Impacts of Physiotherapy Services in a Quebec Emergency Department
NCT ID: NCT04009369
Last Updated: 2020-10-28
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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COMPLETED
NA
78 participants
INTERVENTIONAL
2018-09-10
2019-06-27
Brief Summary
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The objectives of the project are to evaluate the effects of physiotherapy management of patients with MSKD in ED compared to usual practice on clinical course of patients, use of services and resources, and waiting time and length of stay in ED. The hypothesis is that patients presenting with a MSKD to the ED with direct access to a physiotherapist will have better clinical outcomes and that use of services, waiting time, and length of stay are going to be inferior to those of the EP group.
Detailed Description
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Objectives: Evaluate the effects of direct access physiotherapy management of patients with MSKD in the ED compared to the usual management by the emergency physician on clinical course of patients (pain, quality of life and disability) and use of services and resources at one and three months, and waiting time and length of stay in the ED.
Methods: A randomized controlled trial is currently in progress at the Centre hospitalier de l'Université Laval (CHUL). Two groups of 50 participants each are recruited over a six months period: one group with direct access to a physiotherapist (PT) in the ED and one control group with the usual access care to the emergency physician. Data is extracted from the patients' medical record, administrative data from the ED, self-administered forms given to the patients during their ED stay and either electronic or phone follow-ups (1 and 3 months). Data will be analysed using descriptive (demographic and clinical profiles) and inferential statistics (repeated ANOVA between groups across time points and Student T tests for independent samples).
Importance of potential findings for MSK health: ED overcrowding causes prolonged lengths of stay, increased rates of patient leaving without being seen, increased medical errors, increased mortality among ambulatory and non-ambulatory patients and decreased patient satisfaction. This project will measure the effects of integrating PTs into the ED in a Canadian hospital setting and help identify ways to improve the current services offered to patients with a MSKD presenting to the ED. Direct access to PT may improve musculoskeletal health outcomes and support positive patient experience.
Conditions
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Study Design
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RANDOMIZED
PARALLEL
TREATMENT
NONE
Study Groups
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Emergency Physician Group
Usual care by the EP without the intervention of the ED PT.
No interventions assigned to this group
Physical Therapist Group
Direct access to a PT in the ED immediately after triage and prior to physician assessment.
Direct access to a PT
Direct access to a PT in the ED immediately after triage and prior to physician assessment.
Interventions
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Direct access to a PT
Direct access to a PT in the ED immediately after triage and prior to physician assessment.
Eligibility Criteria
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Inclusion Criteria
* Discharged home with a minor MSKD after ED care
* Able to consent
* Able to understand French and to complete the questionnaire either verbally or in writing
Exclusion Criteria
* Presence of a red flag or an unstable clinical condition
* Living in a long-term care facility
18 Years
80 Years
ALL
No
Sponsors
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CHU de Quebec-Universite Laval
OTHER
Integrated University Health and Social Services Center of the Capitale-Nationale
OTHER
Laval University
OTHER
Rose Gagnon
OTHER
Responsible Party
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Rose Gagnon
Master's Student
Principal Investigators
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Rose Gagnon, MPT, MSc(c)
Role: PRINCIPAL_INVESTIGATOR
Laval University
Locations
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Centre Hospitalier de l'Université Laval (CHUL)
Québec, Quebec, Canada
Countries
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References
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Gagnon R, Perreault K, Berthelot S, Matifat E, Desmeules F, Achou B, Laroche MC, Van Neste C, Tremblay S, Leblond J, Hebert LJ. Direct-access physiotherapy to help manage patients with musculoskeletal disorders in an emergency department: Results of a randomized controlled trial. Acad Emerg Med. 2021 Aug;28(8):848-858. doi: 10.1111/acem.14237. Epub 2021 Apr 16.
Other Identifiers
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MP-20-2019-4307
Identifier Type: -
Identifier Source: org_study_id