Study Results
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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UNKNOWN
NA
142 participants
INTERVENTIONAL
2012-07-31
2013-02-28
Brief Summary
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Detailed Description
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Since the implementation of the Ottawa ankle rules (OAR), numerous studies have examined nurses' application and interpretation of these rules. It has been shown that nurses' application of the rule yield similar sensitivity and negative predictability for diagnosis of fractures as physicians. It is believed that emergency nurses can make accurate assessment in the determination of the patients who require radiographs. What is unclear, however, is whether or not triage nurse initiated radiographs shortens patients' length of stay in the emergency department, a factor inversely correlated to patient satisfaction. Only a couple of studies have looked at this issue in the context of the Ottawa ankle rules. One is a retrospective study conducted at an A\&E department in a small city while the other, although randomized prospectively, was carried out in an urgent care center rather than in a busy academic tertiary care hospital.
Our primary objective for this study is to investigate the median length of stay of patients presenting to a tertiary care academic center with blunt ankle injuries and assess whether triage nurse initiated radiographs in accordance to the Ottawa ankle rules would shorten their stay versus current standard of care. Presently, the emergency physician orders the x-ray at the time of patient encounter.
Conditions
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Keywords
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Study Design
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RANDOMIZED
PARALLEL
HEALTH_SERVICES_RESEARCH
DOUBLE
Study Groups
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OAR group
Patients with ankle injuries who are assessed by OAR trained triage nurses applying the OAR.
Triage nurses applying the OAR
Triage nurses applying the OAR during assessment and ordering foot/ankle x-rays as necessary.
Control for OAR Triage Nurses
Patients with ankle injuries that are seen by OAR triage nurses but not assessed in accordance with the OAR.
No interventions assigned to this group
Interventions
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Triage nurses applying the OAR
Triage nurses applying the OAR during assessment and ordering foot/ankle x-rays as necessary.
Eligibility Criteria
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Inclusion Criteria
Exclusion Criteria
* Isolated skin injury
* Referred patient with outside x-ray
* Obvious fracture or deformity
* Polytrauma
* Pregnancy
* Diminished sensation due to neurological deficit
* Uncooperative, intoxicated or patients with altered mental status
* Patients returning for reassessment of same injury
* Injury due to or suspicious for domestic violence
19 Years
ALL
No
Sponsors
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University of British Columbia
OTHER
Vancouver Coastal Health
OTHER_GOV
Responsible Party
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Dr. Lyne Filiatrault
Emergency Physician
Principal Investigators
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Lyne Filiatrault, MD, FRCPC
Role: PRINCIPAL_INVESTIGATOR
Vancouver Coastal Health Authorities
Wailliam W Lee, MD
Role: PRINCIPAL_INVESTIGATOR
Vancouver Costal Health Authorities
Ryiad Abu-Laban, MD, MHSc, FRCPC
Role: PRINCIPAL_INVESTIGATOR
Vancouver Costal Health Authorities
Locations
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Vancouver General Hospital
Vancouver, British Columbia, Canada
Countries
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Central Contacts
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Facility Contacts
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Jan Buchanan, BSN
Role: primary
Wailliam W Lee, MD
Role: backup
Other Identifiers
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H12-01352
Identifier Type: -
Identifier Source: org_study_id