polsfractuur, distale radius, klinische beslisregel, kinderen wrist fracture, distal radius, clinical decision rule, children
Conditions
Interventions
X-ray of the wrist or not.
Sponsors
Academic Medical Centre, Amsterdam
Eligibility
Inclusion criteria
Inclusion criteria: All patients from 3 till 18 years presenting with acute wrist trauma 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 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
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| The number of requested X-rays in children with acute injury 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 AWR - The reduction of overall waiting time at the ED - Cost-effectiveness of the AWR | — |
Contacts
Public ContactMarjolein A.M. Mulders
Amsterdam UMC, location Academic Medical Center
Outcome results
None listed