Optimal Patient Turning for Reducing Hospital Acquired Pressure Ulcers (LS-HAPU)

Stanford University

Status: Completed

Conditions: Pressure Ulcer

Treatments: Other: Patient Sensor; Other: Standard Care Practices; Other: Optimal Turning

Study type: Interventional

Funder types: Other; Industry

Identifiers

NCT02533726

33144

Details and patient eligibility

About

The purpose of this study is to test whether optimal patient turning, strictly every 2 hours with at least 15 minutes of tissue decompression, reduces the occurrence of hospital acquired pressure ulcers.

Full description

This single site, open label, two arm randomized control trial aims to evaluate whether optimal patient turning, strictly every 2 hours with at least 15 minutes of tissue decompression, reduces the occurrence of hospital acquired pressure ulcers. Optimal turning procedures will be obtained with the use of a patient monitoring system (Leaf Healthcare, Inc.) and compared to standard preventative care practices.

Sensors were placed on all participants as they were admitted to ICU. A nurse's user dashboard was turned on for participants in the Optimal Turning Group, but was not turned on for participants in the Standard Care group.

Enrollment: 1,312 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Adults (>18 years of age)
• Admission to Intensive Care Unit

Exclusion criteria

• Children (<18 years of age)
• Adhesive allergy
• Physical limitation for sensor application

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

1,312 participants in 2 patient groups

Treatment - Optimal Turning

Experimental group

Description:

All patients will have a sensor applied. Patients within this arm will receive care from nurses who have access to a User Dashboard that provides visual advisories for patient turning, based on data obtained from a wearable patient sensor (Leaf Healthcare, Inc.).

Treatment:

Other: Optimal Turning

Other: Patient Sensor

Control - Standard Care

Active Comparator group

Description:

All patients will have a sensor applied. Patients within this arm will receive care from nurses who DO NOT have access to a User Dashboard that provides visual advisories for patient turning. Instead, these patients will receive standard care practices, patient turning initiated by nurses as necessary.

Treatment:

Other: Standard Care Practices

Other: Patient Sensor