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Trial registered on ANZCTR
Registration number
ACTRN12620001233910
Ethics application status
Approved
Date submitted
22/09/2020
Date registered
18/11/2020
Date last updated
18/11/2020
Date data sharing statement initially provided
18/11/2020
Type of registration
Retrospectively registered
Titles & IDs
Public title
Tracking surgical site infection post caesarean section through HealthTracker
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Scientific title
Tracking surgical site infection post caesarean section through post hospital discharge surveillance
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Secondary ID [1]
302341
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Nil known
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Universal Trial Number (UTN)
U1111-1258-3822
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Trial acronym
HealthTracker: HealthTracker Surgical Site Infection Surveillance
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Surgical site Infections
319113
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Caesarean section
319114
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Condition category
Condition code
Surgery
317074
317074
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0
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Other surgery
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Infection
317075
317075
0
0
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Studies of infection and infectious agents
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Reproductive Health and Childbirth
317404
317404
0
0
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Childbirth and postnatal care
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The HealthTracker SSI surveillance
The women who give a live birth will receive an SMS invitation to complete a wound healing questionnaire via HealthTracker on day 30 of CS. At the end of the questionnaire, they will be asked to completed a feedback survey about the use of HealthTracker. it will take less than 10 minutes to complete both if they choose to complete.
The research team via HealthTracker will send an automated SMS invitation women linking women their unique ID which is generated by using their MRNs.
Uptake and acceptability of the Healthtracker will be monitored by the team through a regular report
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Intervention code [1]
318633
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Early detection / Screening
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Comparator / control treatment
Control group: baseline data will be collected from the John Hunter Hospital Patient Management System from 1/October 2010- 31/ May 2020.
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Control group
Historical
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Outcomes
Primary outcome [1]
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Rate of patient reported surgical site infections:
SSI rates will be identified from a combination of data sources from HealthTracker questionnaire, Patient Management system ED presentations and readmissions and contact with GPs.
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Assessment method [1]
325165
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Timepoint [1]
325165
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30 days post caesarean section
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Secondary outcome [1]
387053
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The uptake of the Wound Health Questionnaire via HealthTracker: This outcome will be monitored by Healthtracker generated report
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Assessment method [1]
387053
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Timepoint [1]
387053
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At the completion of the study
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Secondary outcome [2]
387965
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Acceptability of HealthTracker by response rates, enablers and barriers, including feedback from women with Aboriginal and culturally and linguistically diverse backgrounds by HealthTracker generated report and the feedback survey.
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Assessment method [2]
387965
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Timepoint [2]
387965
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During the study period and at the completion of the study
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Eligibility
Key inclusion criteria
All women giving birth to a live baby by CS at John Hunter Hospital over a 6-month period.
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Minimum age
14
Years
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Maximum age
No limit
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Sex
Females
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Can healthy volunteers participate?
No
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Key exclusion criteria
Women with a stillbirth
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Study design
Purpose of the study
Diagnosis
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Allocation to intervention
Non-randomised trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Not applicable
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Other
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Other design features
The historical control data( baseline data) will be used to compare the SSI rates against the Post Intervention data.
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Phase
Not Applicable
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Type of endpoint/s
Safety/efficacy
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Statistical methods / analysis
The estimated number of eligible women in 6 months is 700 (CS rate: 34% of 4000 births annually). HealthTracker questionnaire data will be merged with hospital inpatient information systems data into a centralised data repository. Data analysis will include calculation of SSI rates. Differences in SSI rates between current surveillance methods and HealthTracker will be analysed. Descriptive statistics will be completed on the Acceptability Survey.
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Recruitment
Recruitment status
Recruiting
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Date of first participant enrolment
Anticipated
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Actual
30/10/2020
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Date of last participant enrolment
Anticipated
30/04/2021
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Actual
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Date of last data collection
Anticipated
10/05/2021
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Actual
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Sample size
Target
700
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Accrual to date
44
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Final
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Recruitment in Australia
Recruitment state(s)
NSW
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Recruitment hospital [1]
17553
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John Hunter Hospital - New Lambton
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Recruitment postcode(s) [1]
31288
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2305 - New Lambton
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Funding & Sponsors
Funding source category [1]
306770
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Government body
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Name [1]
306770
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Hunter New England Local Health District Improvement Grant
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Address [1]
306770
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Hunter New England Research Office, Level 3 POD,
Hunter Medical Research Institute, , Lot 1, Kookaburra Circuit, New Lambton Heights, NSW, 2305.
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Country [1]
306770
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Australia
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Primary sponsor type
Government body
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Name
Hunter New England Local Health District Nursing and Midwifery Research Centre
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Address
James Fletcher Campus, Gate Cottage, 72 Watt Street, Newcastle NSW 2300
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Country
Australia
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Secondary sponsor category [1]
307323
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Government body
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Name [1]
307323
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John Hunter Hospital Maternity Service
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Address [1]
307323
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Lookout Road, Lambton Heights, NSW 2305
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Country [1]
307323
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Australia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
306936
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Hunter New England Local Health District Human Ethics Commitee
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Ethics committee address [1]
306936
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Hunter New England Research Office, Level 3 POD, Hunter Medical Research Institute, , Lot 1, Kookaburra Circuit, New Lambton Heights, NSW, 2305.
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Ethics committee country [1]
306936
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Australia
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Date submitted for ethics approval [1]
306936
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31/08/2020
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Approval date [1]
306936
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15/09/2020
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Ethics approval number [1]
306936
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2020/ETH02218
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Summary
Brief summary
Caesarean section (CS) is one of the most common surgeries in Australia. Women who undergo a CS are at risk of surgical site infections (SSI), and post-CS SSI is associated with substantial maternal morbidity and healthcare costs, and can lead to significant physical and emotional burden for mothers. Despite this burden, no standardised CS SSI surveillance mechanism or mandatory reporting system exists, and CS SSI may therefore be undetected. This project will address the gap in surveillance through trialling an electronic wound healing questionnaire via an app called, HealthTracker. Acceptability of the survey will be evaluated through the response rate of the women, and a feedback questionnaire. Data from HealthTracker will enable post-CS SSI rates to be monitored post discharge from hospital in order to identify true infection rates and to inform decision making related to preventative strategies.
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Trial website
https://www.healthtracker.net.au/
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
105506
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A/Prof Michelle Giles
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Address
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HNE Nursing and Midwifery Research Centre
James Fletcher Campus, Gate Cottage, 72 Watt Street, Newcastle NSW 2300
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Country
105506
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Australia
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Phone
105506
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+61 2 49246702
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Fax
105506
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Email
105506
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[email protected]
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Contact person for public queries
Name
105507
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Michelle Giles
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Address
105507
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HNE Nursing and Midwifery Research Centre
James Fletcher Campus, Gate Cottage, 72 Watt Street, Newcastle NSW 2300
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Country
105507
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Australia
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Phone
105507
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+61 2 49246702
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Fax
105507
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Email
105507
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[email protected]
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Contact person for scientific queries
Name
105508
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Michelle Giles
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Address
105508
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HNE Nursing and Midwifery Research Centre
James Fletcher Campus, Gate Cottage, 72 Watt Street, Newcastle NSW 2300
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Country
105508
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Australia
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Phone
105508
0
+61 2 49246702
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Fax
105508
0
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Email
105508
0
[email protected]
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Data sharing statement
Will individual participant data (IPD) for this trial be available (including data dictionaries)?
No
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No/undecided IPD sharing reason/comment
The information is health record information that can not be publically shared, therefore, the de-identified individual participant data will not be available for this study.
Any information will be de-identified at the report and publications.
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What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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