Informations générales (source: ClinicalTrials.gov)
Study on the Effectiveness and Comfort of Innovative Solutions for the Internal Transport of Patients in Wheelchairs in a Hospital Setting (PreDoPTI)
Interventional
Phase 2
Gustave Roussy, Cancer Campus, Grand Paris (Voir sur ClinicalTrials)
juin 2025
novembre 2025
21 juin 2025
In 2006, 2012, and 2018, under the auspices of the Pain Control Committee, Gustave Roussy
stretcher-bearers conducted studies on patient pain caused by internal transport
(stretchers). The first study showed that this pain is primarily experienced by patients
initially in pain, and that risk factors include crossing elevator landings and threshold
bars, handling, and prolonged waiting times.
A progress plan was developed, and since 2006, improvement initiatives have been
regularly implemented. Their effectiveness has been evaluated by patients and the
professionals involved (departure department, carrier, and arrival department).
Stretcher-bearing software was purchased following the original study; scheduling has
been streamlined, journeys are transmitted to stretcher-bearers via smartphones, and
transport times are calculated and analyzed. In 2019, a prototype for connecting
patients' IV poles to wheelchairs was developed and tested, thanks to a collaboration
between technical services, stretcher-bearers, and the Bureau of Biostatistics and
Epidemiology. The time spent by stretcher-bearers transferring infusion sets and other
syringe pumps from the patient's IV pole to the wheelchair's pole on the way out, and
vice versa on the way back to the room, has been eliminated. The hypothesis is that this
elimination would reduce travel times and could have an indirect impact on reducing pain.
Wheelchair comfort has been continually improved since 2006: the front casters were
replaced with softer and thicker ones, the rear wheels with soft wheels and then with
pneumatic tires; the backrests were replaced with a memory foam model, and the seats with
an "ultra-comfort" model. These improvements contribute to better pain management during
transport and an improved patient experience. Wheelchair comfort could be further
improved by replacing the seats with high-quality "Bultex" models.
In 2022, 33,800 patients were transported in wheelchairs (round trip, one-way or
one-way), representing 35% of annual transports. Technical developments and improvements
in wheelchair comfort could contribute to reducing pain caused by internal transport.
Primary Objective To evaluate the effect of two interventions (a system for connecting
the IV pole to the wheelchair and a new seat) during the internal transport of cancer
patients being treated at Gustave Roussy:
Intervention 1: To evaluate the impact of using the IV pole connection system on reducing
the duration of wheelchair transport for patients receiving infusions; Intervention 2: To
evaluate patient preference for the comfort of a wheelchair seat.
Secondary Objective To evaluate pain in transported patients (before/after)
Etablissements
| Les établissements d'Île-de-France dont les données sont issues de ClinicalTrials.gov Origine et niveau de fiabilité des données | |||||
|---|---|---|---|---|---|
| CLCC INSTITUT GUSTAVE ROUSSY | Timothé Denaës, PhD | Contact (sur clinicalTrials) | |||
Critères
Tous
Inclusion Criteria:
- Informed patient and signed informed consent
- Age equal or greater than 18
- Speak and read french
- For serum holder connected to wheelchair only : patients with multiple infusion
devices and transported in wheelchair
- For wheelchair seat : patients transported in wheelchair from hospitalized unit to
radiology department
- Informed patient and signed informed consent
- Age equal or greater than 18
- Speak and read french
- For serum holder connected to wheelchair only : patients with multiple infusion
devices and transported in wheelchair
- For wheelchair seat : patients transported in wheelchair from hospitalized unit to
radiology department
- disoriented or confused patient
- Patients under judicial protection (curatorship, tutorship) and/or deprived of
freedom
- pregnant or breastfeeding women