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The effect of a formalised trauma tertiary survey procedure on missed injury rates in multi-trauma patients, protocol for a cluster-randomised controlled trial.

Not Applicable
Conditions
Missed injury after multi-trauma
Injuries and Accidents - Other injuries and accidents
Registration Number
ACTRN12613001218785
Lead Sponsor
Gold Coast University Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot yet recruiting
Sex
All
Target Recruitment
2552
Inclusion Criteria

Admitted for at least 24 hours to hospital

AND any of:

- Injuries in two or more body regions
- High impact mechanism (high speed motor vehicle collision, pedestrian versus car, fall from >1.5 meter)
- Chest or abdominal injuries
- Fractured neck of femur under the age of 65 years.

Exclusion Criteria

refusal of consent

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
The primary outcome is missed injury rate post hospital discharge (Type III missed injury) at 1, 6 and 12 months<br><br>During 1, 6 and 12 months follow up interviews patients will be asked about injuries that were detected after discharge. These self-reported injuries will be checked against relevant medical records and imaging reports and defined by the expert panel as missed injury (definitely, likely, unlikely, unknown) or a complication of care or injury. An injury will only be classified as definite or likely (Type III) ‘missed injury’ if there is no evidence (in medical record or radiology report) of the self-reported injury during the hospital stay. The panel will determine the clinical significance of these injuries based on change in management and expected effect on (duration) of morbidity.[1, 6 and 12 months]
Secondary Outcome Measures
NameTimeMethod
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