wrist, trauma, distal radius, ulna, decision rule, implementation pols, trauma, distale radius, ulna, beslisregel, implementatie
Conditions
Interventions
Use of the AWR and APWR
Sponsors
Academic Medical Center (AMC), Amsterdam
Eligibility
Inclusion criteria
Inclusion criteria: All consecutive patients from 3 years presenting with an acute trauma of the wrist at the Emergency Department.
Exclusion criteria
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 15 - 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 - Patients with an unreliable examination (e.g. intoxicated patients)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The number of requested radiographs in children with acute trauma of the wrist after implementation of the AWR. | — |
Secondary
| Measure | Time frame |
|---|---|
| - The number of clinically relevant missed fractures of the distal radius and distal ulna in children after implementation of the APWR - The reduction of overall lenght of stay at the ED - Physician compliance with the APWR - Cost analysis of the APWR | — |
Contacts
Public ContactMarjolein A.M Mulders
Amsterdam UMC, location Academic Medical Center
Outcome results
None listed