No registrations found.
ID
Source
Brief title
Health condition
polsfractuur, distale radius, klinische beslisregel
wrist fracture, distal radius, clinical decision rule
Sponsors and support
Intervention
Outcome measures
Primary outcome
The number of requested X-rays in adult patients with acute injury of the wrist after implementation of the AWR.
Secondary outcome
- The number of clinically relevant missed fractures of the distal radius after implementation of the AWR
- The reduction of overall waiting time at the ED
- Cost-effectiveness of the AWR
Background summary
Almost every adult patient who sustained wrist trauma is referred for radiological examination to rule out a wrist fracture. However, around 50% of these X-rays do not show a fracture. The Amsterdam Wrist Rule is an externally validated clinical decision rule, based on clinical parameters, which helps determine the need for radiography in patients with wrist trauma. With this study we aim to evaluate the implementation of the Amsterdam Wrist Rules in the Emergency Department.
Study objective
With implementation of the AWR we expect a reduction in the total amount of radiographs requested, without missing any clinical relevant fractures. We also expect a reduction in overall waiting times at the ED and a total amount of cost savings around 4 million euro's a year.
Study design
Outcomes will be evaluated at the end of the inclusion period.
Intervention
None.
Marjolein A.M. Mulders
Amsterdam 1105 AZ
The Netherlands
+31628243430
m.a.mulders@amc.uva.nl
Marjolein A.M. Mulders
Amsterdam 1105 AZ
The Netherlands
+31628243430
m.a.mulders@amc.uva.nl
Inclusion criteria
All consecutive adult patients presenting with acute wrist trauma at the Emergency Department.
Exclusion criteria
- The injury occurred more than 72 hours previous to the presentation at the Emergency Department
- Patients who sustained multiple injuries with an Injury Severity Score (ISS) more than 16
- Patients whose X-rays were requested previous to their visit to the Emergency Department (for example by their general practitioner)
- A wrist fracture in the past 3 months
Design
Recruitment
IPD sharing statement
Followed up by the following (possibly more current) registration
No registrations found.
Other (possibly less up-to-date) registrations in this register
No registrations found.
In other registers
| Register | ID |
|---|---|
| NTR-new | NL4735 |
| NTR-old | NTR5074 |
| Other | METC AMC : W13_101 # 14.17.0327 |