Telemedicine Consultation in Trauma and Orthopedic

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.

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Key information

Conditions

Trauma Arthritis Congenital Abnormalities Congenital Bone and Joint Abnormalities Congenital, Hereditary, and Neonatal Diseases and Abnormalities Fractures, Bone Joint Diseases Musculoskeletal Diseases Orthopedic Surgery Complications Osteoarthritis Osteoarthritis, Hip Rheumatic Diseases Wounds and Injuries

Sex eligibility

All sexes

Study type

Interventional

Phase

Not applicable

Primary location

Volnovakha Central Area Hospital, Volnovakha, Donetsk Oblast, Ukraine

About this study

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.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Telemedicine consultation

Procedure

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

Other names: Telemedicine work station according national recommendations, Best practice models for teletrauma recognised by ISFTEH

Treatment plan

Procedure

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

Other names: Ilizarov frame, AO-Plate osteosynthesis, Intermedullar nailing, Total cemented/uncemented hip arthroplasty

Primary outcomes

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

Time frame: one year

Secondary outcomes

"Relevance of Telemedicine Consultation" Questionnaire

Time frame: one year

Sponsors and collaborators

Lead sponsor

Donetsk National Medical University

Other

Registry information

Official study title

Study of Clinical Workflow Changes, Anatomical and Functional Outcomes Due to Telemedicine Consultations in Trauma and Orthopedic

Acronym: TeleTO

Important dates

Study start: 2007
Primary completion: 2008
Study completion: 2008
First posted: Dec 29, 2008
Registry last updated: Dec 29, 2008

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

Published trials that share one or more normalized conditions with this study.

Completed