Telemedicine Consultation in Trauma and Orthopedic

Donetsk National Medical University300 enrolled

Overview

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.

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.

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

300

Conditions

Trauma Congenital Bone and Joint Abnormalities Joint Diseases Orthopedic Surgery Complications

Interventions

Telemedicine consultationPROCEDURE

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

Treatment planPROCEDURE

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

Eligibility

Sex: ALL

Medical Language ↔ Plain English

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

Locations (5)

Volnovakha Central Area Hospital

Volnovakha, Donetsk Oblast, Ukraine

Gorlovka Municipal Hospital N2

Gorlovka, Donetskya Oblast, Ukraine

Central Clinical Municipal Hospital N6

Donetsk, Ukraine

Donetsk R&D Institute of Traumatology and Orthopedics

Donetsk, Ukraine

Outcomes

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

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.