A Bundle of Interventions to Prevent Pressure Ulcers During Prone Position in Adult Patients With Acute Respiratory Distress Syndrome: Results of a French Stepped-Wedge Randomized Controlled Trial.

ABSTRACT:

Background

In patients with moderate-to-severe acute respiratory distress syndrome, the frequency of pressure ulcers is higher in the prone position than in the supine position.

Aim

To assess the effect of a bundle of interventions to prevent pressure ulcers in patients with acute respiratory distress syndrome prone.

Study design

ESCARD is a stepped-wedge prospective multicentre trial conducted in France that included patients with moderate-to-severe acute respiratory distress syndrome, intubated and with an indication for pronation. In the control period, patients received the routine means of each centre. In the experimental period, the bundle of specific standardized means included: eye protection with methylcellulose; strapped lower eyelids; 15° body inclination;

SUBMITTER: Gay L 

PROVIDER: S-EPMC12163295 | biostudies-literature | 2025 Jul

REPOSITORIES: biostudies-literature