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Impact of an Electronic Monitoring Device on Maintaining a Correct Elevation of Head of Bed for Mechanically-ventilated Patients in Intensive Care Unit (Inclinometre2)

13. juni 2017 opdateret af: Assistance Publique - Hôpitaux de Paris

Maintaining mechanically-ventilated patients in semi-recumbent position (defined by a head of bed inclination between 30° and 45°) would decrease the risk of pneumopathy occurrence in those patients. However, such a bed inclination frame is still difficult to maintain in day-to-day care.

The aim of the study is to evaluate the impact of an electronic monitoring device on the proportion of time spent per day in semi-recumbent position, as defined by a head of bed inclination between 40° and 50°, in mechanically-ventilated patients.

Studieoversigt

Status

Afsluttet

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

Maintaining semi-recumbent position (defined by a head of bed inclination between 40° and 50°) is an international guidance to prevent ventilator-associated pneumopathy which is the main nosocomial infection in intensive care unit. However, maintaining such an inclination has been shown to be difficult in day-to-day care.

This could be improved by using an assistance device that would measure inclination of the head of bed in real time and trigger an alarm when the value order is not reached, hence allowing a quick readjustment if necessary.

The investigators want to evaluate en electronic monitoring device (EMD) that is removable and adjustable to all beds, which would allow a whole intensive care unit to be fully equipped at low cost.

Hypothesis : using an EMD could improve the proportion of time spent per day in semi-recumbent position (defined by a head of bed inclination between 40° and 50°) in mechanically-ventilated patients.

Primary objective : to evaluate the impact of an EMD with alarm on the proportion of time spent per day in semi-recumbent position, as defined by a head of bed inclination between 40° and 50°, in mechanically-ventilated patients.

Secondary objectives :

  • to evaluate the impact of the EMD on the head of bed inclination overall mean
  • to evaluate the impact of the EMD on the proportion of time spent per day with a head of bed inclination superior to 30°
  • to evaluate the impact of the EMD on the proportion of time spent per day with a head of bed inclination between 30° and 45°
  • to study factors associated to a head of bed inclination inferior to 30° for more than 12hrs per 24hrs

Undersøgelsestype

Interventionel

Tilmelding (Faktiske)

105

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiesteder

  • Frankrig
      • Paris, Frankrig, 75018
        • Hopital Bichat Claude Bernard

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

18 år og ældre (Voksen, Ældre voksen)

Tager imod sunde frivillige

Ingen

Køn, der er berettiget til at studere

Alle

Beskrivelse

Inclusion Criteria:

  • patient with invasive mechanical ventilation
  • expected mechanical ventilation duration for more than 48h after inclusion
  • signature of an informed consent by a relative
  • patient affiliated to a social security scheme (beneficiary or assignee)

Exclusion Criteria:

  • age<18 years old
  • mechanical ventilation with tracheotomy
  • contraindication to semirecumbent position (e.g., spinal cord injury, important sacral bedsore, counterpulsation balloon, femoral cannulation for extracorporeal circulation) or expected indication to another position within the following 48 h after inclusion (e.g., ventral decubitus for hypoxemia pulmonary pathology)
  • SAPS II score > 65 at the admission (moribund patients)

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Støttende pleje
  • Tildeling: Randomiseret
  • Interventionel model: Crossover opgave
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Andet: EMD (Inclinomax) then usual care

EMD (electronic monitoring device) : recording the head of bed inclination degree with digital display and alarm on for 24h.

Usual care : recording the head of bed inclination degree with masked digital display and alarm off for 24h.
Enhed: EMD (Inclinomax)
EMD (electronic monitoring device) : recording the head of bed inclination degree with digital display and alarm on
Andre navne:
  • EMD (electronic monitoring device)
Andet: usual care then EMD (Inclinomax)

Usual care : recording the head of bed inclination degree with masked digital display and alarm off for 24h.

EMD (electronic monitoring device) : recording the head of bed inclination degree with digital display and alarm on for 24h.
Enhed: EMD (Inclinomax)
EMD (electronic monitoring device) : recording the head of bed inclination degree with digital display and alarm on
Andre navne:
  • EMD (electronic monitoring device)

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
proportion of time spent per day in semirecumbent position as defined by a head of bed inclination between 40° and 50°
Tidsramme: 24hrs
head of bed inclination recording during 24h
24hrs

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
head of bed inclination overall mean
Tidsramme: 24hrs
head of bed inclination recording during 24h
24hrs
proportion of time spent per day with a head of bed inclination superior to 30°
Tidsramme: 24hrs
head of bed inclination recording during 24h
24hrs
proportion of time spent per day with a head of bed inclination between 30° and 45°
Tidsramme: 24hrs
head of bed inclination recording during 24h
24hrs

Samarbejdspartnere og efterforskere

Det er her, du vil finde personer og organisationer, der er involveret i denne undersøgelse.

Sponsor

Assistance Publique - Hôpitaux de Paris

Efterforskere

  • Ledende efterforsker: Lila BOUADMA, MD, Assistance Publique - Hopitaux de Paris

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart

1. juni 2014

Primær færdiggørelse (Faktiske)

1. april 2017

Studieafslutning (Faktiske)

1. april 2017

Datoer for studieregistrering

Først indsendt

25. juni 2014

Først indsendt, der opfyldte QC-kriterier

8. juli 2014

Først opslået (Skøn)

9. juli 2014

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

15. juni 2017

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

13. juni 2017

Sidst verificeret

1. maj 2017

Mere information

Begreber relateret til denne undersøgelse

Nøgleord

Andre undersøgelses-id-numre

  • P080407

Disse oplysninger blev hentet direkte fra webstedet clinicaltrials.gov uden ændringer. Hvis du har nogen anmodninger om at ændre, fjerne eller opdatere dine undersøgelsesoplysninger, bedes du kontakte register@clinicaltrials.gov. Så snart en ændring er implementeret på clinicaltrials.gov, vil denne også blive opdateret automatisk på vores hjemmeside .

Kliniske forsøg med Mechanically-ventilated Patients

Kliniske forsøg med EMD (Inclinomax)

Søg i lignende forsøg

Sponsorer og samarbejdspartnere

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Betingelser

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Kosttilskud

Sponsor / samarbejdspartnere

Placeringer

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