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

Study Overview
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Brief Summary
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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.

Detailed Description
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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

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

Conditions
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Pressure Ulcer

Intervention / Treatment
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* Procedure: patient positioning


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients admitted to critical care medicine department and expected to have long stay Exclusion Criteria: active or healed bed sores

Ages Eligible for Study
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Minimum Age: 16 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

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


Arms and Interventions

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

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| pressure ulcer occurence | incidence | 21 days | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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pressure ulcer, Positioning