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Evaluation of Post-discharge Surveillance Mobile Application for Surgical Site Infection

Not Applicable
Completed
Conditions
Surgical Wound Infection
Registration Number
NCT05455710
Lead Sponsor
University of Sao Paulo
Brief Summary

Objective: evaluate the effectiveness and usability of a mobile application for post-discharge surveillance of surgical site infection as a support system for clinical decision.

Detailed Description

Introduction: Infection of the surgical site (SSI) is one of the main infections related to health care, culminating in financial losses to the health system and high morbidity and mortality, which due to increasingly shorter hospital stays, from 13 to 75% is manifested at home of the patient, requiring health professionals to act more effectively in post-discharge surveillance of this condition. Therefore, considering this problem and the constant evolution of technological resources, with the increase in access and use of smartphones by the population, it is pertinent to develop a mobile application for post-discharge surveillance of surgical site infection. Objective: evaluate the effectiveness and usability of a mobile application for post-discharge surveillance of surgical site infection as a support system for clinical decision. Method: Randomized Clinical Trial to assess effectiveness of a mobile application for post-discharge surveillance of infection of the surgical site. The study will be developed in a large hospital in the city of São Paulo and the study participants will be surgical patients. Expected results: The mobile application for post-discharge surveillance is expected to collaborate in the early detection of potential cases of surgical site infection, to be able to improve post-discharge surveillance strategies, assist in data management, decision making and actions to prevent infection of the surgical site.

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
242
Inclusion Criteria
  • surgical patients aged 18 to 70 years
  • conscious, oriented,
  • literate
  • have a smartphone compatible with the use of the application
  • submitted to traditional anesthetic-surgical procedure
  • classified as potentially contaminated
  • experience the postoperative period at home
Exclusion Criteria
  • Patients with visual impairment
  • physical restriction or communication problems
  • undergoing surgery with implants
  • videolaparoscopies or robotics sugery
  • who already have the diagnosis of SSI at the time of discharge
  • have been admitted to the Intensive Care Unit in the postoperative period

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
effectiveness of the mobile app - specificityFour months

The effectiveness of the integrated mobile application for the SSI post-discharge surveillance in the correct and early identification of the SSI, through measures of specificity in percentage.

effectiveness of the mobile app - sensitivityFour months

The effectiveness of the integrated mobile application for the SSI post-discharge surveillance in the correct and early identification of the SSI, through measures of sensitivity in percentage.

Secondary Outcome Measures
NameTimeMethod
rate of adherenceFour months

The rate of adherence will be verified, quantitatively, according to the number of patients accessing the application and according to the successful telephone contact of healthcare professionals with patients.

usability and user satisfactionFour months

To assess usability and user satisfaction, the Measurement Inventory Usability Software will be used, in likert (agree and disagree), which 50 items, with user satisfaction in use in five usability dimensions: efficiency, satisfaction, usefulness , control and learning, each with 10 items.

Trial Locations

Locations (2)

Hospital Universitário UFSC

🇧🇷

Florianopolis, Brazil

ICESP

🇧🇷

São Paulo, Brazil

Hospital Universitário UFSC
🇧🇷Florianopolis, Brazil

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