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Trial registered on ANZCTR
Registration number
ACTRN12620000004965
Ethics application status
Approved
Date submitted
10/09/2019
Date registered
8/01/2020
Date last updated
29/09/2024
Date data sharing statement initially provided
8/01/2020
Type of registration
Prospectively registered
Titles & IDs
Public title
A non randomised pragmatic trial for the early detection and prevention of surgical wound complications using an advanced hydropolymer wound dressing and smartphone technology; the EDISON study.
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Scientific title
A non randomised pragmatic trial for the early detection and prevention of surgical wound complications using an advanced hydroplymer wound dressing and smartphone techonology; the EDISON study.
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Secondary ID [1]
299240
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NIL
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Universal Trial Number (UTN)
U1111-1239-9961
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Trial acronym
EDISON
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
wound healing
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obesity
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surgical site infection
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Condition category
Condition code
Skin
312706
312706
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0
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Dermatological conditions
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Infection
312707
312707
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0
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Studies of infection and infectious agents
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Skin
312708
312708
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0
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Other skin conditions
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Diet and Nutrition
312831
312831
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0
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Obesity
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The participant will have a standard surgical dressing covering their surgical incision after surgery. The dressing is a transparent hydroplymer wound dressing, currently used in clinical practice. The dressing is transparent and allows for complete visibility of wound healing progress whilst leaving the dressing intact. The dressing wear time is 7 days. The patient will have the ability to capture digital images of their incisional wound via their smartphone, while at home, and transmit them to the study clinician for review and early identification of potential wound complications. Photos will be sent daily to the study clinician for review. For monitoring and compliance the participant will be in contact with study personnel every second day to assist with queries or troubleshooting.
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Intervention code [1]
315611
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Early detection / Screening
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Intervention code [2]
315612
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Prevention
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Comparator / control treatment
This is a non randomised pragmatic trial that does not utilise a comparator.
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Control group
Uncontrolled
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Outcomes
Primary outcome [1]
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1. Primary clinical outcome: Occurrence of surgical wound complications: surgical site infection as assessed by the study clinician and per the Centres for Disease Control definition (1) and /or SWD (Y/N) as classified using the Sandy/WUWHS SWD Grading System (2). Photos will be utilised to determine this outcome along side further clinical consultation direct with the patient in a clinic.
(1)Horan TC, Gaynes RP, Martone WJ, Jarvis WR, Emori TG. CDC definitions of nosocomial surgical site infections, 1992: a modification of CDC definitions of surgical wound infections. Infection control and hospital epidemiology. 1992;13(10):606-8.
(2)World Union of Wound Healing Societies (WUWHS) Consensus Document. Surgical wound dehiscence: improving prevention and outcomes. Wounds International, 2018
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Assessment method [1]
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Timepoint [1]
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Day 1 to Day 30 post operative.
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Secondary outcome [1]
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Perceptions of wound healing using Quality of life assessment using a validated questionnaire EuroQol EQ-5D (1).
(1) Herdman M, Gudex C, Lloyd A, Janssen M, Kind P, Parkin D, et al. Development and preliminary testing of the new five-level version of EQ-5D (EQ-5D-5L). Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 2011;20(10):1727-36.
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Assessment method [1]
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Timepoint [1]
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Day 30 post operative.
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Eligibility
Key inclusion criteria
Consenting male or female adults who are scheduled to undergo an elective hip or knee arthroplasty.
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Minimum age
18
Years
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Maximum age
90
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
None
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Single group
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Other design features
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Phase
Phase 4
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
Descriptive statistics for baseline reporting
Parametric and non parametric tests for significance
Logistic regression to identify independent predictors associated with complications
Survivorship curve and risk analysis
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Recruitment
Recruitment status
Completed
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Date of first participant enrolment
Anticipated
24/03/2020
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Actual
8/01/2024
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Date of last participant enrolment
Anticipated
24/08/2020
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Actual
26/09/2024
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Date of last data collection
Anticipated
24/11/2020
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Actual
26/09/2024
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Sample size
Target
200
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Accrual to date
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Final
200
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Recruitment in Australia
Recruitment state(s)
WA
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Funding & Sponsors
Funding source category [1]
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University
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Name [1]
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University of Western Australia
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Address [1]
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35 Stirling Highway, Nedlands WA 6009
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Country [1]
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Australia
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Primary sponsor type
University
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Name
University of Western Australia
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Address
35 Hackett Drive, Crawley
WA 6009
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Country
Australia
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Secondary sponsor category [1]
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None
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Name [1]
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Address [1]
304889
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Country [1]
304889
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
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University of Westen Australia
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Ethics committee address [1]
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35 Hackett Drive, Crawley, WA 6009
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Ethics committee country [1]
304300
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Australia
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Date submitted for ethics approval [1]
304300
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28/01/2020
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Approval date [1]
304300
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Ethics approval number [1]
304300
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Ethics committee name [2]
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St John of God Health Care Human Research Ethics Committee
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Ethics committee address [2]
316227
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https://www.sjog.org.au/about-us/research/human-research-ethics-committee
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Ethics committee country [2]
316227
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Australia
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Date submitted for ethics approval [2]
316227
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20/11/2023
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Approval date [2]
316227
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06/11/2023
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Ethics approval number [2]
316227
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HREC#1843
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Summary
Brief summary
A safe and common surgical procedure; hip and knee arthroplasty (THA, TKA) is not immune to the occurrence of postoperative complications such as surgical site infection (SSI) or surgical wound dehiscence (SWD). While published rates of SSI following hip or knee arthroplasty are low, 1-2% in some cases, it is the resulting wound complication and its clinical management and the catastrophic impact to the patient’s wound healing and wellbeing and return to daily life that is of considerable concern. Complications such as surgical site infection and/or dehiscence following TKA and THA, often result in extended lengths of stay, readmission for further surgery, primary and community nursing visits, and are a costly burden to healthcare settings. To address the evidence gap for the early identification and prevention of postoperative wound complications in obese patients following hip or knee arthroplasty, a non randomized pragmatic trial is proposed which will utilize an advanced hydropolymer wound dressing coupled with smartphone technology for the early identification of complication and prevention. The advanced wound hydropolymer dressing is transparent and allows for complete visibility of the incision line. This allows the patient to send digital images of their incision line to the clinician who is able determine the healing progress of the participants surgical wound. The use of digital images of the wound sent to the clinician for assessment remotely and without removal of the dressing potentially removes the need for hospital readmission due the ability to diagnose a complication early and intervene. Furthermore, use of this patient engaged model empowers the patient in their wound healing. This study will determine the feasibility of such a model in the post discharge setting to assist in reducing the number of hospital readmission due to surgical wound breakdowns, often diagnosed and treated too late to prevent the escalation to a catastrophic wound breakdown.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
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Dr Kylie Sandy-Hodgetts
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Address
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Burn Injury Research Unit,
School of Biomedical Sciences
Faculty of Medical and Health Sciences
CTEC Bldg, Entrance 2, Hackett Drive, Crawley,
University of Western Australia, WA 6009
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Country
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Australia
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Phone
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+61 8 6488 8587
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Fax
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Email
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[email protected]
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Contact person for public queries
Name
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Kylie Sandy-Hodgetts
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Address
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Burn Injury Research Unit,
School of Biomedical Sciences
Faculty of Medical and Health Sciences
CTEC Bld, Entrance 2, Hackett Drive, Crawley,
University of Western Australia, WA 6009
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Country
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Australia
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Phone
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+61 8 6488 8587
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Fax
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Email
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[email protected]
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Contact person for scientific queries
Name
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Kylie Sandy-Hodgetts
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Address
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Burn Injury Research Unit,
School of Biomedical Sciences
Faculty of Medical and Health Sciences
CTEC Bld, Entrance 2, Hackett Drive, Crawley,
University of Western Australia, WA 6009
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Country
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Australia
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Phone
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+61 8 6488 8587
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Fax
96448
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Email
96448
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[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
Data will be de-identified and available in aggregate form, however IPD will not be available due to Section 95A of the Privacy Act.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Embase
A non-randomised pragmatic trial for the early detection and prevention of surgical wound complications using an advanced hydropolymer wound dressing and smartphone technology: The EDISON trial protocol.
2022
https://dx.doi.org/10.1111/iwj.13823
N.B. These documents automatically identified may not have been verified by the study sponsor.
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