Musculoskeletal Diseases or Conditions, Musculoskeletal Pain
Conditions
Brief summary
The goal of this clinical trial is to compare two methods of managing low acuity musculoskeletal complaints in children and adolescents ages 6 to 17.99 years in the pediatric emergency department. The main question it aims to answer is whether delivering care in two methods is feasible. Participants will receive care while in the emergency department and will be followed for a period of 1-month post-presentation.
Interventions
assessment and treatment in an interdisciplinary model
OTHERusual care
assessment and treatment in usual care model
Sponsors
McGill University Health Centre/Research Institute of the McGill University Health Centre
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
6 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* aged 6.00-17.99 years of age * present to the Montreal Children's Hospital Emergency Department with a suspected MSK complaint, traumatic or not * are given a triage score of 3 (urgent), 4 (less urgent), or 5 (nonurgent) according to the Canadian Triage and Acuity Scale (CTAS) * are able to communicate in French or English
Exclusion criteria
* present with a major MSK condition requiring urgent care (e.g., open fracture, open wound) * a red flag (e.g. progressive neurological disorder, infectious symptoms) * a co-morbid unstable condition.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Rate of consent | through study completion an average of 4 weeks post-enrolment | rate of consented patients related to patients approached rate of randomization, feasibility of administration of outcomes |
| Completed outcome measures | through study completion an average of 4 weeks post-enrolment | proportion of participants who complete all outcome measures |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Pain intensity on faces rating scale | through study completion an average of 4 weeks post-enrolment | Pain intensity on faces rating scale, scale from 0 to 10, with 10 being a worse score |
| Pain interference with function PROMIS scale | through study completion an average of 4 weeks post-enrolment | PROMIS Pediatric Pain Interference - Short Form 8a, 8 items scores from 1-5 with 5 being a worse outcome |
Countries
Canada
Outcome results
None listed