Telemedicine Consultation in Trauma and Orthopedic

Not Applicable

Completed

• Conditions: Congenital Bone and Joint Abnormalities; Trauma; Joint Diseases; Orthopedic Surgery Complications
• Interventions: Procedure: Telemedicine consultation; Procedure: Treatment plan

• Registration Number: NCT00815243
• Lead Sponsor: Donetsk National Medical University

Brief Summary

The purpose of this study is to determine whether telemedicine consultations (lead by standard scheme)allows to increase quality of anatomical and functional outcomes and improve clinical work-flow at patients with acute bone and joint trauma, hip pathology and congenital orthopedics abnormalities.

Detailed Description

Levels of bad outcomes, untimely death and disability due to acute trauma, specific orthopedic pathology (congenital, coxarthrosis) and non-efficient organisation of clinical work-flow are still very high (especially in rural areas). Standard telemedicine work stations (with special protocols and manuals for original approach to telemedicine activity organisation and management) will be placed into small municipal and rural hospitals. Telemedicine links will be established between 3rd level Trauma\&Ortho center and remote sites. Synchronous and asynchronous teleconsultations will be perform for help in evidence-based timely clinical decisions, continual support of clinical wor-flow and treatment process.

Study Timeline

• Study Start: 2007-09
• Primary Completion: 2008-04
• Study Completion: 2008-09
• Status Verified: 2008-12
• Study First Submitted: 2008-12-26
• Study First Submitted QC: 2008-12-26
• Last Update Submitted: 2008-12-26
• Study First Posted: 2008-12-29
• Last Update Posted: 2008-12-29

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 300

Inclusion Criteria

• Clinical diagnosis of injury of locomotorium (isolated or polytrauma)
• Clinical diagnosis of bone and joint congenital abnormalities or intranatal injury
• Clinical diagnosis of knee, hip arthrosis
• Clinical diagnosis of complication of surgery (unstable, fracture of construction etc)
• Diagnosis is already present
• Primary decision of clinical strategy have to be done (transportation, level of care, method of treatment, surgery peculiarities)
• Indications for teleconsultations determined by physician

Exclusion Criteria

• Diagnosis is not present
• Patient's self-request for teleconsultations
• No reliable feed-back with attending physician

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Telemed	Telemedicine consultation	Group of trauma\&orthopedic patients - for determination of clinical strategy and treatment plan telemedicine will be used
Telemed	Treatment plan	Group of trauma\&orthopedic patients - for determination of clinical strategy and treatment plan telemedicine will be used
InternalControl	Treatment plan	Group of trauma\&orthopedic patients from 3rd level trauma center - for determination of clinical strategy and treatment plan usual clinical approaches will be used
ExternalControl	Treatment plan	Group of trauma\&orthopedic patients from 1-2rd level trauma centers (in rural and small municipal hospitals) - for determination of clinical strategy and treatment plan personal arriving of the expert by the car (so-called Urgent Expert Care) will be used

Primary Outcome Measures

Name	Time	Method
Scales for outcomes in trauma and orthopedic (Harris Hip Score, national protocol for trauma outcomes). Sets of criteria: ARR, RRR, ABІ, RBI, RR, odds ratio and NNT	one year

Secondary Outcome Measures

Name	Time	Method
"Relevance of Telemedicine Consultation" Questionnaire	one year

Trial Locations

Locations (5)

Volnovakha Central Area Hospital; 🇺🇦 Volnovakha, Donetskaya oblast, Ukraine

Donetsk R&D Institute of Traumatology and Orthopedics; 🇺🇦 Donetsk, Ukraine

Gorlovka Municipal Hospital N2; 🇺🇦 Gorlovka, Donetskya oblast, Ukraine

Central Clinical Municipal Hospital N6; 🇺🇦 Donetsk, Ukraine

Clinics of Maxillo-Fascial Surgery of DNMU; 🇺🇦 Donetsk, Ukraine