Informations générales (source: ClinicalTrials.gov)
Evaluation of the Impact of the Repositioning Schedule Adapted to the Risk of Pressure Ulcer of Patients in Intensive Care Unit (PROMESREA)
Interventional
N/A
Assistance Publique - Hôpitaux de Paris (Voir sur ClinicalTrials)
avril 2021
août 2024
01 août 2024
Pressure ulcers represent a major health issue because of their high incidence and their
important consequences. There is an important risk of pressure ulcer acquisition for ICU
patients with acute organ failure(s).
Specific risk factors identified in ICU are immobility, which accentuates the effects of
friction and shears, as well as mechanical ventilation and the use of vasopressors.
A repositioning schedule is a guideline for pressure ulcer prevention, but repositioning
frequency remains unknown.
Adaptation of the repositioning schedule to pressure ulcer risk assessment using Braden
scale should decrease the emergence of pressure ulcer. This could limit their important
consequences for ICU patients which add to their brittle clinical condition (infection,
increased length of stay, mortality...).
Etablissements
| Les établissements d'Île-de-France ayant mis à jour leurs données Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| AP-HP - Hôpital Avicenne | MEHAY Daisy | 02/12/2024 12:46:41 | Contacter | ||
| AP-HP - Hôpital Bichat | MEHAY Daisy | 02/12/2024 12:46:41 | Contacter | ||
| AP-HP - Hôpital Cochin | MEHAY Daisy | 02/12/2024 12:46:41 | Contacter | ||
| AP-HP - Hôpital Henri Mondor-Albert Chenevier | MEHAY Daisy | 02/12/2024 12:46:41 | Contacter | ||
| AP-HP - Hôpital Lariboisiere-Fernand Widal | MEHAY Daisy | 02/12/2024 12:46:41 | Contacter | ||
| AP-HP - Hôpital Louis Mourier | MEHAY Daisy | 02/12/2024 12:46:41 | Contacter | ||
| AP-HP - Hôpital Saint Antoine | MEHAY Daisy | 02/12/2024 12:46:41 | Contacter | ||
| AP-HP - Hôpital Tenon | MEHAY Daisy | 02/12/2024 12:46:41 | Contacter | ||
| CHI DE CRETEIL | Frédérique Schortgen | 29/03/2024 01:29:35 | Contacter | ||
Critères
Tous
Inclusion Criteria:
- Age ≥ 18 years old without legal protection;
- Invasive or non-invasive mechanical ventilation;
- Inclusion in the first 48 hours following mechanical ventilation and in a maximum of
6 hours after 48 hours
- No pressure ulcer at the time of inclusion (according to EPUAP);
- Hospitalized in intensive care for less than 72 hours;
- Consent signed by the patient or in the event of the patient's temporary inability
to express his or her wishes, consent will be obtained from a relative and signed by
the patient as soon as possible; or in the absence of a relative, an emergency
inclusion may be made; in this case a consent to proceed must be signed by the
patient as soon as possible.
- Age ≥ 18 years old without legal protection;
- Invasive or non-invasive mechanical ventilation;
- Inclusion in the first 48 hours following mechanical ventilation and in a maximum of
6 hours after 48 hours
- No pressure ulcer at the time of inclusion (according to EPUAP);
- Hospitalized in intensive care for less than 72 hours;
- Consent signed by the patient or in the event of the patient's temporary inability
to express his or her wishes, consent will be obtained from a relative and signed by
the patient as soon as possible; or in the absence of a relative, an emergency
inclusion may be made; in this case a consent to proceed must be signed by the
patient as soon as possible.
- Patient admitted to intensive care unit for the multiple trauma management with
spinal cord injury;
- Patient concerned by a medical decision to withhold/withdraw life sustaining
therapies at the time of potential inclusion.
- Patient recruited in any other interventional research studying mobilization or
positioning of the patient and/or pressure ulcer prevention and/or being in
exclusion period of any other research if concerned;
- Patient already included once in the study
- Person without any health insurance scheme or not benefiting from a social security
scheme