Applicability of the Ottawa Ankle Rules

NCT ID: NCT01561365

Last Updated: 2012-03-23

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

92 participants

Study Classification

INTERVENTIONAL

Study Start Date

2003-10-31

Study Completion Date

2004-05-31

Brief Summary

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The aim of this prospective study was to compare outcomes in patients handled by emergency physician according to OAR versus by an orthopedic resident.

92 consecutive patients with ankle injuries attending our emergency department were divided in two groups. The study group comprised 32 patients who arrived during the morning shift and were examined by an emergency physician according to OAR. Patients discharged without an x-ray were followed in the clinic or by telephone communication. The control group constituted 60 patients who were examined during the evening and night shifts by orthopedic residents unaware of this study.

Detailed Description

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Objective. Ankle and midfoot injuries are common orthopedic complaints, both in general medicine and orthopedic practice. The percentage of fractures among these injuries is small, however many will undergo x-ray. Ottawa ankle rules (OAR) are clinical guidelines for determining whether to use radiography in such cases. The aim of this prospective study was to compare outcomes in patients handled by emergency physician according to OAR versus by an orthopedic resident. Also, we validated the applicability of OAR in an emergency department in our country.

Methods. 92 consecutive patients with ankle injuries attending our emergency department were divided in two groups. The study group comprised 32 patients who arrived during the morning shift and were examined by an emergency physician according to OAR. Patients discharged without an x-ray were followed in the clinic or by telephone communication. The control group constituted 60 patients who were examined during the evening and night shifts by orthopedic residents unaware of this study.

Conditions

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Ankle Fracture Ankle Sprain

Study Design

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Allocation Method

NON_RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

DIAGNOSTIC

Blinding Strategy

NONE

Study Groups

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Emergency

Group Type EXPERIMENTAL

Ottawa ankle rules

Intervention Type BEHAVIORAL

Ottawa ankle rules implementation

Orthopedic residents

Group Type EXPERIMENTAL

Ottawa ankle rules

Intervention Type BEHAVIORAL

Ottawa ankle rules implementation

Interventions

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Ottawa ankle rules

Ottawa ankle rules implementation

Intervention Type BEHAVIORAL

Other Intervention Names

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OAR

Eligibility Criteria

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Inclusion Criteria

* ankle trauma

Exclusion Criteria

* unwilling to participate
Minimum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Hadassah Medical Organization

OTHER

Sponsor Role lead

Responsible Party

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KANDEL

Orthopediv Surgeon

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Leonid Kandel, MD

Role: PRINCIPAL_INVESTIGATOR

Hadassah Medical Organization

Locations

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Hadassah Medical Organization, Jerusalem, Israel

Jerusalem, , Israel

Site Status

Countries

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Israel

Other Identifiers

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Ottawarules

Identifier Type: -

Identifier Source: org_study_id

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