Evaluation of Post-discharge Surveillance Mobile Application for Surgical Site Infection as a Clinical Decision Support System
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 242
- 试验地点
- 2
- 主要终点
- effectiveness of the mobile app - specificity
研究概览
简要总结
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.
详细描述
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.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Health Services Research
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 70 Years(Adult, Older Adult)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •surgical patients aged 18 to 70 years
- •conscious, oriented,
- •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
排除标准
- •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
结局指标
主要结局
effectiveness of the mobile app - specificity
时间窗: Four 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 - sensitivity
时间窗: Four 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.
次要结局
- rate of adherence(Four months)
- usability and user satisfaction(Four months)
研究者
Camila Dalcól
Principal Investigator
University of Sao Paulo
