Telemedicine Consultation in Trauma and Orthopedic

NCT ID: NCT00815243

Last Updated: 2008-12-29

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

300 participants

Study Classification

INTERVENTIONAL

Study Start Date

2007-09-30

Study Completion Date

2008-09-30

Brief Summary

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The purpose of this study is to determine whether telemedicine consultations (lead by standard scheme)allows to increase quality of anatomical and functional outcomes and improve clinical work-flow at patients with acute bone and joint trauma, hip pathology and congenital orthopedics abnormalities.

Detailed Description

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Levels of bad outcomes, untimely death and disability due to acute trauma, specific orthopedic pathology (congenital, coxarthrosis) and non-efficient organisation of clinical work-flow are still very high (especially in rural areas). Standard telemedicine work stations (with special protocols and manuals for original approach to telemedicine activity organisation and management) will be placed into small municipal and rural hospitals. Telemedicine links will be established between 3rd level Trauma\&Ortho center and remote sites. Synchronous and asynchronous teleconsultations will be perform for help in evidence-based timely clinical decisions, continual support of clinical wor-flow and treatment process.

Conditions

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Trauma Congenital Bone and Joint Abnormalities Joint Diseases Orthopedic Surgery Complications

Keywords

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fracture coxarthrosis complication congenital abnormalities bone joint telemedicine transportation decision making outcomes

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Telemed

Group of trauma\&orthopedic patients - for determination of clinical strategy and treatment plan telemedicine will be used

Group Type EXPERIMENTAL

Telemedicine consultation

Intervention Type PROCEDURE

Standard synchronous or asynchronous telemedicine consultations according recommendations and best practice models of ISfTeH

Treatment plan

Intervention Type PROCEDURE

Treatment plan include diagnostic tests (physical examination, laboratory tests, xray, CT, MRI), medications and surgical treatment (debridements, osteosynthesis, arthroplasty, ORIF etc)

InternalControl

Group of trauma\&orthopedic patients from 3rd level trauma center - for determination of clinical strategy and treatment plan usual clinical approaches will be used

Group Type ACTIVE_COMPARATOR

Treatment plan

Intervention Type PROCEDURE

Treatment plan include diagnostic tests (physical examination, laboratory tests, xray, CT, MRI), medications and surgical treatment (debridements, osteosynthesis, arthroplasty, ORIF etc)

ExternalControl

Group of trauma\&orthopedic patients from 1-2rd level trauma centers (in rural and small municipal hospitals) - for determination of clinical strategy and treatment plan personal arriving of the expert by the car (so-called Urgent Expert Care) will be used

Group Type ACTIVE_COMPARATOR

Treatment plan

Intervention Type PROCEDURE

Treatment plan include diagnostic tests (physical examination, laboratory tests, xray, CT, MRI), medications and surgical treatment (debridements, osteosynthesis, arthroplasty, ORIF etc)

Interventions

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Telemedicine consultation

Standard synchronous or asynchronous telemedicine consultations according recommendations and best practice models of ISfTeH

Intervention Type PROCEDURE

Treatment plan

Treatment plan include diagnostic tests (physical examination, laboratory tests, xray, CT, MRI), medications and surgical treatment (debridements, osteosynthesis, arthroplasty, ORIF etc)

Intervention Type PROCEDURE

Other Intervention Names

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Telemedicine work station according national recommendations Best practice models for teletrauma recognised by ISFTEH Ilizarov frame AO-Plate osteosynthesis Intermedullar nailing Total cemented/uncemented hip arthroplasty

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of injury of locomotorium (isolated or polytrauma)
* Clinical diagnosis of bone and joint congenital abnormalities or intranatal injury
* Clinical diagnosis of knee, hip arthrosis
* Clinical diagnosis of complication of surgery (unstable, fracture of construction etc)
* Diagnosis is already present
* Primary decision of clinical strategy have to be done (transportation, level of care, method of treatment, surgery peculiarities)
* Indications for teleconsultations determined by physician

Exclusion Criteria

* Diagnosis is not present
* Patient's self-request for teleconsultations
* No reliable feed-back with attending physician
Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Donetsk National Medical University

OTHER

Sponsor Role lead

Responsible Party

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Donetsk R&D Institute of Traumatology and Orthopedics

Principal Investigators

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Anton V Vladzymyrskyy, M.D.

Role: PRINCIPAL_INVESTIGATOR

R&D Institute of Traumatology and Orthopedics

Volodymyr G Klymovytskyy, Professor

Role: STUDY_DIRECTOR

R&D Institute of Traumatology and Orthopedics

Locations

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Volnovakha Central Area Hospital

Volnovakha, Donetsk Oblast, Ukraine

Site Status

Gorlovka Municipal Hospital N2

Gorlovka, Donetskya Oblast, Ukraine

Site Status

Central Clinical Municipal Hospital N6

Donetsk, , Ukraine

Site Status

Donetsk R&D Institute of Traumatology and Orthopedics

Donetsk, , Ukraine

Site Status

Clinics of Maxillo-Fascial Surgery of DNMU

Donetsk, , Ukraine

Site Status

Countries

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Ukraine

References

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Vladzymyrskyy AV. Four years' experience of teleconsultations in daily clinical practice. J Telemed Telecare. 2005;11(6):294-7. doi: 10.1258/1357633054893337.

Reference Type BACKGROUND
PMID: 16168165 (View on PubMed)

Vladzymyrskyy AV. Our experience with telemedicine in traumatology and orthopedics. Ulus Travma Acil Cerrahi Derg. 2004 Jul;10(3):189-91.

Reference Type BACKGROUND
PMID: 15286891 (View on PubMed)

Related Links

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http://www.isft.net/cms/index.php?gpm_best_practice_models

Best Practice Models in Telemedicine for Trauma (recognized by ISFTEH)

http://www.medetel.lu/index.php?rub=library_country&page=ukraine

Med-e-Tel Digital Library: 2005-2007 presentations and papers about telemedicine activity of investigators

Other Identifiers

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1-2007-2011

Identifier Type: -

Identifier Source: org_study_id