Volume CT of the Wrist and Carpus After Trauma: A Pilot Study
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Proportion of patients with prospectively documented treatment changes after CT
研究概览
简要总结
The purpose of this study is to evaluate whether standard volume computed tomography (CT) has impact on treatment in patients with suspicion of fractures of the wrist and carpus.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patients (18 years and older) who are referred to our hospital for conventional radiography of the wrist and carpus
- •Recent trauma mechanism (within 3 days before presentation)
- •Clinical suspicion of fractures of the wrist and carpus. The carpus includes all carpal bones, but does not include the metacarpal bones.
排除标准
- •Patients who were not evaluated by a clinician before imaging was performed.
- •Open fractures
- •No informed consent or no prospective data collection could be obtained. Informed consent cannot be obtained in case patients do not speak or understand Dutch.
- •Patients who cannot be positioned in upright position, immobilized on a spine board or transferred to the intensive care unit and cannot undergo upright CT
结局指标
主要结局
Proportion of patients with prospectively documented treatment changes after CT
时间窗: within same visit (i.e. in one day)
This endpoint is defined as presence of difference in predefined treatment regimens before and after CT. These regimens include: -Conservative treatment on the emergency ward (functional, immobilization with bandage, cast, or closed reduction and cast), closed operative treatment (reduction and cast on operation room, percutaneous pinning, or external fixation), open surgical treatment (dorsal, radial, or palmar exposure with reduction and internal fixation). Additional regimens include: Second opinion from a colleague or consulting a different specialism.
次要结局
- Diagnostic performance of CT and conventional radiography (CR) for fracture pattern(within the same visit (one day))