Circular pOlyethylene Drape in preVention of Surgical Site infEction: A Randomized Controlled Trial
COVER
Randomized Controlled Trial to Evaluate the Effectiveness and Efficacy of a Sterile Circular Polyethylene Drape Compared to Conventional Surgical Dressing in Prevention of Surgical Site Infection
1 other identifier
interventional
457
1 country
13
Brief Summary
This study is to evaluate the effectiveness of the plastic ring wound retractor to reduce the rate of surgical site infection in patients who undergo open abdomen surgery for gastrointestinal tract.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jul 2017
Longer than P75 for not_applicable
13 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
May 26, 2017
CompletedFirst Posted
Study publicly available on registry
May 31, 2017
CompletedStudy Start
First participant enrolled
July 12, 2017
CompletedPrimary Completion
Last participant's last visit for primary outcome
July 11, 2022
CompletedStudy Completion
Last participant's last visit for all outcomes
September 30, 2022
CompletedMay 10, 2023
May 1, 2023
5 years
May 26, 2017
May 9, 2023
Conditions
Outcome Measures
Primary Outcomes (1)
The rate of surgical wound infection
The rate of surgical wound infection will be monitored for each group.
within 30 days postoperative
Study Arms (2)
O-Trac
EXPERIMENTALThe experimental group will use the plastic ring wound retractor for wound protection during the surgery.
Surgical pad
NO INTERVENTIONThe control group will use a conventional surgical pad for wound protection during the surgery.
Interventions
the experimental arm will use the plastic ring wound retractor for wound protection.
Eligibility Criteria
You may qualify if:
- age older than 18 years or less than 75 years
- either elective or emergent surgery for upper GI, small intestine, or colorectal disease
- open laparotomy
- the patient who agrees to participate in this trial
You may not qualify if:
- concurrent abdominal wall infection
- open conversion from laparoscopy
- poor nutritional status, NRS 2002 score 3
- combined hepatobiliary operation
- pregnant or breast-feeding state
- severe immunosuppression
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (13)
Chonnam National University Hospital
Gwangju, Chonnam, South Korea
Hallym University Chuncheon Sacred Heart Hospital
Chuncheon, Gangwondo, 200-704, South Korea
National Health Insurance Service Ilsan Hospital
Goyang-si, Gyeonggi-do, 10444, South Korea
Seoul National University Bundang Hospital
Seongnam-si, Gyeonggi-do, 13620, South Korea
St. Vincent's Hospital
Suwon, Gyeonggi-do, 442-723, South Korea
Ajou University of Hospital
Suwon, Gyeonggi-do, South Korea
Ujeongbu St Mary's Hospital, The Catholic University of Korea
Uijeongbu-si, Gyeonggi-do, 480-717, South Korea
Keimyung University Dongsan Medical Center
Daegu, Gyeongsangbukdo, 41931, South Korea
Kyung Hee University Hospital at Gangdong
Seoul, 05278, South Korea
Seoul St. Mary's Hospital, The Catholic University of Korea
Seoul, 06591, South Korea
Chung-Ang University Hospital
Seoul, South Korea
Eunpyeong St. Mary's hospital
Seoul, South Korea
Yeouido St. Mary's hospital, The Catholic University of Korea
Seoul, South Korea
Related Publications (5)
Mihaljevic AL, Michalski CW, Erkan M, Reiser-Erkan C, Jager C, Schuster T, Schuhmacher C, Kleeff J, Friess H. Standard abdominal wound edge protection with surgical dressings vs coverage with a sterile circular polyethylene drape for prevention of surgical site infections (BaFO): study protocol for a randomized controlled trial. Trials. 2012 May 15;13:57. doi: 10.1186/1745-6215-13-57.
PMID: 22587425BACKGROUNDMihaljevic AL, Schirren R, Ozer M, Ottl S, Grun S, Michalski CW, Erkan M, Jager C, Reiser-Erkan C, Kehl V, Schuster T, Roder J, Clauer U, Orlitsch C, Hoffmann TF, Lange R, Harzenetter T, Steiner P, Michalski M, Henkel K, Stadler J, Pistorius GA, Jahn A, Obermaier R, Unger R, Strunk R, Willeke F, Vogelsang H, Halve B, Dietl KH, Hilgenstock H, Meyer A, Kramling HJ, Wagner M, Schoenberg MH, Zeller F, Schmidt J, Friess H, Kleeff J. Multicenter double-blinded randomized controlled trial of standard abdominal wound edge protection with surgical dressings versus coverage with a sterile circular polyethylene drape for prevention of surgical site infections: a CHIR-Net trial (BaFO; NCT01181206). Ann Surg. 2014 Nov;260(5):730-7; discussion 737-9. doi: 10.1097/SLA.0000000000000954.
PMID: 25379844RESULTPinkney TD, Calvert M, Bartlett DC, Gheorghe A, Redman V, Dowswell G, Hawkins W, Mak T, Youssef H, Richardson C, Hornby S, Magill L, Haslop R, Wilson S, Morton D; West Midlands Research Collaborative; ROSSINI Trial Investigators. Impact of wound edge protection devices on surgical site infection after laparotomy: multicentre randomised controlled trial (ROSSINI Trial). BMJ. 2013 Jul 31;347:f4305. doi: 10.1136/bmj.f4305.
PMID: 23903454RESULTYoo N, Mun JY, Kye BH, Kim CW, Lee JI, Park YY, Kang BM, Park BK, Kwak HD, Kang WK, Bae SU, Oh HK, Hong Y, Kim HJ. Plastic Wound Protector vs Surgical Gauze for Surgical Site Infection Reduction in Open GI Surgery: A Randomized Clinical Trial. JAMA Surg. 2024 Jul 1;159(7):737-746. doi: 10.1001/jamasurg.2024.0765.
PMID: 38656413DERIVEDYoo RN, Kim HJ, Lee JI, Kang WK, Kye BH, Kim CW, Bae SU, Nam S, Kang BM. Circular pOlyethylene drape in preVEntion of suRgical site infection (COVER trial): study protocol for a randomised controlled trial. BMJ Open. 2020 Jan 22;10(1):e034687. doi: 10.1136/bmjopen-2019-034687.
PMID: 31974091DERIVED
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
HyungJin Kim, MD
Eunpyeong St. Mary's Hospital, The Catholic University of Korea
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Masking Details
- Each participant will be under the general anesthesia without knowing which group is assigned to.
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Professor
Study Record Dates
First Submitted
May 26, 2017
First Posted
May 31, 2017
Study Start
July 12, 2017
Primary Completion
July 11, 2022
Study Completion
September 30, 2022
Last Updated
May 10, 2023
Record last verified: 2023-05
Data Sharing
- IPD Sharing
- Will not share