Implementation of Telemedicine for Patient With Lower Extremity Wounds
Study Details
Study Description
Brief Summary
The objective of this study is to determine if patients with lower extremity wounds in rural communities who undergo specialty referral through telemedicine have expedited care compared to patients who are treated through standard in person referral.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
N/A |
Detailed Description
This is a clustered trial where patients identified as having lower extremity ulcers with peripheral artery disease and diabetes are given the option to be seen by specialty care providers through telemedicine vs. normal standard in person referral. The study is being conducted in rural areas where there are no in person vascular surgery providers. The aim of the study is to determine if patient activation affects likelihood to use telemedicine and if use of telemedicine can expedite speciality care.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| Experimental: Intervention Telemedicine specialty consultation for patients |
Other: Telemedicine specialty consultation
Patients with lower extremity wounds due to peripheral artery disease and diabetes mellitus will undergo a specialty consultation with a provider through telemedicine
|
| No Intervention: Standard Care Standard in person referral to a specialist |
Outcome Measures
Primary Outcome Measures
- Specialty Consultation [up to 365 days]
The time from the date the wound is identified to the date of specialist consultation, in days.
Secondary Outcome Measures
- Revascularization [up to 365 days]
The time from the date the wound is identified to the procedure to evaluation or improve blood flow for the index leg, in days.
- Hospitalizations [up to 365 days]
Number of hospitalizations for the index leg and wound, from the time the wound is identified to the time the wound heals.
- Emergency room visits [up to 365 days]
The number of emergency room visits for the wound or the index leg, from the time the wound was identified to the time the wound heals.
- Wound healing [up to 365 days]
The time from when the wound is identified until the wound heals, in days.
- Amputation [up to 365 days]
Major (above the ankle) or minor (toe/TMA) amputation of the index leg.
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patient with the diagnosis of a lower extremity ulcer that has been present for longer than 2 weeks
-
Must be willing to complete the patient activation survey
-
Must be willing to have the study personnel call them to check in on their status
Exclusion Criteria:
- Patients that do not have a telephone
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Misty D. Humphries | Sacramento | California | United States | 95811 |
Sponsors and Collaborators
- University of California, Davis
Investigators
- Principal Investigator: Misty D Humphries, University of California, Davis
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 1598596