Evidence map›Paper›PMID 35799456›Full record

ArticleInternational wound journal2022

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.

Kylie Sandy-Hodgetts, Richard Norman, Stephen Edmondston, Zaheerah Haywood, Leigh Davies, Katrina Hulsdunk, Jessica Barlow, Piers Yates

Open access · goldAbstract readClinical Trial Protocol
In one paragraph

Article in International wound journal, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.2field-weighted citation impact, top 13% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 1 country.

Kylie Sandy-HodgettsCentre for Molecular Medicine & Innovative Therapeutics, School of Biomedical Sciences, University of Western Australia, Director Skin Integrity Research Institute, Perth, Western Australia, Australia.ORCID https://orcid.org/0000-0001-6848-2526
Richard NormanSchool of Public Health, Curtin University, Perth, Western Australia, Australia.
Stephen EdmondstonSt John of God Murdoch Hospital Murdoch, Western Australia, Australia.
Zaheerah HaywoodSt John of God Murdoch Hospital Murdoch, Western Australia, Australia.
Leigh DaviesSt John of God Health Care, Murdoch, Western Australia, Australia.
Katrina HulsdunkSt John of God Health Care, Murdoch, Western Australia, Australia.
Jessica BarlowWound Care, St John of God Health Care, Murdoch, Western Australia, Australia.
Piers YatesSt John of God Murdoch Hospital Murdoch, Western Australia, Australia.
St John of God Murdoch Hospital · AUMurdoch University · AUCurtin University · AUThe University of Western Australia · AU

Funding

University of Western Australia
6 · The paper itself

Abstract

Total hip or knee arthroplasty is a highly effective intervention for treating the symptoms of degenerative joint disease or osteoarthritis (OA), often an unwelcome consequence of obesity. A safe and common surgical procedure, hip and knee arthroplasty procedures are 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% to 2% in some cases, it is the resulting wound complication and its clinical management and the impact on patient well-being and return to daily life for the 1% to 2% that is of concern. Postoperative complications such as SSI are a major cost driver to the health care system following arthroplasty and often result in extended lengths of stay, readmission for further surgery, primary and community nursing visits, and are a costly burden to health care settings. Early identification of a wound complication through post-discharge surveillance using a fully transparent dressing and smartphone technology and patient education may ameliorate contributing factors or reduce the likelihood of a complication occurring in the first instance. This clinical trial is a non-randomised pragmatic convenience sample carried out in 200 participants of both sexes receiving either a TKA or THA. There will be equal allocation to two groups (100 hips and 100 knees), with 50 in each allocation receiving the interventional dressing and 50 as control. The dressing will be applied prior to discharge and participants will be provided with education on postoperative wound care, when to contact home care nursing for a potential wound problem, and use of their smartphone to capture and send images of their incision site to the study nurses. Participants will also be followed up by home care nursing services at day 14 for suture removal and wound assessment. Participants will complete a patient-reported outcomes survey on day 14 and followed up on day 30 after surgery for wound assessment. The results of this trial may provide a novel pathway using a fully transparent dressing and digital technologies for the prevention of acute readmissions because of wound complications through early detection and intervention.

Indexed as

Surgical WoundAftercareBandagesFemaleHumansMaleNon-Randomized Controlled Trials as TopicPatient DischargePragmatic Clinical Trials as TopicSmartphoneSurgical Wound Infectionearly detectionorthopaedic surgerypreventionSSI surveillancesurgical site infectiontelemedicinewound infection

Identifiers

PMID35799456
PMCPMC9705176
OpenAlexW4284881327

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.