Ankle Sprains
Conditions
Keywords
Emergency, Healing, Ankle, Sprain
Brief summary
To evaluate the recovery experienced by patients with ankle sprains treated in the adult emergency department of Nantes University Hospital.
Detailed description
The aim of this study is therefore to establish the current situation by describing the practices of doctors working in the adult emergency department of the Nantes University Hospital regarding the initial treatment of ankle sprains, and to assess the rate of recovery experienced by patients one month after their trauma. This preliminary study may be pursued in the future, with a view to proposing new recommendations for the management of ankle sprains in the emergency department.
Interventions
An initial questionnaire is completed on D0, the day of the patient's admission to the emergency department, by the practitioner in charge of the patient, and covers the patient's anamnesis, clinical examination, radiological examinations and treatment. A follow-up telephone visit is then carried out at 30 days by an investigator, to gather information on the clinical and therapeutic evolution, and to evaluate the recovery and evolution of symptoms experienced by the patient in relation to the initial management.
Sponsors
Study design
Eligibility
Inclusion criteria
* Patient over 18 years of age * Presenting an isolated ankle sprain * Visiting Nantes CHU emergency department for this reason * Patient able to read and speak French * Patient covered by a social security scheme
Exclusion criteria
* Patient \> 70 years old * Patients requiring hospitalization following a visit to the emergency department * Any intercurrent pathology that may affect the management of the ankle sprain * Associated ankle fracture * Patients under legal protection.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| To evaluate the recovery experienced by patients with ankle sprains treated in the adult emergency department of Nantes University Hospital. | 30 days | Percentage of patients feeling fully cured at D30 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Compare healing sensation with duration of immobilization | 30 days | Rate of patients feeling fully healed at D30 according to length of immobilization |
| Compare the feeling of healing with the initial analgesic proposed | 30 days | Rate of patients feeling fully healed at D30 according to initial analgesia proposed |
| Comparing the feeling of recovery according to whether or not a state-certified physiotherapist was involved in the treatment | 30 days | Rate of patients feeling fully healed at D30 according to whether or not they were treated by a state-qualified physiotherapist |
| Compare healing sensation with different types of immobilization | 30 days | Rate of patients feeling fully healed at D30 according to type of immobilization |
| Identify discharge prescription patterns of patients admitted for ankle sprains | 30 days | Prescription rates for each of the immobilization, analgesia and remote consultation modalities |
| Identify patients who finally received an alternative diagnosis | 30 days | Rate of patients receiving an alternative diagnosis |
| Assessing patients' quality of life at D30 after an ankle sprain | 30 days | Measurement of median and interquartile range of EQ-5D-5L (EuroQol 5 Dimensions 5 Levels) questionnaire results. The scale ranges from 5 (worst possible health state) to 1 (best possible health state). |
| Compare the feeling of recovery according to the presence or absence of early medical reassessment | 30 days | Rate of patients feeling fully cured at D30 according to the presence or absence of an early medical reassessment |
Countries
France