Trauma, Congenital Bone and Joint Abnormalities, Joint Diseases, Orthopedic Surgery Complications
Conditions
Keywords
fracture, coxarthrosis, complication, congenital abnormalities, bone, joint, telemedicine, transportation, decision making, outcomes
Brief summary
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.
Detailed description
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.
Interventions
PROCEDURETelemedicine consultation
Standard synchronous or asynchronous telemedicine consultations according recommendations and best practice models of ISfTeH
PROCEDURETreatment plan
Treatment plan include diagnostic tests (physical examination, laboratory tests, xray, CT, MRI), medications and surgical treatment (debridements, osteosynthesis, arthroplasty, ORIF etc)
Sponsors
Donetsk National Medical University
Study design
Allocation
NON_RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 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 | one year |
Secondary
| Measure | Time frame |
|---|---|
| Relevance of Telemedicine Consultation Questionnaire | one year |
Countries
Ukraine
Outcome results
None listed