Analysis of Factors Related to Occurrence of Serious Adverse Events During Nursing in Intensive Care Units (NURSIE)

French Society for Intensive Care

Status: Completed

Conditions: Critical Care; Nursing Caries

Treatments: Procedure: Nursing care

Study type: Observational

Funder types: Other

Identifiers

NCT03475238

2018-A00046-49

Details and patient eligibility

About

Patients who are hospitalized in intensive care unit (ICU) require basic nursing care to improve patient hygiene, to promote comfort, to prevent pressure ulcer, and foot or hand's retractations.

Those nursing cares require mobilization very frequently which expose critically ill patients to occurrence of serious adverse events (SAE) such as i) hemodynamic, neurologic, and respiratory variations ii) unplanned dislodgement (lines, drains, catheters, endotracheal tube..)

Few study have evaluated relation between SAE occurence and several patient's, service's, health-care provider's caracteristics. We plan to analyse those factors to find some ways to prevent SAE occurence during nursing and hygiene cares.

Enrollment: 262 patients

Sex: All

Volunteers: No Healthy Volunteers

Inclusion criteria

• Health-care affiliated
• Length of ICU stay < 72 h
• Patient with endotracheal tube
• Patient with tracheostomy
• Patient receiving vasoactives drugs (norepinephrine, epinephrine, Dobutamine)
• Patient undergoing no invasive ventilation during 1hour minimum of 24 hours before the selection
• Patient undergoing hight flow oxygen therapy heated and humidified

Exclusion criteria

• Patient already included in this study
• Medical contraindication to the bed bath with lateral mobilization
• Withdrawal of life sustaining treatment
• Spinal trauma

Trial design

262 participants in 1 patient group

Cohort for nursing care

Description:

Patients in ICU under oxygen and/or mechanical ventilation and/or vasoactive drugs and/or non-invasive ventilation

Treatment:

Procedure: Nursing care