Wound Interdisciplinary Teams (WIT): A Community- Based Pragmatic Randomized Controlled Trial (WIT)
Wound of Skin
About this trial
This is an interventional health services research trial for Wound of Skin focused on measuring community wound care, systematic wound team referral, Advanced in-home nurse wound training
Eligibility Criteria
Inclusion Criteria:
- Adult (>18 years of age) client with eligible wound type (not surgical, malignant or burns) referred to the Toronto Central CCAC for wound management.
- Client (or substitute decision maker) provides written, informed consent.
- Someone in client's home (or substitute decision maker) must be able to speak English.
Exclusion Criteria:
- Surgical wounds
- Burns
- Malignant wounds
- Clients who are designated palliative on CCAC referral form
Sites / Locations
- THETA Collaborative
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
Control Arm
Intervention Arm
Usual care is care as currently delivered to clients with chronic wounds in the community.
Systematic referral to MDWCT and comprehensive primary care: Intervention consists of systematic referral to MDWCT in conjunction with comprehensive primary care.Systematic referral to, and follow up, by MDWCTs, co-ordinated by the CM, will occur.There will be immediate referral to the MDWCT of clients with :1/ diabetic lower extremity ulcers,2/peripheral neuropathy, charcot changes,3/wound present longer than 4 mths. ,4/ Ankle Brachial Index less than 0.6, non-diabetics, and not being seen by a vascular surgeon. Subsequent referral to MDWCT will occur if less than 30% healing by week 4.