Evaluation of Surgical Site Infection After Cesarean Section
Remote Assessment of the Permanent Site After Cesarean Section: A Randomized Controlled Trial
1 other identifier
interventional
216
1 country
1
Brief Summary
This study aims to investigate surgical site monitoring after cesarean section using a mobile application currently being developed. This mobile application aims to facilitate early diagnosis of surgical site infection, reduce clinic visits for wound monitoring, and consequently reduce labor, travel, and care costs. In this context, a randomized controlled design will be conducted between the study and control groups to compare surgical site infection rates, time to diagnosis, number of clinic visits, frequency of hospitalization, care costs, and patient satisfaction.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2025
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 5, 2025
CompletedFirst Submitted
Initial submission to the registry
September 25, 2025
CompletedFirst Posted
Study publicly available on registry
October 3, 2025
CompletedPrimary Completion
Last participant's last visit for primary outcome
January 20, 2026
CompletedStudy Completion
Last participant's last visit for all outcomes
February 5, 2026
CompletedMarch 3, 2026
February 1, 2026
1 year
September 25, 2025
February 28, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Surgical Site Infection (SSI) within 30 days (CDC criteria)
SSI status adjudicated per CDC criteria by a blinded outcomes assessor.
30 days post-cesarean
Study Arms (2)
Standard Care (Usual Care) - routine postpartum wound care instructions and scheduled follow-up.
NO INTERVENTIONMobile App Telemonitoring + Standard Care
EXPERIMENTALInterventions
Articipants complete a brief symptom questionnaire and upload a standardized photo of the cesarean incision on postpartum days 3, 7, and 15 (±1 day) via the study mobile platform. Patients will be reminded remotely on these mandatory days. They will be informed that if they have concerns about the wound outside of these mandatory days, they can use the app and share their survey and image data. The surveys and images uploaded to the app will be evaluated by the researcher and reviewed by a clinician. Retakes will be requested for photos that are not of sufficient quality for evaluation. Clinical recommendations after review will be based on the patient's reported symptoms, and the wound images will provide additional information on this topic. One month after the cesarean section, all participants will be contacted by the researcher. They will be asked about the current status of their wounds and a patient satisfaction survey will be administered.
Eligibility Criteria
You may qualify if:
- Women who have had a Caesarean section
- Aged between 18 and 45 years
- Own a smartphone with internet access
- Provide informed consent
- Have adequate Turkish reading comprehension
You may not qualify if:
- Presence of illnesses that prevent the use of the online survey or application (e.g., visual impairment, neuropsychiatric illness)
- Failure to comply with study procedures (e.g., incomplete or missing forms)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Istinye University
Istanbul, Turkey (Türkiye)
Related Publications (3)
Rochon M, Jawarchan A, Fagan F, Otter JA, Tanner J. Image-based digital post-discharge surveillance in England: measuring patient enrolment, engagement, clinician response times, surgical site infection, and carbon footprint. J Hosp Infect. 2023 Mar;133:15-22. doi: 10.1016/j.jhin.2023.01.001. Epub 2023 Jan 13.
PMID: 36642336RESULTMcLean KA, Sgro A, Brown LR, Buijs LF, Daines L, Potter MA, Bouamrane MM, Harrison EM. Evaluation of remote digital postoperative wound monitoring in routine surgical practice. NPJ Digit Med. 2023 May 5;6(1):85. doi: 10.1038/s41746-023-00824-9.
PMID: 37147462RESULTMcLean KA, Mountain KE, Shaw CA, Drake TM, Pius R, Knight SR, Fairfield CJ, Sgro A, Bouamrane M, Cambridge WA, Lyons M, Riad A, Skipworth RJE, Wigmore SJ, Potter MA, Harrison EM; TWIST Collaborators. Remote diagnosis of surgical-site infection using a mobile digital intervention: a randomised controlled trial in emergency surgery patients. NPJ Digit Med. 2021 Nov 18;4(1):160. doi: 10.1038/s41746-021-00526-0.
PMID: 34795398RESULT
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
SİBEL BULUT HAKLI
Istinye University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- OUTCOMES ASSESSOR
- Purpose
- DIAGNOSTIC
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR INVESTIGATOR
- PI Title
- PhD Candidate
Study Record Dates
First Submitted
September 25, 2025
First Posted
October 3, 2025
Study Start
January 5, 2025
Primary Completion
January 20, 2026
Study Completion
February 5, 2026
Last Updated
March 3, 2026
Record last verified: 2026-02