Fast Track in the Emergency Department for Wrist and Scaphoid Fractures: a Randomised Trial
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 发起方
- 入组人数
- 196
- 试验地点
- 2
- 主要终点
- number of x rays requested
研究概览
简要总结
This is a mono centric, prospective, randomised trial on the implementation and assessment of a shortened pathway for mono-trauma of the wrist and suspected fracture of distal radius and/or ulna and/or scaphoid bone.
详细描述
Patients will be randomised into two groups: fast track and normal pathway. At the arrival in the Emergency Department a triage will be performed. In case of met inclusion criteria the patient will sign the informed consent and will be randomised in one of the two study groups.
The fast track group will be straightforwardly evaluated for absence of exclusion criteria (in case of exclusion criteria present the investigators will follow the normal pathway and the patient will not be included in the study). Then, patients will be assessed with an ad hoc checklist and then sent for x-ray performance, if necessary. After the x-ray the patients will be examined by an emergency physician that will have the opportunity to request new x-ray views if necessary.
The normal pathway group will go straight to medical examination as soon as possible, depending on waiting times in the Emergency Department.
Investigators will collect anagraphical data, waiting times, time to x-ray, overall length of stay in the Emergency Department, patients' and staff's satisfaction for the two groups.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Diagnostic
- 盲法
- None
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
- •adults patients presenting at the emergency dept with suspected scaphoid or wrist fracture
- •monotrauma
- •written informed consent
排除标准
- •patients younger than 18 yr
- •pregnant women
- •either vascular or neural impairment
- •signs of open fracture
- •multiple trauma patient
结局指标
主要结局
number of x rays requested
时间窗: From admission to discharge, up to 2.5 hours
the number of xray requested
次要结局
- waiting time before examination(From admission to discharge, up to 2.5 hours)
- waiting time before xray(From admission to discharge, up to 2.5 hours)
- patient's satisfaction(From admission to discharge, up to 2.5 hours)
- total length of stay in the emergency department(From admission to discharge, up to 2.5 hours)