Dressing-related Experiences and Surgical Site Self-care in Hip and Knee Replacement: an Observational Cohort Study (DRESS-X)

August 21, 2026 updated by: Tom Wainwright, Bournemouth University

Dressing-Related Experiences and Surgical Site Self-Care in Hip and Knee Replacement: an Observational Cohort Study (DRESS-X)

The goal of this prospective observational cohort study is to investigate dressing-related experiences and surgical site self-care in patients who are undergoing a total hip or knee replacement. The main objectives of the study are:

  • To evaluate patient adherence to the ISWCAP self-care checklist after total hip or knee replacement within an ERAS pathway.
  • To explore patient-reported outcomes related to the performance and comfort of advanced dressings.
  • To assess the perceived adequacy and usefulness of post-discharge wound care education.
  • To identify the incidence and types of wound-related complications in the 12 weeks following surgery.

Participants will give informed consent before surgery and will start the study once the dressing has been applied following surgery. There will be follow up study visits at discharge, 7 days, 12 days, 6 weeks and 12 weeks post-surgery. Data relating to vital signs, medical history, surgery and medication will be taken from routine data.

Study Overview

Status

Recruiting

Conditions

Intervention / Treatment

Study Type

Observational

Enrollment (Estimated)

100

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

  • United Kingdom
    • Dorset
      • Bournemouth, Dorset, United Kingdom, BH1 1RW
        • Recruiting
        • Nuffield Health Hospital Bournemouth
        • Contact:
          • Robert Middleton
        • Principal Investigator:
          • Robert Middleton
      • Bournemouth, Dorset, United Kingdom, BH8 8EB
        • Not yet recruiting
        • Bournemouth University
        • Contact:
        • Principal Investigator:
          • Thomas Wainwright

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult
  • Older Adult

Accepts Healthy Volunteers

No

Sampling Method

Non-Probability Sample

Study Population

Patients undergoing primary total hip or knee replacement at the Nuffield Health Hospital

Description

Inclusion Criteria:

  • Adults (18+) undergoing primary total hip or knee replacement
  • Enrolled in an ERAS protocol
  • Willing and able to provide informed consent

Exclusion Criteria:

  • Requiring revision replacement
  • Unable to provide informed consent (cognitive disorder such as dementia, psychiatric illness)
  • Unable to understand written English

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Time Frame
The proportion of participants responding "yes" to each item of the ISWCAP checklist at 6-weeks post-surgery
Time Frame: 6-weeks post surgery
6-weeks post surgery

Secondary Outcome Measures

Outcome Measure
Time Frame
Incidence and types of wound complications such as infection, dehiscence (as measured by the Sandy Grading System for surgical wound dehiscence classification), and blistering in the 12-weeks following surgery
Time Frame: From surgery until the 12-week follow-up appointment
From surgery until the 12-week follow-up appointment
Bluebelle Wound Healing Questionnaire, completed at Visits 5 (12-days post-surgery) and 6 (6-weeks post-surgery)
Time Frame: 12-days post-surgery and 6-weeks post-surgery
12-days post-surgery and 6-weeks post-surgery
Dressing Comfort and Usability Survey completed at Visits 4 (7-days post-surgery) and 5 (12-days post-surgery)
Time Frame: 7- and 12-days post-surgery
7- and 12-days post-surgery

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Bournemouth University

Collaborators

Nuffield Health Bournemouth

Investigators

  • Principal Investigator: Thomas Wainwright, Bournemouth University

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Actual)

July 23, 2026

Primary Completion (Estimated)

August 31, 2027

Study Completion (Estimated)

August 31, 2027

Study Registration Dates

First Submitted

March 10, 2026

First Submitted That Met QC Criteria

March 10, 2026

First Posted (Actual)

March 13, 2026

Study Record Updates

Last Update Posted (Actual)

August 24, 2026

Last Update Submitted That Met QC Criteria

August 21, 2026

Last Verified

August 1, 2026

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • ORI/14918/25

Plan for Individual participant data (IPD)

Plan to Share Individual Participant Data (IPD)?

NO

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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