The effect of pre-operative warming on wound infection rates after clean surgery

ISRCTN ISRCTN54949546
DOI https://doi.org/10.1186/ISRCTN54949546
Secondary identifying numbers AP0728
Submission date
01/03/2001
Registration date
01/03/2001
Last edited
07/01/2010
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English summary of protocol

Not provided at time of registration

Contact information

Mr Andrew Melling
Scientific

Professorial Unit of Surgery
North Tees and Hartlepool NHS Trust
North Tees General Hospital
Stockton-on-Tees
TS19 8PE
United Kingdom

Phone +44 (0)1642 624087
Email AndyMelling@compuserve.com

Study information

Study designRandomised controlled trial
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Hospital
Study typeTreatment
Scientific titleLaser doppler flowmetry of skin circulation to measure the effects of using two warming therapies: a randomised clinical trial of surgical patients
Study objectivesTo assess whether warming patients before short duration, clean surgery will reduce infection rates.
Ethics approval(s)No ethics approval information required at time of registration
Health condition(s) or problem(s) studiedInfection during surgery
InterventionPatients were randomised to one of three groups:
1. Standard treatment - no warming
2. Local warming - a minimum of 30 minutes localised warming to the potential incision site using a waming dressing
3. Systemic warming - a minimum of 30 minutes warming to the whole body using a warm blown air blanket

Both warming devices were applied prior to surgery. A cohort of patients had laser doppler and TcPO2 recordings taken prior to warming, after warming and after surgery.
Intervention typeProcedure/Surgery
Primary outcome measureWound infection; masked outcome assessments made at 2 and 6 weeks
Secondary outcome measuresAdded as of 07/01/2010:
1. Skin preparation; masked outcome assessments made at 2 and 6 weeks
2. Length of operation; masked outcome assessments made at 2 and 6 weeks
3. Administration of prophylactic antibiotics; masked outcome assessments made at 2 and 6 weeks
4. Experience of the operating surgeon; masked outcome assessments made at 2 and 6 weeks
5. Core temperature, measured before any treatment, after any warming, and after surgery
Overall study start date01/01/2001
Completion date31/12/2001

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants421
Key inclusion criteria1. Patients having clean breast, varicose vein or hernia surgery

Added as of 07/01/2010:
2. Surgery results in a scar longer than 3 cm in length
Key exclusion criteriaAdded as of 07/01/2010:
1. Under the age of 18 years
2. Pregnant
3. Taking long-term oral steroids
4. Received radiotherapy (to the incision site) or chemotherapy in the last 4 weeks
5. Had an infection at the time of surgery
Date of first enrolment01/01/2001
Date of final enrolment31/12/2001

Locations

Countries of recruitment

  • England
  • United Kingdom

Study participating centre

Professorial Unit of Surgery
Stockton-on-Tees
TS19 8PE
United Kingdom

Sponsor information

Action Medical Research (UK)
Charity

Vincent House
Horsham West Sussex
RH12 2DP
United Kingdom

Website http://www.action.org.uk/
ROR logo "ROR" https://ror.org/01wcqa315

Funders

Funder type

Charity

Action Medical Research (UK)
Private sector organisation / Trusts, charities, foundations (both public and private)
Alternative name(s)
actionmedres, action medical research for children, AMR
Location
United Kingdom

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article results 15/09/2001 Yes No