Study Results
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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COMPLETED
NA
492 participants
INTERVENTIONAL
2016-06-14
2020-11-20
Brief Summary
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Detailed Description
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Interest in the use of technology in medicine is increasing, with the potential that more advanced technology will help facilitate communication between clinicians and patients, aid in the assessment of patients, and improve clinical decision making. Over two-thirds of people now own smartphones, and regularly use them to access the internet. The investigators wish to use a smartphone delivered questionnaire to help assess SSI and see if this improves access to care and time to treatment.
The investigators will be recruiting emergency surgery patients with smartphones at the Royal Infirmary and Western General Hospitals in Edinburgh.
Participants will be divided into two groups. One group will receive the wound assessment tool, if they are concerned about their wound, they can use the tool to answer a series of questions. If their answers suggest SSI, a clinician will contact them to advise further assessment and treatment. The participants will also be asked to respond to the tool three times during the trial (to collect responses from those without symptoms), and upload photos of their wounds to a secure database.
The second group of participants will receive normal post-operative care.
After 30 days, participants will have a follow-up consultation, to determine if they have had a wound infection (this can be via telephone or face-to-face, according to participant preference). They will also answer questions about their experience of the study, and use of services.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
DIAGNOSTIC
NONE
Study Groups
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Intervention Arm
Wound assessment tool - delivered via a smartphone. A link will be sent to participants on discharge, which can be accessed at any point should they have concerns about their wound.
They will also be sent the tool at 3 additional time-points.
Wound Assessment Tool
A set of questions relating to the symptoms of wound infection
Control Arm
Normal Post-operative Care
No interventions assigned to this group
Interventions
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Wound Assessment Tool
A set of questions relating to the symptoms of wound infection
Eligibility Criteria
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Inclusion Criteria
* Smartphone Owners
* Able to give valid consent
Exclusion Criteria
16 Years
ALL
No
Sponsors
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University of Edinburgh
OTHER
Responsible Party
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Principal Investigators
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Ewen Harrison, BM CHB
Role: PRINCIPAL_INVESTIGATOR
University of Edinburgh
Locations
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Royal Infirmary Edinburgh
Edinburgh, , United Kingdom
Western General Hospital
Edinburgh, , United Kingdom
Countries
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References
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McLean KA, Mountain KE, Shaw CA, Drake TM, Ots R, Knight SR, Fairfield CJ, Sgro A, Skipworth RJE, Wigmore SJ, Potter MA, Harrison EM. Can a smartphone-delivered tool facilitate the assessment of surgical site infection and result in earlier treatment? Tracking wound infection with smartphone technology (TWIST): protocol for a randomised controlled trial in emergency surgery patients. BMJ Open. 2019 Oct 3;9(10):e029620. doi: 10.1136/bmjopen-2019-029620.
Related Links
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Public Health England. Surgical site infection surveillance service (SSISS). (2014).
CDC/OID/NCEZID/DHQP. 9 surgical site infection (SSI) event. (2016).
Other Identifiers
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AC16032
Identifier Type: -
Identifier Source: org_study_id
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