None listed
Conditions
Brief summary
The present study aims to increase our understanding of post discharge follow up processes in trauma patients with predominantly minor injury. The aim of the study is to determine whether a post discharge follow up clinic results in earlier return to work and baseline health status in patients sustaining minor injury.
Interventions
Patients in randomised to the intervention arm will be followed up within 2 weeks of hospital discharge using a single visit follow up clinic staffed by the Trauma Clinical Nurse Consultant Physiotherapist, Mental Health Nurse Practitioner and Trauma Surgery Registrar. The clinic will be conducted within the hospital at a designated consultation room within the Emergency Department. The clinic will review patient progress and make referrals to social work, physiotherapists and Mental Health Nurs
Patients in randomised to the intervention arm will be followed up within 2 weeks of hospital discharge using a single visit follow up clinic staffed by the Trauma Clinical Nurse Consultant Physiotherapist, Mental Health Nurse Practitioner and Trauma Surgery Registrar. The clinic will be conducted within the hospital at a designated consultation room within the Emergency Department. The clinic will review patient progress and make referrals to social work, physiotherapists and Mental Health Nurse Practitioners working within ED if required. Referrals to Mental Health services from the trauma follow up clinic will be based on results of screening tests (Kessler-6 scale) which is routinely used by Mental Health Services at RPAH. Patients will also undertake post traumatic amnesia screening tests and be referred to appropriate outpatient services if found to be positive. Patients will undertake these screening surveys in person at the time of follow up clinic appointment.
Sponsors
Royal Prince Alfred Hospital
Study design
Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Open (masking not used)
Eligibility
Sex/Gender
All
Age
16 Years to 65 Years
Healthy volunteers
No
Inclusion criteria
Patient population – Patients will be recruited after trauma team activation in ED who satisfy the following: 1. age between 16 and 65 years of age, 2. Presenting with injuries following road trauma (and motorised vehicle, train, pedestrian, cyclist), fall or work-related injury.
Exclusion criteria
Exclusions - Patients excluded will be expectant death within 48 hours of admission, severe head injury, severe multisystem injury, patient identified after 48 hours of admission, penetrating injury, assault, self-inflicted injury, pre-existing mental health illness or cognitive impairment, pre-existing diagnosis of drug and alcohol use disorders, residence in an aged care facility, no fixed abode or contact details lack of adequate English speaking family member present at home. Exclusions are based on previous work at this institution that demonstrated poor telephone follow up rates.
Outcome results
None listed