Studying How Outpatient Water affEcts Risks With Drains (SHOWER Study)
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: Showering, Restriction of Showering.
- Who it may be relevant to
- Registry conditions: Postoperative Wound Infection, Postoperative Complications, Surgical Site Infection, Drain Site Complication. Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- United States
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
This is a prospective randomized, controlled, unblinded, interventional feasibility study to evaluate if showering with post operative drains in place leads to an increase in complications. The patients included in the study will be those undergoing breast reductions and panniculectomies at Geisinger Medical Center. The patients will be randomized post operatively into one of two groups: 1) patients instructed to shower with drains in place, and 2) patients instructed not to shower while they have drains in place.
Detailed description
This is a prospective randomized, controlled, unblinded interventional feasibility trial evaluating the post-operative outcomes of surgical patients undergoing breast reduction or panniculectomy procedures. Approximately 100 eligible subjects will undergo their surgical procedure according to standard clinical guidelines. Unless clinically contraindicated, study surgeons will maintain consistent use of 10 Flat drains for all study participants to prevent any sampling bias.
Immediately after surgery is completed, the study investigator will randomize the subject into one of the 2 study arms. The randomization scheme will control for procedure type.
The study will not be blinded. The randomization assignment will be communicated to the care team and documented in the subject's electronic medical record to ensure that appropriate post-operative instruction is provided to the subject. Subjects will be notified of their study arm assignment at the time they receive their post-operative discharge instruction.
Subjects in both arms will complete a questionnaire related to quality of life post-operatively, as well as daily bathing specifics.
The following statistical methods will be used for the aims:
Aim 1: Collect and describe information related to outcome measures in addition to study data including number eligible, response rates, adherence/compliance rates.
Descriptive statistics will be provided for all study enrollment data, compliance information as well as data collected throughout the study including outcome measures and responses from the satisfaction survey.
Aim 2: To compare the surgical site complication rate of post-operative patients with drains who shower versus those who do not shower.
Complication rates between the two study arms will be compared using chi-squared tests, although these comparisons will not be conclusive since the study isn't powered to assess equivalence.
Aim 3: To compare patient post-operative satisfaction for those who shower versus those who do not shower.
Patient post-operative satisfaction between the two study arms will be compared using chi-squared tests, although these comparisons will not be conclusive since the study isn't powered to assess differences.
Interventions
- Other Showering
Patients will be instructed to shower after surgery with drains in place - Other Restriction of Showering
Patients will be restricted from showering post operatively if they have drains in place
Primary outcome measures
- Drain site cellulitis [Time frame: 12 weeks]
- Incisional cellulitis [Time frame: 12 weeks]
- Seroma formation [Time frame: 12 weeks]
- Abscess formation [Time frame: 12 weeks]
- Wound dehiscence [Time frame: 12 weeks]
- Patient Satisfaction [Time frame: 12 weeks]
Eligibility criteria
Inclusion criteria
- Patients having one of the following procedures at Geisinger Medical Center in which drains are placed
- Breast reduction
- Lower panniculectomy
- Fleur-de-lis panniculectomy
- ≥18 years of age
- Able and willing to provide consent
Exclusion criteria
- Patients on antibiotics at the time of surgery
- Patients sent home on antibiotics after surgery
- Patients who work in healthcare with direct patient contact
- Patients having a panniculectomy to be eligible for a kidney transplant
- Patients having a ventral hernia repair at the time of the panniculectomy
- Patients admitted to the hospital for >1 night
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- Randomized
- Model
- Parallel assignment
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
United States · 1 center
- Geisinger Health — Danville
Identifiers
NCT: NCT04725916 · 2020-0970