Trial Outcomes & Findings for Comparison Between Wound Vacuum Dressing and Standard Closure to Reduce Rates of Surgical Site Infections (NCT NCT03021668)

NCT ID: NCT03021668

Last Updated: 2019-08-28

Results Overview

Surgical site infection will be diagnosed and classified based on the World Health Organization definition into superficial Infection (involving only skin and subcutaneous tissue of incision), deep incisional (involving deep tissues) or organ/space (involving organs and spaces other than the incision which was opened or manipulated during operation)

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

124 participants

Primary outcome timeframe

Within 30 days of the operation

Results posted on

2019-08-28

Participant Flow

Participant milestones

Participant milestones
Measure
Prevena Peel & Place Dressing for Wound Closure
In the participants randomized to this arm the surgical site will be closed using Prevena Peel \& Place Dressing. Prevena Peel \& Place Dressing: Prevena Peel \& Place Dressing is a device that can be used for closure of the surgical site. It provides negative pressure to the surgical wound
Standard Closure of the Wound
In the participants randomized to this arm the surgical site will be closed using the standard closure technique. Standard Closure of the Surgical Incision: This would involve standard closure of the incision site
Overall Study
STARTED
62
62
Overall Study
COMPLETED
62
61
Overall Study
NOT COMPLETED
0
1

Reasons for withdrawal

Reasons for withdrawal
Measure
Prevena Peel & Place Dressing for Wound Closure
In the participants randomized to this arm the surgical site will be closed using Prevena Peel \& Place Dressing. Prevena Peel \& Place Dressing: Prevena Peel \& Place Dressing is a device that can be used for closure of the surgical site. It provides negative pressure to the surgical wound
Standard Closure of the Wound
In the participants randomized to this arm the surgical site will be closed using the standard closure technique. Standard Closure of the Surgical Incision: This would involve standard closure of the incision site
Overall Study
Physician Decision
0
1

Baseline Characteristics

Comparison Between Wound Vacuum Dressing and Standard Closure to Reduce Rates of Surgical Site Infections

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Prevena Peel & Place Dressing for Wound Closure
n=62 Participants
In the participants randomized to this arm the surgical site will be closed using Prevena Peel \& Place Dressing. Prevena Peel \& Place Dressing: Prevena Peel \& Place Dressing is a device that can be used for closure of the surgical site. It provides negative pressure to the surgical wound
Standard Closure of the Wound
n=61 Participants
In the participants randomized to this arm the surgical site will be closed using the standard closure technique. Standard Closure of the Surgical Incision: This would involve standard closure of the incision site
Total
n=123 Participants
Total of all reporting groups
Age, Continuous
66.4 years
STANDARD_DEVIATION 9.3 • n=5 Participants
66.1 years
STANDARD_DEVIATION 9.0 • n=7 Participants
66.2 years
STANDARD_DEVIATION 9.1 • n=5 Participants
Sex: Female, Male
Female
31 Participants
n=5 Participants
27 Participants
n=7 Participants
58 Participants
n=5 Participants
Sex: Female, Male
Male
31 Participants
n=5 Participants
34 Participants
n=7 Participants
65 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
8 Participants
n=7 Participants
12 Participants
n=5 Participants
Race (NIH/OMB)
White
55 Participants
n=5 Participants
47 Participants
n=7 Participants
102 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
3 Participants
n=5 Participants
6 Participants
n=7 Participants
9 Participants
n=5 Participants
Region of Enrollment
United States
62 Participants
n=5 Participants
61 Participants
n=7 Participants
123 Participants
n=5 Participants
Neoadjuvant therapy
44 Participants
n=5 Participants
33 Participants
n=7 Participants
77 Participants
n=5 Participants
American Society of Anesthesiologists (ASA) class
ASA I/II
11 Participants
n=5 Participants
14 Participants
n=7 Participants
25 Participants
n=5 Participants
American Society of Anesthesiologists (ASA) class
ASA III/IV
51 Participants
n=5 Participants
47 Participants
n=7 Participants
98 Participants
n=5 Participants
Preincisional prophylactic antibiotic
62 Participants
n=5 Participants
61 Participants
n=7 Participants
123 Participants
n=5 Participants
Preoperative biliary stenting
51 Participants
n=5 Participants
51 Participants
n=7 Participants
102 Participants
n=5 Participants

PRIMARY outcome

Timeframe: Within 30 days of the operation

Surgical site infection will be diagnosed and classified based on the World Health Organization definition into superficial Infection (involving only skin and subcutaneous tissue of incision), deep incisional (involving deep tissues) or organ/space (involving organs and spaces other than the incision which was opened or manipulated during operation)

Outcome measures

Outcome measures
Measure
Prevena Peel & Place Dressing for Wound Closure
n=62 Participants
In the participants randomized to this arm the surgical site will be closed using Prevena Peel \& Place Dressing. Prevena Peel \& Place Dressing: Prevena Peel \& Place Dressing is a device that can be used for closure of the surgical site. It provides negative pressure to the surgical wound
Standard Closure of the Wound
n=61 Participants
In the participants randomized to this arm the surgical site will be closed using the standard closure technique. Standard Closure of the Surgical Incision: This would involve standard closure of the incision site
Rate of Surgical Site Infection
6 Participants
19 Participants

SECONDARY outcome

Timeframe: Within 10 days of surgery

Length of stay of patient at the hospital from date of surgery

Outcome measures

Outcome measures
Measure
Prevena Peel & Place Dressing for Wound Closure
n=62 Participants
In the participants randomized to this arm the surgical site will be closed using Prevena Peel \& Place Dressing. Prevena Peel \& Place Dressing: Prevena Peel \& Place Dressing is a device that can be used for closure of the surgical site. It provides negative pressure to the surgical wound
Standard Closure of the Wound
n=61 Participants
In the participants randomized to this arm the surgical site will be closed using the standard closure technique. Standard Closure of the Surgical Incision: This would involve standard closure of the incision site
Prolonged Length of Stay, Measured in Days
7 days
Interval 7.0 to 10.0
8 days
Interval 7.0 to 10.0

SECONDARY outcome

Timeframe: Within 30 days of operation

Any readmission for surgical site infections (SSIs) related to the surgery within the first 30 days after surgery

Outcome measures

Outcome measures
Measure
Prevena Peel & Place Dressing for Wound Closure
n=62 Participants
In the participants randomized to this arm the surgical site will be closed using Prevena Peel \& Place Dressing. Prevena Peel \& Place Dressing: Prevena Peel \& Place Dressing is a device that can be used for closure of the surgical site. It provides negative pressure to the surgical wound
Standard Closure of the Wound
n=61 Participants
In the participants randomized to this arm the surgical site will be closed using the standard closure technique. Standard Closure of the Surgical Incision: This would involve standard closure of the incision site
Rate of Readmission for Surgical Site Infections (SSIs)
3 Participants
6 Participants

SECONDARY outcome

Timeframe: Within 30 days of surgery

Need for 30-day readmission

Outcome measures

Outcome measures
Measure
Prevena Peel & Place Dressing for Wound Closure
n=62 Participants
In the participants randomized to this arm the surgical site will be closed using Prevena Peel \& Place Dressing. Prevena Peel \& Place Dressing: Prevena Peel \& Place Dressing is a device that can be used for closure of the surgical site. It provides negative pressure to the surgical wound
Standard Closure of the Wound
n=61 Participants
In the participants randomized to this arm the surgical site will be closed using the standard closure technique. Standard Closure of the Surgical Incision: This would involve standard closure of the incision site
30-d Readmission
5 Participants
12 Participants

Adverse Events

Prevena Peel & Place Dressing for Wound Closure

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Standard Closure of the Wound

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Prevena Peel & Place Dressing for Wound Closure
n=62 participants at risk
In the participants randomized to this arm the surgical site will be closed using Prevena Peel \& Place Dressing. Prevena Peel \& Place Dressing: Prevena Peel \& Place Dressing is a device that can be used for closure of the surgical site. It provides negative pressure to the surgical wound
Standard Closure of the Wound
n=61 participants at risk
In the participants randomized to this arm the surgical site will be closed using the standard closure technique. Standard Closure of the Surgical Incision: This would involve standard closure of the incision site
Hepatobiliary disorders
Postoperative pancreatic fistula
4.8%
3/62 • Number of events 3 • Within 90 days of surgery
11.5%
7/61 • Number of events 7 • Within 90 days of surgery
Gastrointestinal disorders
Delayed gastric emptying
9.7%
6/62 • Number of events 6 • Within 90 days of surgery
9.8%
6/61 • Number of events 6 • Within 90 days of surgery
Respiratory, thoracic and mediastinal disorders
Postoperative respiratory complications
4.8%
3/62 • Number of events 3 • Within 90 days of surgery
13.1%
8/61 • Number of events 8 • Within 90 days of surgery

Additional Information

Dr. Matthew J. Weiss

Johns Hopkins Hospital

Phone: 4106143368

Results disclosure agreements

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