Clinical Research Directory
Browse clinical research sites, groups, and studies.
Turnova: The Clinical Efficacy, Manpower Reduction, and Cost-Effectiveness of Turn-Assist Alternating Pressure Air Mattresses for Pressure Injury Prevention in the ICU
Sponsor: National Taiwan University Hospital
Summary
Pressure injuries are common in intensive care unit (ICU) patients who cannot reposition themselves. International guidelines recommend using support surfaces to redistribute pressure and regular turning to prevent these injuries. In Taiwan, high-specification foam mattresses (HSFM) with manual turning remain the standard, but frequent repositioning is labor-intensive and challenging in settings with limited nursing staff. The Turn-Assist Alternating Pressure Air Mattress (TAPAM) integrates pressure redistribution with automated lateral turning, potentially reducing nursing workload while maintaining preventive effectiveness. This study will compare TAPAM with HSFM plus manual turning in ICU patients, evaluating manpower requirements, time spent, perceived effort, and clinical outcomes. A cost-effectiveness and cost-benefit analysis will be conducted to assess the overall value of TAPAM for pressure injury prevention in high-risk ICU populations.
Key Details
Gender
All
Age Range
18 Years - Any
Study Type
INTERVENTIONAL
Enrollment
236
Start Date
2025-09-08
Completion Date
2026-07-30
Last Updated
2025-09-08
Healthy Volunteers
No
Interventions
TAPAM
Device: Turn-Assist Alternating Pressure Air Mattress (TAPAM) Automated lateral turning with pressure redistribution.
HSFM
Device: High-Specification Foam Mattress (HSFM) Standard ICU care support surface.
Manual Turning (with pillows, per protocol)
Nurse-performed scheduled manual turning (target every 2 hours, with pillows).
Positioning Pillows
Supplemental pillows used to support and maintain patient position.
Locations (1)
National Taiwan University Hospital
Taipei, Taiwan