Trial Outcomes & Findings for Visibility of Site Marking for Surgical Time Out With Two Different Skin Preparation Solutions (NCT NCT00739583)

NCT ID: NCT00739583

Last Updated: 2013-07-10

Results Overview

The number of correctly identified initials as viewed by the orthopaedic surgeons. 10 participants were randomized to each study group. Each patient was marked with three initials. Each was viewed by ten surgeons giving a total of 300 initials for each group.

Recruitment status

COMPLETED

Study phase

PHASE4

Target enrollment

20 participants

Primary outcome timeframe

at time of surgery, approximately 10 minutes

Results posted on

2013-07-10

Participant Flow

Participant milestones

Participant milestones
Measure
Chlorhexidine Group
Skin preparation for hip replacement with a Chlorhexidine based skin preparation solution, Chloraprep® (CHG 2% w/v and IPA 70% v/v; Enturia Inc., Leawood, KS, USA)
Iodine Group
Skin preparation for hip replacement with an Iodine based skin preparation solution, Duraprep® (Iodophor 0.7% and IPA 74% w/w; 3M Healthcare, St. Paul, MN, USA.
Overall Study
STARTED
10
10
Overall Study
COMPLETED
10
10
Overall Study
NOT COMPLETED
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Visibility of Site Marking for Surgical Time Out With Two Different Skin Preparation Solutions

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Chlorhexidine Group
n=10 Participants
Skin preparation for hip replacement with a Chlorhexidine based skin preparation solution, Chloraprep® (CHG 2% w/v and IPA 70% v/v; Enturia Inc., Leawood, KS, USA)
Iodine Group
n=10 Participants
Skin preparation for hip replacement with an Iodine based skin preparation solution, Duraprep® (Iodophor 0.7% and IPA 74% w/w; 3M Healthcare, St. Paul, MN, USA.
Total
n=20 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
3 Participants
n=7 Participants
7 Participants
n=5 Participants
Age, Categorical
>=65 years
6 Participants
n=5 Participants
7 Participants
n=7 Participants
13 Participants
n=5 Participants
Age Continuous
71 years
STANDARD_DEVIATION 4.6 • n=5 Participants
73 years
STANDARD_DEVIATION 4.2 • n=7 Participants
72 years
STANDARD_DEVIATION 4.5 • n=5 Participants
Sex: Female, Male
Female
3 Participants
n=5 Participants
6 Participants
n=7 Participants
9 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
4 Participants
n=7 Participants
11 Participants
n=5 Participants
Region of Enrollment
United States
10 participants
n=5 Participants
10 participants
n=7 Participants
20 participants
n=5 Participants

PRIMARY outcome

Timeframe: at time of surgery, approximately 10 minutes

The number of correctly identified initials as viewed by the orthopaedic surgeons. 10 participants were randomized to each study group. Each patient was marked with three initials. Each was viewed by ten surgeons giving a total of 300 initials for each group.

Outcome measures

Outcome measures
Measure
Chlorhexidine Group
n=300 number of random initials
Skin preparation for hip replacement with a Chlorhexidine based skin preparation solution, Chloraprep® (CHG 2% w/v and IPA 70% v/v; Enturia Inc., Leawood, KS, USA)
Iodine Group
n=300 number of random initials
Skin preparation for hip replacement with an Iodine based skin preparation solution, Duraprep® (Iodophor 0.7% and IPA 74% w/w; 3M Healthcare, St. Paul, MN, USA.
Identification of the Random Initials by the Reviewing Orthopaedic Surgeons
209 number of correctly identified initals
296 number of correctly identified initals

SECONDARY outcome

Timeframe: at time of surgery, approximately ten minutes

The Mean change in gray level of the ink line as expressed in units between pre and post skin preparation. Gray level is a unitless value from 0-255 describing the brightness of a pixel (0 being black and 255 being white).

Outcome measures

Outcome measures
Measure
Chlorhexidine Group
n=10 change in gray level
Skin preparation for hip replacement with a Chlorhexidine based skin preparation solution, Chloraprep® (CHG 2% w/v and IPA 70% v/v; Enturia Inc., Leawood, KS, USA)
Iodine Group
n=10 change in gray level
Skin preparation for hip replacement with an Iodine based skin preparation solution, Duraprep® (Iodophor 0.7% and IPA 74% w/w; 3M Healthcare, St. Paul, MN, USA.
The Mean Change in Gray Level (Contrast) of the Horizontal Line
59.8 gray level units
Standard Deviation 59.8
14.9 gray level units
Standard Deviation 11.4

SECONDARY outcome

Timeframe: at time of surgery, approximately ten minutes

The number of sets of initials judged by the viewing orthopedic surgeons as sufficient for adequate site identification. Each participant was labeled with three initials to simulate a surgeon's initials. Ten orthopaedic surgeons determined if the initials were visible enough to allow for site identification. Each surgeon viewed all of the sets of initials, resulting in 100 viewed sets of initials in each group.

Outcome measures

Outcome measures
Measure
Chlorhexidine Group
n=100 sets of initials
Skin preparation for hip replacement with a Chlorhexidine based skin preparation solution, Chloraprep® (CHG 2% w/v and IPA 70% v/v; Enturia Inc., Leawood, KS, USA)
Iodine Group
n=100 sets of initials
Skin preparation for hip replacement with an Iodine based skin preparation solution, Duraprep® (Iodophor 0.7% and IPA 74% w/w; 3M Healthcare, St. Paul, MN, USA.
Judgment of Reviewing Orthopaedic Surgeons That the Site Marking is Identifiable for Them to Perform Site Identification
56 sets of intials
95 sets of intials

Adverse Events

Chlorhexidine Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Iodine Group

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Simon C Mears

Johns Hopkins University

Phone: 410-550-0101

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place