A pilot randomised controlled trial of Negative Pressure Wound Therapy (NPWT) in Hospital in the Home (HITH) to treat post-operative foot wounds
- Conditions
- Post operative foot woundsDiabetesOther - Research that is not of generic health relevance and not applicable to specific health categories listed above
- Registration Number
- ACTRN12612000885897
- Lead Sponsor
- Department of Health Victoria
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Withdrawn
- Sex
- All
- Target Recruitment
- 10
Male and female participants aged over 18 years
-Post-operative foot amputation to the trans metatarsal level of foot
greater than or equal to 5cm2 to less than or equal to 20 cm2 measured by digital planimetry
-Adequate peripheral perfusion (Ankle Brachial indices greater than 0.7mm Hg,)
-Fit Austin HITH discharge criteria
Patients diagnosed with malignant foot wounds, unexplored fistula, exposed blood vessels, necrotic tissue with eschar, unstable coagulation therapy, untreated osteomyelitis and/or wound infection, malnutrition and /or low serum albumin. (NPWT guidelines)
-Patients who cannot tolerate NPWT as inpatient prior to discharge to HITH
-Patients with cognitive impairment/dementia.
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method The primary endpoint will be proportion of wounds healed using clinical assessment and Visitrak wound measurement system[within 8 weeks compared for the two groups.<br>measured with clinical assesments]
- Secondary Outcome Measures
Name Time Method time to healing[Wound tracings will be calculated with Visitrak wound management system at baseline and weekly for 8 weeks or until healed (whichever comes first).];frequency of treatment,[measured with clinical assesments and nursing treatment visits weekly for 8 weeks or until healed (whichever comes first).];wound recurrence[1 month post healing<br>measured with clinical assesments and participant self report of wound recurrence];resources used/costs[measured weekly for 8 weeks with participant self report and medical records data];recruitment rates[researchers will document number of participants screened and recruited weekly for 8 weeks];Pain and health -related quality of life[Overall pain: Participant's global assessment of overall pain and activity-related pain will be measured with a standardized 0[no pain] -100 [maximum pain] numerical scale at each visit. <br>Health-related quality of life: will be meausred at Baseline and 8 weeks)]