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-traumaInjuries 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
Name Time Method 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
Name Time Method