Telemedicine Consultation in Trauma and Orthopedic

NCT00815243 | Completed

• 1 other identifier: 1-2007-2011
• Study Type: interventional
• Target: 300
• Locations: 1 country
• Sites: 5

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.

Conditions

Trauma; Congenital Bone and Joint Abnormalities; Joint Diseases; Orthopedic Surgery Complications

Keywords

fracture; coxarthrosis; complication; congenital abnormalities; bone; joint; telemedicine; transportation; decision making; outcomes

Outcome Measures

Primary Outcomes (1)

• 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 Outcomes (1)

• "Relevance of Telemedicine Consultation" Questionnaire

  one year

Study Arms (3)

Telemed

EXPERIMENTAL

Group of trauma\&orthopedic patients - for determination of clinical strategy and treatment plan telemedicine will be used

Procedure: Telemedicine consultation; Procedure: Treatment plan

InternalControl

ACTIVE COMPARATOR

Group of trauma\&orthopedic patients from 3rd level trauma center - for determination of clinical strategy and treatment plan usual clinical approaches will be used

Procedure: Treatment plan

ExternalControl

ACTIVE COMPARATOR

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

Procedure: Treatment plan

Interventions

Telemedicine consultation PROCEDURE

Standard synchronous or asynchronous telemedicine consultations according recommendations and best practice models of ISfTeH

Also known as: Telemedicine work station according national recommendations, Best practice models for teletrauma recognised by ISFTEH

Telemed

Treatment plan PROCEDURE

Treatment plan include diagnostic tests (physical examination, laboratory tests, xray, CT, MRI), medications and surgical treatment (debridements, osteosynthesis, arthroplasty, ORIF etc)

Also known as: Ilizarov frame, AO-Plate osteosynthesis, Intermedullar nailing, Total cemented/uncemented hip arthroplasty

ExternalControl; InternalControl; Telemed

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• 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

You may not qualify if:

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

Sponsors & Collaborators

• Donetsk National Medical University: lead

Study Sites (5)

Volnovakha Central Area Hospital

Volnovakha, Donetsk Oblast, 85700, Ukraine

Location

Gorlovka Municipal Hospital N2

Gorlovka, Donetskya Oblast, 84600, Ukraine

Location

Central Clinical Municipal Hospital N6

Donetsk, 83000, Ukraine

Location

Donetsk R&D Institute of Traumatology and Orthopedics

Donetsk, 83048, Ukraine

Location

Clinics of Maxillo-Fascial Surgery of DNMU

Donetsk, 83114, Ukraine

Location

Related Publications (2)

• Vladzymyrskyy AV. Four years' experience of teleconsultations in daily clinical practice. J Telemed Telecare. 2005;11(6):294-7. doi: 10.1258/1357633054893337.

  PMID: 16168165 BACKGROUND

• Vladzymyrskyy AV. Our experience with telemedicine in traumatology and orthopedics. Ulus Travma Acil Cerrahi Derg. 2004 Jul;10(3):189-91.

  PMID: 15286891 BACKGROUND

Related Links

• Best Practice Models in Telemedicine for Trauma (recognized by ISFTEH)
• Med-e-Tel Digital Library: 2005-2007 presentations and papers about telemedicine activity of investigators

MeSH Terms

Conditions

Wounds and Injuries; Joint Diseases; Fractures, Bone; Osteoarthritis, Hip; Congenital Abnormalities

Condition Hierarchy (Ancestors)

Musculoskeletal Diseases; Osteoarthritis; Arthritis; Rheumatic Diseases; Congenital, Hereditary, and Neonatal Diseases and Abnormalities

Study Officials

• Anton V Vladzymyrskyy, M.D.

  R&D Institute of Traumatology and Orthopedics

  PRINCIPAL INVESTIGATOR

• Volodymyr G Klymovytskyy, Professor

  R&D Institute of Traumatology and Orthopedics

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NON RANDOMIZED
• Masking: NONE
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER

Study Record Dates

• First Submitted: December 26, 2008
• First Posted: December 29, 2008
• Study Start: September 1, 2007
• Primary Completion: April 1, 2008
• Study Completion: September 1, 2008
• Last Updated: December 29, 2008

Record last verified: 2008-12

Locations

UA (5)