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临床试验/NCT05742048
NCT05742048Enrolling By Invitation不适用

Diagnostic Performance of Ultrasound for Primary Survey of Traumatic Long Bone Fractures

Assiut University1 个研究点 分布在 1 个国家目标入组 190 人开始时间: 2023年3月1日最近更新:
适应症

试验速览

阶段
不适用
状态
Enrolling By Invitation
入组人数
190
试验地点
1
主要终点
Comparison between Ultrasound bone scan result and X-ray imaging accuracy and sensitivity.

研究概览

简要总结

Long bone fractures are among the most traumatic patients seen in emergency departments. Using ultrasound to diagnose long bone fractures can reduce the risk of complications occurring During the primary and secondary survey.

The diagnosis of long bone fractures is traditionally accomplished through plain radiographs taken at perpendicular angles to each other.

Because of the resources required for radiographic capability, X-ray can be inaccessible in rural or remote areas, or in hospital during break time, In settings where a radiography technologist is not present on-site or in patient have conditions do for him limitations movement Using ultrasound machines to do patient examination can be performed earlier of assessment, and at the bedside, reducing diagnostic delays and time to initiation of management. Additional Advantages of Ultrasound include its simplicity, portability, repeatability, and its lack of ionizing radiation. Using ultrasound technology don't need equipment for lead protectors on health care providers, as well as the harmful effects to patients of ionizing radiation and safe to use with pregnant patients in the first and second trimester.

However, this technique can be impractical because the training necessary for the use of this technology Diagnosis of long bone fractures in primary assessment can decrease risk of complications such as shock, bleeding, swelling, embolism compartment syndrome, vascular or neurological damage and patient's transposition related change shape and type of a fracture. that complications can lead to life-threatening conditions up to death specifically in geriatric and paediatric Patients

详细描述

Primary assessment for traumatic patient included:

A- Airway with cervical spine precautions /or protection: This assessment is of the patency of the patient's airway.

B- Breathing and Ventilation: This assessment is performed first by inspection. C- circulation with hemorrhage control: Adequate circulation is required for oxygenation to the brain and other vital organs. Blood loss is the most common cause of shock in trauma patients.

D- Disability (assessing neurological status): A rapid assessment of the patient's neurologic status is necessary on arrival in the emergency department.

E- Exposure and Environmental Control: The patient should be completely undressed and exposed to ensure no injuries are missed.

研究设计

研究类型
Observational
观察模型
Case Only
时间视角
Prospective

入排标准

年龄范围
18 Years 至 65 Years(Adult, Older Adult)
性别
All
接受健康志愿者

入选标准

  • traumatic patient suspect to have long bone fracture between 18 - 65 years old

排除标准

  • Patient refused to participate in the research.
  • Previously diagnosed patient with long bone fractures.
  • Critically injured patients
  • Obese patient (BMI) > 35

结局指标

主要结局

Comparison between Ultrasound bone scan result and X-ray imaging accuracy and sensitivity.

时间窗: through study completion, an average of 1 year

measure of sensitivity, specificity, positive and negative predictive values and accuracy of ultrasound

次要结局

未报告次要终点

研究者

申办方类型
Other
责任方
Principal Investigator
主要研究者

Khaled Abdelbaky Abdelrahman

Clinical Professor

Assiut University

研究点 (1)

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