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Record W4295242113 · doi:10.1186/s13063-022-06541-0

A pragmatic randomized trial evaluating pre-operative aqueous antiseptic skin solutions in open fractures (Aqueous-PREP): statistical analysis plan

2022· article· en· W4295242113 on OpenAlexafffund
Nathan N. O’Hara, Diane Heels‐Ansdell, Sofia Bzovsky, Shannon Dodds, Lehana Thabane, Mohit Bhandari, Gordon Guyatt, P.J. Devereaux, Gerard P. Slobogean, Sheila Sprague, Anthony Harris, C. Daniel Mullins, Jeffrey Wells, Amber Wood, Gregory J. Della Rocca, Joan Hebden, Kyle J. Jeray, Lucas S. Marchand, Lyndsay M. O’Hara, Robert Zura, Christopher Lee, Joseph T. Patterson, Michael J. Gardner, Jenna Blasman, Jonah Davies, Stephen Y. Liang, Monica Taljaard, Debra Marvel, Jana Palmer, Jeff Friedrich, Frances Grissom, Ida Leah Gitajn, Saam Morshed, Robert V. O’Toole, Bradley Petrisor, Franca Mossuto, Manjari Joshi, Jean-Claude D’Alleyrand, Justin Fowler, Jessica C. Rivera, Max Talbot, David Pogorzelski, Silvia Li, Alejandra Rojas, Gina Del Fabbro, Olivia Paige Szasz, Paula McKay, Alexandra Minea, Kevin D. Murphy, Andrea Howe, Haley K. Demyanovich, Michelle Medeiros, Genevieve Polk, Eric Kettering, Nirmen Mahal, Andrew Eglseder, Aaron J. Johnson, Christopher G. Langhammer, Christopher Lebrun, Jason W. Nascone, Raymond A. Pensy, Andrew N. Pollak, Marcus F. Sciadini, Yasmin Degani, Heather Phipps, Eric Hempen, Herman Johal, Bill Ristevski, Dale Williams, Matthew Denkers, Krishan Rajaratnam, Jamal Al‐Asiri, Jodi L. Gallant, Kaitlyn Pusztai, Sarah MacRae, Sara Renaud, John D. Adams, Michael L. Beckish, Christopher C. Bray, Timothy R. Brown, Andrew W. Cross, Timothy Dew, Gregory K. Faucher, Richard W. Gurich, David E. Lazarus, S. John Millon, M. Jason Palmer, Scott E. Porter, Thomas M. Schaller, Michael S. Sridhar, L. Edwin Rudisill, Kyle M. Altman, Julia C. Quirion, Markus F. Loeffler, Erin R. Pichiotino, Austin A. Cole, Ethan J. Maltz, Wesley Parker, T. Bennett Ramsey, Alex Burnikel, Michael Colello, Russell J. Stewart, Jeremy Wise, Marion Moody, Matthew J. Anderson, Joshua Eskew, Benjamin N. Judkins, James M. Miller, Stephanie L. Tanner, Rebecca G. Snider, Emily Bray, Harper Abbott, Roman M. Natoli, Todd O. McKinley, Walter W. Virkus, Anthony T. Sorkin, J. Szatkowski, Brian Mullis, Yohan Jang, Luke A. Lopas, Lauren C. Hill, Courteney L. Fentz, Maricela Diaz, Krista Brown, Katelyn M. Garst, Emma W. Denari, Patrick M. Osborn, Sarah N. Pierrie, Maria Herrera, Theodore Miclau, Meir Marmor, Amir Matityahu, R. Trigg McClellan, David Shearer, Paul Toogood, Anthony Ding, Jothi Murali, Ashraf N. El Naga, Jennifer Tangtiphaiboontana, Tigist Belaye, Eleni Berhaneselase, Dmitry Pokhvashchev, William T. Obremskey, A. Alex Jahangir, Manish K. Sethi, Robert Boyce, Daniel J. Stinner, Phillip M. Mitchell, Karen Trochez, Elsa Rodriguez, Charles Pritchett, Natalie Hogan, A. Fidel Moreno, Jennifer E. Hagen, Matthew Patrick, Richard Vlasak, Thomas Krupko, Michael Talerico, MaryBeth Horodyski, Chris Koenig, Marissa Pazik, Elizabeth Lossada-Soto, Joshua L. Gary, Stephen J. Warner, John W. Munz, Andrew M. Choo, Timothy S. Achor, Milton L. Chip Routt, Michael Kutzler, Sterling Boutte, Ryan J. Warth, Michael J. Prayson, Indresh Venkatarayappa, Brandon Horne, Jennifer Jerele, Linda Clark, Christina Boulton, Jason Lowe, John T. Ruth, Brad Askam, Andrea Seach, Alejandro Francisco‐Cruz, Breanna Featherston, Robin Carlson, Iliana Romero, Isaac Zarif, Niloofar Dehghan, Michael D. McKee, Debra L. Sietsema, Alyse Williams, Tayler Dykes, Ernesto Guerra-Farfán, Jordi Tomàs-Hernández, Jordi Teixidor-Serra, Vicente Molero-García, Jordi Selga-Marsá, Juan Antonio Porcel-Vázquez, José Vicente Andrés-Peiró, Joan Minguell-Monyart, Jorge H. Núñez, Maria del Mar Villar-Casares, Jaume Mestre-Torres, Pilar Lalueza-Broto, Felipe Moreira Borim, Yaiza Garcia‐Sanchez, Francesc Marcano-Fernández, Laia Martínez-Carreres, David Martí-Garín, Jorge Serrano-Sanz, Joel Sánchez-Fernández, Matsuyama Sanz-Molero, Alejandro Carballo, Xavier Pelfort, Francesc Acerboni-Flores, Anna Alavedra-Massana, Neus Anglada-Torres, Alexandre Berenguer, Jaume Cámara-Cabrera, Ariadna Caparros-García, Ferran Fillat‐Gomà, Ruben Fuentes-López, Ramona Garcia-Rodriguez, Nuria Gimeno-Calavia, Marta Martínez-Álvarez, Patricia Martínez-Grau, Raúl Pellejero-García, Ona Ràfols-Perramon, Juan Manuel Peñalver, Mònica Salomó Domènech, Albert Soler-Cano, Aldo Velasco-Barrera, Christian Yela‐Verdú, Mercedes Bueno-Ruiz, Estrella Sánchez-Palomino, Vito Andriola, Matilde Molina-Corbacho, Yeray Maldonado-Sotoca, Alfons Gasset-Teixidor, Jorge Blasco-Moreu, Núria Fernàndez-Poch, Josep Rodoreda-Puigdemasa, Arnau Verdaguer-Figuerola, Heber Enrique Cueva-Sevieri, Santiago García-Giménez, Darius G. Viskontas, Kelly Apostle, Dory Boyer, Farhad Moola, Bertrand Perey, Trevor Stone, H. Michael Lemke, Ella Spicer, Kyrsten Payne, Robert A. Hymes, Cary C. Schwartzbach, Jeff E. Schulman, Arjan Malekzadeh, Michael A. Holzman, Greg E. Gaski, Jonathan Wills, James S. Ahn, Sharmistha Das, Antoinisha D. English, Jaslynn Cuff, Holly Pilson, Eben A. Carroll, Jason J. Halvorson, Sharon Babcock, J. Brett Goodman, Martha B. Holden, Wendy R. Williams, Taylor Hill, Ariel Brotherton, Nicholas M. Romeo, Heather A. Vallier, Joanne Fraifogl, Anna Vergon, Thomas F. Higgins, Justin M. Haller, David L. Rothberg, Ashley Neese, Zachary M. Olsen, Abby V. McGowan, Sophia Hill, Morgan K. Dauk, Patrick F. Bergin, George V. Russell, Matthew L. Graves, John Morellato, Sheketha L. McGee, Eldrin Bhanat, Ugur Yener, Rajinder Khanna, Priyanka Nehete, David A. Potter, Robert VanDemark, Kristi Atkins, Marcus P. Coe, Kevin Dwyer, Devin S. Mullin, Theresa A. Chockbengboun, Kevin D. Phelps, Michael J. Bosse, Madhav A. Karunakar, Laurence B. Kempton, Stephen H. Sims, Joseph R. Hsu, Rachel B. Seymour, Christine Churchill, Ada Mayfield, Juliette Sweeney, Todd Jaeblon, Robert Beer, Brent A. Bauer, Sean J. Meredith, Caroline Benzel, Christopher M. Domes, Rachel M. Reilly, Ariana Paniagua, Ja Nell Dupree, Michael J. Weaver, Arvind von Keudell, Abigail E. Sagona, Samir Mehta, Derek J. Donegan, Annamarie D. Horan, Mary Dooley, Marilyn Heng, Mitchel B. Harris, David W. Lhowe, John G. Esposito, Ahmad Alnasser, Steven F. Shannon, Alesha N. Scott, Bobbi Clinch, Becky Weber, Michael J. Beltran, Michael T. Archdeacon, H. Claude Sagi, John D. Wyrick, Theodore T. Le, Richard T. Laughlin, Cameron Thomson, Kimberly A. Hasselfeld, Carol A. Lin, Mark S. Vrahas, Charles N. Moon, Milton T. M. Little, Geoffrey S. Marecek, Denice M. Dubuclet, John A. Scolaro, James R. Learned, Philip K. Lim, Susan Demas, Arya Amirhekmat, Yan Marco Dela Cruz

Bibliographic record

VenueTrials · 2022
Typearticle
Languageen
FieldMedicine
TopicOrthopedic Infections and Treatments
Canadian institutionsPopulation Health Research InstituteMcMaster UniversityImpact
FundersUniversity of California, Los AngelesU.S. ArmySchool of Medicine, Stanford UniversityFundació Institut de Recerca Hospital Universitari Vall d’HebronCanadian Armed ForcesWalter Reed National Military Medical CenterMcGovern Medical SchoolUniversity of Texas Health Science Center at HoustonVanderbilt UniversityMcMaster UniversityOttawa Hospital Research InstituteUniversity of California, San FranciscoHamilton Health SciencesDartmouth CollegeCanadian Institutes of Health ResearchUniversity of WashingtonU.S. Department of DefenseUniversity of MissouriUniversity of Southern California
KeywordsMedicineRandomized controlled trialAntisepticClinical trialSurgeryInternal medicine

Abstract

fetched live from OpenAlex

BACKGROUND: Approximately 1 in 10 patients with a surgically treated open fracture will develop a surgical site infection. The Aqueous-PREP trial will investigate the effect of 10% povidone-iodine versus 4% chlorhexidine in aqueous antiseptic solutions in reducing infections after open fracture surgery. The study protocol was published in April 2020. METHODS AND DESIGN: The Aqueous-PREP trial is a pragmatic, multicenter, open-label, randomized multiple period cluster crossover trial. Each participating cluster is randomly assigned in a 1:1 ratio to provide 1 of the 2 study interventions on all eligible patients during a study period. The intervention periods are 2 months in length. After completing a 2-month period, the participating cluster crosses over to the alternative intervention. We plan to enroll a minimum of 1540 patients at 14 sites. RESULTS: The primary outcome is surgical site infection guided by the Centers for Disease Control and Prevention's National Healthcare Safety Network reporting criteria (2017). All participants' surgical site infection surveillance period will end 30 days after definitive fracture management surgery for superficial infections and 90 days after definitive fracture management surgery for deep incisional or organ/space infections [1]. The secondary outcome is an unplanned fracture-related reoperation within 12 months of the fracture. CONCLUSION: This manuscript serves as the formal statistical analysis plan (version 1.0) for the Aqueous-PREP trial. The statistical analysis plan was completed on February 28, 2022.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.012
metaresearch head score (Gemma)0.010
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Insufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Randomized trial · Consensus signal: Randomized trial
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.022
Threshold uncertainty score0.998

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0120.010
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0030.000
Bibliometrics0.0010.001
Science and technology studies0.0010.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0090.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.111
GPT teacher head0.487
Teacher spread0.376 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designRandomized trial
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations1
Published2022
Admission routes2
Has abstractyes

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