wrist fracture, children, clinical decision aid, pols fractuur, kinderen, klinische beslisregel
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Children aged beteen 3-16 years and a history of isloated wrist trauma within 72 h of presentation.
Exclusion criteria
Exclusion criteria: 1. Children younger than 3 years old; 2. Children older than 16 years old; 3. Children who went by radiography (elsewere) before our assesment; 4. Patients with pre-existing musculoskeletal disease, coagulopathy, or delvelopmental delay; 5. Patients with previous histroy of surgery or recent ( <3 months) injury of the affected wrist; 6. Children with multisystem trauma; 7. Clinical suspicion of a scaphoid fracture.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. The number of applied X-rays in children with acute injury of the wrist after implementation of the AWR; 2. The number of missed fractures of the distal radius/ulna fracture in children after implementation of the AWR. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. The number of X-rays that show a fracture of the distal radius fracture; 2. Reducing the time that patients with acute wrist injury spent at the ED; 3. Economic analysis. | — |
Contacts
Meibergdreef 9