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Electric Stimulation TherapyNCT03753581

Effectiveness of Microcurrents Therapy in Pressure Ulcers in Elderly People

A study testing Care protocol plus microcurrents in people with Electric Stimulation Therapy, run by University of Castilla-La Mancha at 1 site in Spain.

Completed

Finished. The study has ended and is not enrolling. Results may be posted on the official record.

Official record
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Trial summary

The purpose of this study is to investigate the effect on the healing of pressure ulcers in elderly people using a care protocol plus the application of microcurrent patches during 12 hours per day compared to the effect of the same protocol plus placebo electric stimulation. Read more about this study

Who is it for?
Ages 60 years and older
Conditions the study is for
Electric Stimulation Therapy
What is being tested?
Care protocol plus microcurrents
Type of treatment
Medical device
Could I receive a placebo?
Yes, some participants may receive a placebo
How many people
30 participants
Where
1 siteSpain
Study dates
31 Oct 2018to 10 Jun 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 60 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Adults over 60 institutionalized in nursing homes.
  • Participants presenting pressure ulcers in phase II, III and IV according to the North American National Pressure Ulcer Advisory Panel System and the European Pressure Ulcer Advisory Panel System.
  • Time of evolution of the pressure ulcer greater than 1 month and less than 24 months.
  • Ulcer size greater than 1 cm2.
  • Less than 14 points on the Braden scale.

Who cannot join

  • Presence of a pacemaker or any implanted electrical device.
  • Metal implants in the pressure ulcer area.
  • Pressure ulcer in occipital area.
  • Cancer.
  • Osteomyelitis.
  • 3 or more abnormal blood values at the beginning of the study that indicate a limited healing potential (anemia, iron deficiency, protein deficiency, dehydration, uncontrolled diabetes or hypothyroidism)
Show all 9Show fewer
  • Allergies to the usual cures protocol established.
  • Systemic infection
  • Recent history (minimum of 30 days) of treatment with growth factors or vacuum-assisted treatment.

Trial locations and contacts

1 site in 1 country.

Spain1 site
  • Juan Avendaño-Coy

    Toledo, 45071

Other trials in Spain

About this study

Official title: Effectiveness of Microcurrents Therapy in Pressure Ulcers in Elderly People: Controlled and Randomized Triple Blind Clinical Trial

The purpose of this study is to investigate the effect on the healing of pressure ulcers in elderly people using a care protocol plus the application of microcurrent patches during 12 hours per day compared to the effect of the same protocol plus placebo electric stimulation.

Read the detailed description

The design of this study is a multicentric, parallel, randomised, triple blind clinical trial with placebo control.

The size of the sample will be 30 participants older than 60 years old who are institutionalized in some nursing homes in Spain.They will be randomized in two groups: control or experimental.

The variables of the study will be collected at three time points: before the intervention, 14 days after the start of the intervention and at the end of the intervention.

The statistical analysis will be an intention-to-treat analysis. For the main outcomes variables a two-factor ANOVA will-be performed (intervention-time) with a post-hoc analysis with Bonferroni correction

Being tested
Care protocol plus microcurrents, Care protocol plus placebo microcurrents
Keywords
Electric Stimulation Therapy, Pressure Ulcer, Aged
Medical subject headings
Pressure Ulcer

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Care protocol plus microcurrentsDevice

    CARE NURSING PROTOCOL: postural treatment every 4 hours more standardized cure according to the guide of recommendations based on evidence in prevention and treatment of pressure ulcers in adults of Osakidetza health service.

    MICROCURRENTS: the electrodes will be placed on the edge of the dressing on the sides of the ulcer's longer length during 12 hours a day until the ulcer is completely healed or for a maximum of 25 days.

    Characteristics of microcurrents: pulsed monophasic rectangular wave with a pulse of 1.5 s and pause of 300 ms, voltage 21 mV and intensity 42μA with a current density of 4.2 μA.

  • Care protocol plus placebo microcurrentsDevice

    The same nursing care protocol described for the experimental group will be applied more 12 hours per day of 2 electrodes of microcurrents around the ulcer, which will be previously manipulated and tested with an oscilloscope so that they do not emit electrical currents

Study groups in NCT03753581
Study groupRoleWhat they receive
Care protocol plus microcurrentsExperimental* Standardized protocol of nursing care: postural treatment plus standardized cure. * Intervention with microcurrents: application of 2 electrodes (Mc Patch, Newmark USA) around the ulcer.
Receives: Device: Care protocol plus microcurrents
Care protocol plus placebo microcurrentsPlacebo comparator* Standardized protocol of nursing care: postural treatment plus standardized cure. * Placebo microcurrents: application of 2 electrodes (Mc Patch, Newmark USA) around the ulcer previously handled that do not emit current.
Receives: Device: Care protocol plus placebo microcurrents

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Ulcer healing 1 day before the intervention start

    It will be evaluated with the Pressure Ulcer Scale for Healing (PUSH). It was developed by the National Pressure Ulcer Advisory Panel (NPUAP) to monitor the change in the status of pressure ulcers over time.

    The ulcer is categorized according to the surface area, exudate and type of wound tissue. A partial score is recorded for each of these ulcer characteristics:

    • Surface area (in cm2): 10 points (0 points=0 cm2; 10 points= >24 cm2)
    • Exudate amount: 3 points (0 points= none; 3 points=heavy).
    • Tissue type: 4 points (0 points= closed; 4 points= necrotic tissue).

    To obtain the total score, the sub-scores are added. The minimum score is 0, which means that the ulcer is healed and the maximum score is 17, which means that the ulcer surface is greater than 24 cm2, that there is a heavy exudate and necrotic tissue.

    A comparison of total scores measured over time provides an indication of the improvement or deterioration in pressure ulcer healing.

    Measured: 1 day before the start of the intervention

  2. Ulcer healing at 14 days

    It will be evaluated with the Pressure Ulcer Scale for Healing (PUSH). It was developed by the National Pressure Ulcer Advisory Panel (NPUAP) to monitor the change in the status of pressure ulcers over time.

    The ulcer is categorized according to the surface area, exudate and type of wound tissue. A partial score is recorded for each of these ulcer characteristics:

    • Surface area (in cm2): 10 points (0 points=0 cm2; 10 points= >24 cm2)
    • Exudate amount: 3 points (0 points= none; 3 points=heavy).
    • Tissue type: 4 points (0 points= closed; 4 points= necrotic tissue).

    To obtain the total score, the sub-scores are added. The minimum score is 0, which means that the ulcer is healed and the maximum score is 17, which means that the ulcer surface is greater than 24 cm2, that there is a heavy exudate and necrotic tissue.

    A comparison of total scores measured over time provides an indication of the improvement or deterioration in pressure ulcer healing.

    Measured: At 14 days after the start of the intervention

  3. Ulcer healing at 26 days

    It will be evaluated with the Pressure Ulcer Scale for Healing (PUSH). It was developed by the National Pressure Ulcer Advisory Panel (NPUAP) to monitor the change in the status of pressure ulcers over time.

    The ulcer is categorized according to the surface area, exudate and type of wound tissue. A partial score is recorded for each of these ulcer characteristics:

    • Surface area (in cm2): 10 points (0 points=0 cm2; 10 points= >24 cm2)
    • Exudate amount: 3 points (0 points= none; 3 points=heavy).
    • Tissue type: 4 points (0 points= closed; 4 points= necrotic tissue).

    To obtain the total score, the sub-scores are added. The minimum score is 0, which means that the ulcer is healed and the maximum score is 17, which means that the ulcer surface is greater than 24 cm2, that there is a heavy exudate and necrotic tissue.

    A comparison of total scores measured over time provides an indication of the improvement or deterioration in pressure ulcer healing.

    Measured: At 26 days after the start of the intervention

Secondary outcomes (30)
  1. Stage of pressure ulcer 1 day before the intervention start

    According to the North American National Pressure Ulcer Advisory Panel System and the European Pressure Ulcer Advisory Panel System

    Measured: 1 day before the start of the intervention

  2. Stage of pressure ulcer at 14 days

    According to the North American National Pressure Ulcer Advisory Panel System and the European Pressure Ulcer Advisory Panel System

    Measured: At 14 days after the start of the intervention

  3. Stage of pressure ulcer at 26 days

    According to the North American National Pressure Ulcer Advisory Panel System and the European Pressure Ulcer Advisory Panel System

    Measured: At 26 days after the start of the intervention

  4. Ulcer depth 1 day before the intervention start

    It will be registered in mm with a Swab, specimen collection. Deltalab, SL

    Measured: 1 day before the start of the intervention

  5. Ulcer depth at 14 days

    It will be registered in mm with a Swab, specimen collection. Deltalab, SL

    Measured: At 14 days after the start of the intervention

  6. Ulcer depth at 26 days

    It will be registered in mm with a Swab, specimen collection. Deltalab, SL

    Measured: At 26 days after the start of the intervention

  7. Ulcer área 1 day before the intervention start

    It will be registered in cm2 with the application for pressure ulcer management Mobile Wound Analyzer (MOWA) for IOS Version 1.7.2011. Developer: Bello Ciro (Italy)

    Measured: 1 day before the start of the intervention

  8. Ulcer área at 14 days

    It will be registered in cm2 with the application for pressure ulcer management Mobile Wound Analyzer (MOWA) for IOS Version 1.7.2011. Developer: Bello Ciro (Italy)

    Measured: At 14 days after the start of the intervention

  9. Ulcer área at 26 days

    It will be registered in cm2 with the application for pressure ulcer management Mobile Wound Analyzer (MOWA) for IOS Version 1.7.2011. Developer: Bello Ciro (Italy)

    Measured: At 26 days after the start of the intervention

  10. Cutaneous blood flow in the area surrounding the pressure ulcer 1 day before the intervention start

    It will be recorded in the greater side of the ulcer by cutaneous doppler laser flowmetry with a scale of 0-1000 units (model DRT4, Moor instruments, Devon, UK)

    Measured: 1 day before the start of the intervention

  11. Cutaneous blood flow in the area surrounding the pressure ulcer at 14 days

    It will be recorded in the greater side of the ulcer by cutaneous doppler laser flowmetry with a scale of 0-1000 units (model DRT4, Moor instruments, Devon, UK)

    Measured: At 14 days after the start of the intervention

  12. Cutaneous blood flow in the area surrounding the pressure ulcer at 26 days

    It will be recorded in the greater side of the ulcer by cutaneous doppler laser flowmetry with a scale of 0-1000 units (model DRT4, Moor instruments, Devon, UK)

    Measured: At 26 days after the start of the intervention

  13. Pain caused by pressure ulcer 1 day before the intervention start: numerical scale

    It will be assessed with the numerical scale of the pain that includes the values from 0 (absence of pain) to 10 (maximum pain)

    Measured: 1 day before the start of the intervention

  14. Pain caused by pressure ulcer at 14 days: numerical scale

    It will be assessed with the numerical scale of the pain that includes the values from 0 (absence of pain) to 10 (maximum pain)

    Measured: At 14 days after the start of the intervention

  15. Pain caused by pressure ulcer at 26 days: numerical scale

    It will be assessed with the numerical scale of the pain that includes the values from 0 (absence of pain) to 10 (maximum pain)

    Measured: At 26 days after the start of the intervention

  16. Administration of analgesic drugs 1 day before the intervention start

    The type of analgesic will be registered according to WHO therapeutic steps

    Measured: 1 day before the start of the intervention

  17. Administration of analgesic drugs at 14 days

    The type of analgesic will be registered according to WHO therapeutic steps

    Measured: At 14 days after the start of the intervention

  18. Administration of analgesic drugs at 26 days

    The type of analgesic will be registered according to WHO therapeutic steps

    Measured: At 26 days after the start of the intervention

  19. Exudate culture of the ulcer 1 day before the intervention start

    The presence of infection in the ulcer will be evaluated with a exudate culture

    Measured: 1 day before the start of the intervention

  20. Exudate culture of the ulcer at 14 days

    The presence of infection in the ulcer will be evaluated with a exudate culture

    Measured: At 14 days after the start of the intervention

  21. Exudate culture of the ulcer at 26 days

    The presence of infection in the ulcer will be evaluated with a exudate culture

    Measured: At 26 days after the start of the intervention

  22. Administration of systemic antibiotics 1 day before the intervention start

    The administration of antibiotics will be recorded

    Measured: 1 day before the start of the intervention

  23. Administration of systemic antibiotics at 14 days

    The administration of antibiotics will be recorded

    Measured: At 14 days after the start of the intervention

  24. Administration of systemic antibiotics at 26 days

    The administration of antibiotics will be recorded

    Measured: At 26 days after the start of the intervention

  25. Blood pressure 1 day before the intervention start

    The systolic and diastolic blood pressure will be recorded in mm/Hg with a tensiometer. It will be taken at rest, making 2 measurements separated by a 1-2 minute interval

    Measured: 1 day before the start of the intervention

  26. Blood pressure at 14 days

    The systolic and diastolic blood pressure will be recorded in mm/Hg with a tensiometer. It will be taken at rest, making 2 measurements separated by a 1-2 minute interval

    Measured: At 14 days after the start of the intervention

  27. Blood pressure at 26 days

    The systolic and diastolic blood pressure will be recorded in mm/Hg with a tensiometer. It will be taken at rest, making 2 measurements separated by a 1-2 minute interval

    Measured: At 26 days after the start of the intervention

  28. Capillary blood glucose 1 day before the intervention start

    It will be recorded in mg/dl with a glucometer, taking as a glycemia value the average of 2 measurements with an interval of 24 hours between each record

    Measured: 1 day before the start of the intervention

  29. Capillary blood glucose at 14 days

    It will be recorded in mg/dl with a glucometer, taking as a glycemia value the average of 2 measurements with an interval of 24 hours between each record

    Measured: At 14 days after the start of the intervention

  30. Capillary blood glucose at 26 days

    It will be recorded in mg/dl with a glucometer, taking as a glycemia value the average of 2 measurements with an interval of 24 hours between each record

    Measured: At 26 days after the start of the intervention

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted27 Nov 2018
  2. Study start31 Oct 2018
  3. Primary completion10 Jun 2021
  4. Study completion10 Jun 2021

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Treatment
Allocation
Randomised
Intervention model
Parallel groups
Masking
Triple blind
Who is masked
Participant, Care provider, Outcomes assessor
Enrolment
30 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03753581
Sponsor's protocol ID
EUEYF
Status last verified
Nov 2018
First submitted
4 Oct 2018
Last updated
11 Jun 2021
Results posted
No
Data monitoring committee
Yes
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Care protocol plus microcurrents in people with Electric Stimulation Therapy, run by University of Castilla-La Mancha at 1 site in Spain.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 5 inclusion and 9 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: finished, as of the sponsor's last update on 11 Jun 2021. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Spain. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Ulcer healing 1 day before the intervention start (time frame: 1 day before the start of the intervention). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 11 Jun 2021.

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