Evaluating the accuracy of bedside ultrasound to diagnose wrist fractures in childre

Not Applicable

Completed

• Conditions: Paediatric forearm fracture; Injuries and Accidents - Fractures

• Registration Number: ACTRN12617001648314
• Lead Sponsor: Kelly Foster

Brief Summary

Not available

Detailed Description

Not available

Study Timeline

• Results First Posted: 1900-01-01
• Study Start: 2017-12-21
• Study Completion: 2019-04-06
• Last Update Posted: 29 March 2021

Recruitment & Eligibility

• Status: Completed
• Sex: All
• Target Recruitment: 206

Inclusion Criteria

•Children aged 4-16 years presenting to the emergency department
•Isolated, non-angulated distal third forearm injury being evaluated with radiography for suspected fracture
•Acute injury sustained within 1 week of presentation

Exclusion Criteria

•External imaging has already been performed
•Known metabolic bone disease, such as osteogenesis imperfecta
•Suspicion of non-accidental injury
•Congenital bone malformation
•Compound fracture
•Neurovascular compromise
•Distracting injury
•Suspicion for hand fracture

Study & Design

• Study Type: Interventional
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Individual and overall sensitivities and specificities of nurse practitioners performing POCUS will be reported to determine diagnostic accuracy. A true positive will be when POCUS and x-ray imaging both detect a fracture. A false positive will be when the POCUS images are reported as a fracture when the x-ray imaging does not. A true negative will be when the POCUS and x-ray images do not detect a fracture. A false negative will be when the POCUS images do not detect a fracture when there is a fracture on x-ray. A standard 2x2 table will be used to calculate individual and pooled sensitivities and specificities.[Patients will be enrolled over an approximate 12 month period]