit, data for their days on the second unit will be measured only if the second unit is in the same study arm as the sending unit
- Patients who are in the prone position
- Patients remaining on a unit past the two week washout period, will not be included in the crossover arm
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
- Masking: NONE
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
EXPERIMENTAL: Silk-Like Linens
Patients in the experimental arm will be cared for on silk-like bed linens.
|
Synthetic moisture-wicking fabric
Other Names:
|
NO_INTERVENTION: Standard Cotton Linens
Patients in the standard of care arm will be cared for on standard cotton bed linens.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Rate of Development of Unit-acquired Pressure Ulcers
Time Frame: During MICU admission
|
Total count of the number of patients who developed unit acquired pressure ulcers during the study (count)
|
During MICU admission
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
The Time to Develop the First Unit-acquired Pressure Ulcer
Time Frame: Days from admission to HAPI
|
The number of days spent in the intensive care unit prior to the development of a pressure ulcer
|
Days from admission to HAPI
|
Maximum Severity of Unit Acquired Pressure Injury (UAPI)
Time Frame: During MICU admission
|
HAPI staged by trained clinical nurses using the National Pressure Advisory Panel (NPUAP) staging definitions in which Stage 1 is the least severe with severity progressing through Stage 2, 3, 4, and unstageable.
Unstageable is an evolving type of pressure injury evolving into a Stage 3 or 4.
|
During MICU admission
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Investigators
- Principal Investigator: Mary Montague, MSN, The Cleveland Clinic
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
March 1, 2014
Primary Completion (ACTUAL)
March 1, 2015
Study Completion (ACTUAL)
March 1, 2015
Study Registration Dates
First Submitted
September 30, 2016
First Submitted That Met QC Criteria
October 4, 2016
First Posted (ESTIMATE)
October 6, 2016
Study Record Updates
Last Update Posted (ACTUAL)
August 13, 2020
Last Update Submitted That Met QC Criteria
July 31, 2020
Last Verified
July 1, 2020
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 13-752
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
NO
IPD Plan Description
No plan
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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