Medico-economic Evaluation of a Project of Wounds by a Remote Network (DOMOPLAIES)

University Hospital Center (CHU)

Status: Completed

Conditions: Carrying a Chronic Wound; Resident of Languedoc-roussillon

Treatments: Other: Control; Other: Telemedicine

Study type: Interventional

Funder types: Other

Identifiers

NCT02545374

9250

Details and patient eligibility

About

Estimate in 6 months the impact of the telemedicine on the cure rate of the chronic wounds compared with the usual care(with or without CICAT-LR Network).

Enrollment: 193 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Being adult
• Taken up residence on the Languedoc-Roussillon
• Patient carrying a wound with healing or improvement objective (wound closure or the appearance of 40% of granulation)
• Informed consent signed,
• Patient member of the Security Social
• Patient having a visiting nurse.

Exclusion criteria

• Patient in vital or functional emergency situation during the first call or during the consultation
• Tumoral wound
• dialysis patient
• Arteritis of stage 4 and not revascularizable
• Absence of regular doctor and visiting nurse
• patient refusal
• Refusal of one of the health professionals participating in the pathology care
• Anybody incapable to communicate and to answer the questions
• Pregnant or nursing woman
• Subject deprived of freedom by court or administrative order
• Major subject protected by the law
• For the patients in telemedicine: refusal of the collaboration agreement

Trial design

193 participants in 2 patient groups

Telemedicine

Experimental group

Description:

In the telemedicine arm, all patients will be supported by Telemedicine protocol according to the development of telemedicine in the region. The use of teleconsultation allows the couple expert doctor / nurse expert to perform a complex of wound assessment consultation and / or chronic. The use of telemedicine allows for acts of telecare, when the nurse applicant sought a remote support of an expert nurse (under the responsibility of a doctor) for the realization of an act. The use of tele-expertise enables physicians to remotely bring special expertise to improve patient care.

Treatment:

Other: Telemedicine

Control

Active Comparator group

Description:

In the control arm, patient care depend on his home, as is currently the case: * If it is in the action zone of Cicat-LR network, then it will be supported by an expert nurse of the network that are physically visit the patient's home-lon is the protocols established by the network. * If not, then it will be supported by the customs of the attending physician and nursing teams who follow him.

Treatment:

Other: Control