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The effect of pre-operative warming on wound infection rates after clean surgery
ISRCTN ISRCTN54949546
DOI 10.1186/ISRCTN54949546
ClinicalTrials.gov identifier
EudraCT number
Public title The effect of pre-operative warming on wound infection rates after clean surgery
Scientific title Laser doppler flowmetry of skin circulation to measure the effects of using two warming therapies: a randomised clinical trial of surgical patients
Acronym N/A
Serial number at source AP0728
Study hypothesis To assess whether warming patients before short duration, clean surgery will reduce infection rates.
Lay summary
Ethics approval No ethics approval information required at time of registration
Study design Randomised controlled trial
Countries of recruitment United Kingdom
Disease/condition/study domain Infection during surgery
Participants - inclusion criteria 1. 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
Participants - exclusion criteria Added 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
Anticipated start date 01/01/2001
Anticipated end date 31/12/2001
Status of trial Completed
Patient information material
Target number of participants 421
Interventions Patients 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.
Primary outcome measure(s) Wound infection; masked outcome assessments made at 2 and 6 weeks
Secondary outcome measure(s) Added 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
Sources of funding Action Medical Research (UK)
Trial website
Publications 2001 results in http://www.ncbi.nlm.nih.gov/pubmed/11567703
Contact name Mr  Andrew  Melling
  Address Professorial Unit of Surgery
North Tees and Hartlepool NHS Trust
North Tees General Hospital
  City/town Stockton-on-Tees
  Zip/Postcode TS19 8PE
  Country United Kingdom
  Tel +44 (0)1642 624087
  Fax +44 (0)1642 624165
  Email AndyMelling@compuserve.com
Sponsor Action Medical Research (UK)
  Address Vincent House
  City/town Horsham West Sussex
  Zip/Postcode RH12 2DP
  Country United Kingdom
  Tel +44 (0)1403 210 406
  Fax +44 (0)1403 210 541
  Email info@actionresearch.co.uk
  Sponsor website: http://www.action.org.uk/
Date applied 01/03/2001
Last edited 07/01/2010
Date ISRCTN assigned 01/03/2001
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