With implementation of the APWR 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…
ID
Bron
Verkorte titel
Aandoening
polsfractuur, distale radius, klinische beslisregel, kinderen
wrist fracture, distal radius, clinical decision rule, children
Ondersteuning
Onderzoeksproduct en/of interventie
Uitkomstmaten
Primaire uitkomstmaten
The number of requested X-rays in children with acute injury of the wrist after implementation of the AWR.
Achtergrond van het onderzoek
Almost every child who sustains 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 Paediatric Wrist Rule is an externally validated clinical decision rule, based on clinical parameters, which helps determine the need for radiography in children with wrist trauma. With this study we aim to evaluate the implementation of the Amsterdam Paediatric Wrist Rules in the Emergency Department.
Doel van het onderzoek
With implementation of the APWR 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 3 million euro's a year.
Onderzoeksopzet
Outcomes will be evaluated at the end of the inclusion period.
Onderzoeksproduct en/of interventie
X-ray of the wrist or not.
Publiek
Marjolein A.M. Mulders
Amsterdam
The Netherlands
+31628243430
m.a.mulders@amc.nl
Wetenschappelijk
Marjolein A.M. Mulders
Amsterdam
The Netherlands
+31628243430
m.a.mulders@amc.nl
Belangrijkste voorwaarden om deel te mogen nemen (Inclusiecriteria)
All patients from 3 till 18 years presenting with acute wrist trauma at the Emergency Department.
Belangrijkste redenen om niet deel te kunnen nemen (Exclusiecriteria)
- 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
Opzet
Deelname
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| Register | ID |
|---|---|
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