A randomised controlled trial of a turning and positioning system for the prevention of pressure injuries in the Intensive Care Unit
- Conditions
- Pressure injuriesSkin - Other skin conditions
- Registration Number
- ACTRN12619000156189
- Lead Sponsor
- The University of Melbourne
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Recruiting
- Sex
- All
- Target Recruitment
- 430
The inclusion criteria are:
•>18 years of age
•ICU admission for critical illness or trauma
•High risk of pressure injury development (a score of <12) according to the Braden Scale for Predicting Pressure Sore Risk (Bergstrom, Braden, Laguzza, & Holman, 1987).
The exclusion criteria are:
•Has a sacral, ischial tuberosity or buttock pressure injury
•Trauma to sacrum, ischial tuberosity or buttock
•Suspected or actual spinal injury precluding the patient being turned or requiring immobilization
•Has injuries that are not survivable or is receiving palliation
•Known sensitivity to nylon, polyester, polyurethane or cotton.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method <br> The incidence of pressure injuries expressed as the total number of pressure injuries developed in both intervention and control groups during the study period. Pressure injuries will be classified according to the international guidelines published by the National Pressure Ulcer Advisory Panel and the European Pressure Ulcer Advisory panel (National Pressure Ulcer Advisory Panel, Panel, et al., 2014).<br><br> National Pressure Ulcer Advisory Panel, European Pressure Ulcer Advisory Panel, & Pan Pacific Pressure Injury Alliance. (2014). Prevention and Treatment of Pressure Ulcers: Clinical Practice Guideline. Retrieved from Osborne Park, Australia: [ICU discharge]<br>
- Secondary Outcome Measures
Name Time Method <br> The marginal cost associated with the use of the turning and positioning system in the intervention group, the treatment costs of pressure injuries in both groups and the average costs per person in both groups.<br><br> The cost-benefit analysis will be conducted from a health care sector’s perspective. Only the within-trial cost including the hospital resources and time used to provide pressure injury care by hospital health professionals will be considered. A bottom-up approach will be used to calculate pressure injury prevention and treatment costs by directly tracing the actual use of personnel and resources. [ICU discharge]<br>