Recruiting

Observational Study

Sponsor:

Vancouver Coastal Health

Code:

NCT01654393

Conditions

Ankle Fracture

Eligibility Criteria

Sex: All

Age: 19+

Healthy Volunteers: Not accepted

Interventions

Triage nurses applying the OAR

Study Details

Brief summary:

The purpose of the study is to help doctors in emergency departments know whether triage nurse initiated radiographs, in accordance to the Ottawa ankle rule, before emergency physician assessment will shorten emergency patients' visit. The investigators will examine the number of missed fractures between the two groups, the emergency physicians' willingness to apply OAR and triage nurses' satisfaction.

Conditions

Ankle Fracture

Study ID

NCT01654393

Start date

Jul, 2012

Status verified date

Sep, 2012

Completion date

Feb, 2013

Anticipated

Primary completion date

Jan, 2013

Anticipated

Eligibility Criteria

Eligibility Criteria

Sex: All

Age: 19+

Healthy Volunteers: Not accepted

Inclusion Criteria:

  • Patients aged ≥ 19 presenting with an isolated blunt ankle injury

Exclusion Criteria:

  • Injury >10 days
  • 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

Study Design

Enrollment

142 participants

Anticipated

Allocation

Randomized

Intervention Model

Parallel Assignment

Primary purpose

Health Services Research

Interventions and Outcome Measures

Arms

experimental: OAR group

Patients with ankle injuries who are assessed by OAR trained triage nurses applying the OAR.

no intervention: Control for OAR Triage Nurses

Patients with ankle injuries that are seen by OAR triage nurses but not assessed in accordance with the OAR.

Interventions

Triage nurses applying the OAR

Triage nurses applying the OAR during assessment and ordering foot/ankle x-rays as necessary.

Primary outcome measure

  • Median length of stay (LOS) of patients presenting to a tertiary care academic center with blunt ankle injuries [ Time Frame: 6 months ]

Central Contacts and Locations

Central contacts

Jan Buchanan, BSN

6048754205Jan.Buchanan@vch.ca

Lyne Filiatrault, MD

filiatra@mail.ubc.ca

Locations

Vancouver General Hospital

Recruiting

Vancouver, British Columbia, Canada, V5Z 1M9

Contacts

Jan Buchanan, BSN

6048754205Jan.Buchanan@vch.ca

Wailliam W Lee, MD

wailliamlee37@gmail.com

Principal Investigator:

Wailliam Lee, MD

More Information

Sponsor

Vancouver Coastal Health

Last update posted

Sep 12, 2012

Last verified

Sep, 2012

Keywords

  • Triage nurse
  • Ottawa ankle rules

Trial information was received from ClinicalTrials.gov and was last updated on 2026-09-10. This information was provided to ClinicalTrials.gov by Vancouver Coastal Health on 2012-09-12.