Effectiveness, neuropsychological distress, teamwork, and ergonomics with procedures conducted in the i-Suite surgical environment

ISRCTN ISRCTN94152783
DOI https://doi.org/10.1186/ISRCTN94152783
Secondary identifying numbers ukb_6.1_2008
Submission date
31/03/2008
Registration date
11/04/2008
Last edited
11/04/2008
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Surgery
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Not provided at time of registration

Contact information

Prof Axel Ekkernkamp
Scientific

Department of Orthopaedic and Trauma Surgery
Unfallkrankenhaus Berlin
Warener Str. 7
Berlin
12683
Germany

Email axel.ekkernkamp@ukb.de

Study information

Study designSingle-centre, randomised controlled trial.
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific title
Study acronymENTERPRISE
Study objectivesA novel, integrated operating theatre environment (i-Suite™, Stryker) reduces the average or time in trauma, orthopaedic, and visceral procedures (i.e., the time interval from the patient's entry to discharge from the theatre) compared to a modern, conventional operating room by 20 ± SD 50 minutes (equating a moderate Cohen's effect size of 0.4 = 20/50).
Ethics approval(s)Institutional Review Board of the Charité University Medical Center. Date of approval: 06/02/2008 (ref: EA1/004/08)
Health condition(s) or problem(s) studiedAll elective orthopedic and/or trauma, or visceral surgical procedures.
InterventionExperimental intervention:

General orthopedic (e.g., total joint replacement), trauma, and surgical procedures (e.g., fracture fixation, abdominal and thoracic surgery) conducted in one of two integrated i-Suite operating theatres.

Control intervention:
A similar range of procedures, conducted in a conventional, last-generation operating theatre.
Intervention typeProcedure/Surgery
Primary outcome measureTime interval from the patient's entry to discharge from the operating theatre.
Secondary outcome measures1. Team-centered endpoints, recorded during operation:
1.1. Stress of surgeons, anaesthetists, and scrub nurses in charge, as measured by short questionnaire assessments and biological markers in saliva (cortisol and beta-endorphine) immediately before and after surgery
1.2. Quantity and quality of distracting events (e.g., phone calls, door openings, technical failures) that may prolong or compromise the procedure
1.3. Comfort and climate (e.g., space, noise, and others)
1.4. Perceived success of the procedure
1.5. Team interaction

2. Patient-centered endpoints:
2.1. Critical incidents, intra- and post-operative complications, monitored during hospital stay until discharge
2.2. Quality of Life (EuroQol [EQ5D]) questionnaire at baseline, discharge and 6 months after surgery (by post)
Overall study start date01/05/2008
Completion date01/05/2009

Eligibility

Participant type(s)Patient
Age groupAdult
Lower age limit18 Years
SexNot Specified
Target number of participants"Intent to treat" (ITT) population: 2 x 200 patients
Key inclusion criteria1. Consecutive patients >=18 years of age scheduled for orthopedic and/or trauma, or visceral surgery on weekdays between 8.00 am and 4.00 pm (core working hours)
2. Full ability to provide written informed consent
3. Both men and women
Key exclusion criteria1. Acute, emergency, or life-saving surgery
2. Refusal of trial participation
Date of first enrolment01/05/2008
Date of final enrolment01/05/2009

Locations

Countries of recruitment

  • Germany

Study participating centre

Department of Orthopaedic and Trauma Surgery
Berlin
12683
Germany

Sponsor information

Unfallkrankenhaus Berlin Trauma Center (Germany)
Hospital/treatment centre

Warener Str. 7
Berlin
12683
Germany

Email dirk.stengel@ukb.de
Website http://www.ukb.de
ROR logo "ROR" https://ror.org/011zjcv36

Funders

Funder type

Hospital/treatment centre

Unfallkrankenhaus Berlin Trauma Center (main funding body) (Germany)

No information available

Additional funding will be sought from Stryker (Germany)

No information available

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