Evaluation of Two Levels of Frequency of Repositioning in the Reduction of Pressure Ulcers

Evaluation of the Efficacy of Two Levels of Frequency of Repositioning in Adults Hospitalized in Intensive Care Units, in the Reduction of Pressure Ulcers: A Randomized Cluster Study.

PENFUP FASE 2, It is a multicenter study by parallel conglomerates, planned in order to evaluate the efficacy between two levels of frequency of postural change in intensive care units for adults of hospitals in various regions of Colombia.

Taking into account a design effect of 6.7, Investigators planned to include 150 participants from each ICU. Investigators did calculate that a total of 22 ICUs are required, in which 11 will be assigned to the low frequency and 11 will be assigned to a high frequency group of postural change until obtaining a total of 1,650 patients in each arm of the study and a total of 3,300 participants in the study.

Inclusion Criteria:

• The ICU manage adult patients, over 18 years of age, with any type of emphasis (surgical, medical, neurological, or mixed);
• Patients are admitted in critical condition (with life support);
• The director accepts the commitment of the care assigned in the randomization (for a period of 3 months).

Exclusion Criteria:

• Intermediate care units in which patients mobilize themselves.
• Covid patients or other patients exposed to different mobilization patterns (e.g., 12 hours prone vs 12 supine)