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Trial · NCT03523962

Pre-operative Alcohol Skin Solutions in Fractured Extremities

NCT03523962, Phase 4, Completed, University of Maryland, Baltimore; results first posted 2024-10-04

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Pre-operative Alcohol Skin Solutions in Fractured Extremities. Trials, record NCT03523962. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03523962

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Pre-operative Alcohol Skin Solutions in Fractured Extremities
NCT number
NCT03523962
Status
Completed
Phases
Phase 4
Enrollment
8,485 participants, actual
Lead sponsor
University of Maryland, Baltimore
Conditions
Surgical Site Infection, Unplanned Fracture-Related Reoperation, Open Appendicular Fracture, Closed Lower Extremity Fracture, Pelvic Fracture
Interventions
DuraPrep, ChloraPrep
First posted
2018-05-14
Last updated
2024-10-04
Results first posted
2024-10-04
Limitations and caveats
1. The patients and their surgeons were aware of the trial-group assignments.~2. The trial was limited to patients undergoing surgery for a fracture, so the generalizability of these findings to other surgical populations is unknown.

Source ClinicalTrials.gov

Registered outcomes3

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryNumber of Participants With a Superficial Incisional Surgical Site Infection (SSI)Within 30 days of the patient's last planned fracture management surgery
Guided by the Centers for Disease Control and Prevention (CDC) National Healthcare Safety Network reporting criteria (2017): Date of event for infection may occur from the date of fracture to 30 days after the definitive fracture management surgery; AND involves only skin and subcutaneous tissue of the incision; AND patient has at least one of the following: 1. purulent drainage from the superficial incision. 2. organisms identified from an aseptically obtained specimen from the superficial incision or subcutaneous tissue by a culture or non-culture based microbiologic testing method which is performed for purposes of clinical diagnosis or treatment 3. superficial incision that is deliberately opened by a surgeon, and culture or non-culture-based testing is not performed. AND patient has at least one of the following signs or symptoms: pain or tenderness; localized swelling; erythema; or heat. 4. diagnosis of a superficial incisional SSI by the surgeon.
PrimaryNumber of Participants With a Deep Incisional InfectionWithin 90 days of the patient's last planned fracture management surgery
Guided by CDC's National Healthcare Safety Network Surgical Site Infection reporting criteria (2017): Deep Incisional Infection: Occurs within 90 days post definitive fracture management; \& involves fascial/muscle layers; \& has at least one of the following: 1. deep incision purulent drainage 2. a deep incision that dehisces, or is opened by a surgeon, and organism is identified by microbiologic testing; or microbiologic testing is not performed \& has at least one of the following: fever (\> 38 °C); localized pain or tenderness 3. other evidence of deep incision infection on anatomical exam or imaging test
SecondaryNumber of Participants With an Unplanned Fracture-Related ReoperationWithin 12 months of the patient's last planned operation
Common examples include any unplanned fracture-related surgery that is associated with an infection at the operative site or contiguous to it, a wound-healing problem, or a fracture delayed union or non-union.

Outcomes3

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYNumber of Participants With a Superficial Incisional Surgical Site Infection (SSI)Within 30 days of the patient's last planned fracture management surgeryOutcome data for surgical-site infection were missing for 4.5% of the patients in the closed-fracture population and for 2.8% of those in the open-fracture population.ParticipantsCOUNT_OF_PARTICIPANTS
PRIMARYNumber of Participants With a Deep Incisional InfectionWithin 90 days of the patient's last planned fracture management surgeryOutcome data for surgical-site infection were missing for 4.5% of the patients in the closed-fracture population and for 2.8% of those in the open-fracture population.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With an Unplanned Fracture-Related ReoperationWithin 12 months of the patient's last planned operation
Primary and secondary outcomes were evaluated using a complete case analysis. For that reason, the overall number of participants analyzed differs from the numbers provided under the Participant Flow module.
ParticipantsCOUNT_OF_PARTICIPANTS

Results by group12

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Number of Participants With a Superficial Incisional Surgical Site Infection (SSI)Closed-Fracture Population Iodine Group20Participants
Number of Participants With a Superficial Incisional Surgical Site Infection (SSI)Closed-Fracture Population Chlorhexidine Group27Participants
Number of Participants With a Superficial Incisional Surgical Site Infection (SSI)Open-Fracture Population Iodine Group6Participants
Number of Participants With a Superficial Incisional Surgical Site Infection (SSI)Open-Fracture Population Chlorhexidine Group9Participants
Number of Participants With a Deep Incisional InfectionClosed-Fracture Population Iodine Group29Participants
Number of Participants With a Deep Incisional InfectionClosed-Fracture Population Chlorhexidine Group54Participants
Number of Participants With a Deep Incisional InfectionOpen-Fracture Population Iodine Group21Participants
Number of Participants With a Deep Incisional InfectionOpen-Fracture Population Chlorhexidine Group20Participants
Number of Participants With an Unplanned Fracture-Related ReoperationClosed-Fracture Population Iodine Group164Participants
Number of Participants With an Unplanned Fracture-Related ReoperationClosed-Fracture Population Chlorhexidine Group179Participants

Participant flow40

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Closed FracturesSTARTEDClosed Fractures - Iodine Povacrylex First, Then Chlorhexidine Gluconate2,74812
Closed FracturesSTARTEDClosed Fractures - Chlorhexidine Gluconate First, Then Iodine Povacrylex4,03711
Closed FracturesSTARTEDOpen Fractures - Iodine Povacrylex First, Then Chlorhexidine Gluconate00
Closed FracturesSTARTEDOpen Fractures - Chlorhexidine Gluconate First, Then Iodine Povacrylex00
Closed FracturesIodine PovacrylexClosed Fractures - Iodine Povacrylex First, Then Chlorhexidine Gluconate1,40512
Closed FracturesIodine PovacrylexClosed Fractures - Chlorhexidine Gluconate First, Then Iodine Povacrylex1,95511
Closed FracturesIodine PovacrylexOpen Fractures - Iodine Povacrylex First, Then Chlorhexidine Gluconate00
Closed FracturesIodine PovacrylexOpen Fractures - Chlorhexidine Gluconate First, Then Iodine Povacrylex00
Closed FracturesChlorhexidine GluconateClosed Fractures - Iodine Povacrylex First, Then Chlorhexidine Gluconate1,34312
Closed FracturesChlorhexidine GluconateClosed Fractures - Chlorhexidine Gluconate First, Then Iodine Povacrylex2,08211

Adverse events36

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
seriousStudy Fracture Related ComplicationMusculoskeletal and connective tissue disordersClosed-Fracture Population Iodine Group3473,360347
seriousStudy Fracture Related ComplicationMusculoskeletal and connective tissue disordersClosed-Fracture Population Chlorhexidine Group3603,425360
seriousStudy Fracture Related ComplicationMusculoskeletal and connective tissue disordersOpen-Fracture Population Iodine Group198854198
seriousStudy Fracture Related ComplicationMusculoskeletal and connective tissue disordersOpen-Fracture Population Chlorhexidine Group187846187
seriousNon-Study Fracture Related ComplicationMusculoskeletal and connective tissue disordersClosed-Fracture Population Iodine Group333,36033
seriousNon-Study Fracture Related ComplicationMusculoskeletal and connective tissue disordersClosed-Fracture Population Chlorhexidine Group363,42536
seriousNon-Study Fracture Related ComplicationMusculoskeletal and connective tissue disordersOpen-Fracture Population Iodine Group4085440
seriousNon-Study Fracture Related ComplicationMusculoskeletal and connective tissue disordersOpen-Fracture Population Chlorhexidine Group2684626
seriousNeurologicalNervous system disordersClosed-Fracture Population Iodine Group333,36033
seriousNeurologicalNervous system disordersClosed-Fracture Population Chlorhexidine Group343,42534

Adverse event totals12

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityClosed-Fracture Population Iodine Group1453,360
Total, all-cause mortalityClosed-Fracture Population Chlorhexidine Group1403,425
Total, all-cause mortalityOpen-Fracture Population Iodine Group13854
Total, all-cause mortalityOpen-Fracture Population Chlorhexidine Group13846
Total, other adverse eventsClosed-Fracture Population Iodine Group00
Total, other adverse eventsClosed-Fracture Population Chlorhexidine Group00
Total, other adverse eventsOpen-Fracture Population Iodine Group00
Total, other adverse eventsOpen-Fracture Population Chlorhexidine Group00
Total, serious adverse eventsClosed-Fracture Population Iodine Group1,1773,360
Total, serious adverse eventsClosed-Fracture Population Chlorhexidine Group1,2123,425

Papers4

The papers the trial lists on ClinicalTrials.gov.

PMIDListed asSource
32259266DERIVEDPubMed
32787892DERIVEDPubMed
37002119DERIVEDPubMed
38294973DERIVEDPubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons0

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

None in this release.

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT03523962

GET https://conductscience.org/api/trials/v1/NCT03523962/flow?page=2