NCT05183477

Fast Track for Wrist and Scaphoid Fractures

Fast Track in the Emergency Department for Wrist and Scaphoid Fractures: a Randomised Trial

• Status: Terminated
• Phase: N/A
• Study type: Interventional
• Enrollment: 196 (actual)
• Sponsor: Ente Ospedaliero Cantonale, Bellinzona · Academic / Other
• Sex: All
• Age: 18 Years
• Healthy volunteers: Not accepted

Summary

This is a mono centric, prospective, randomised trial on the implementation and assessment of a shortened pathway for mono-trauma of the wrist and suspected fracture of distal radius and/or ulna and/or scaphoid bone.

Detailed description

Patients will be randomised into two groups: fast track and normal pathway. At the arrival in the Emergency Department a triage will be performed. In case of met inclusion criteria the patient will sign the informed consent and will be randomised in one of the two study groups. The fast track group will be straightforwardly evaluated for absence of exclusion criteria (in case of exclusion criteria present the investigators will follow the normal pathway and the patient will not be included in the study). Then, patients will be assessed with an ad hoc checklist and then sent for x-ray performance, if necessary. After the x-ray the patients will be examined by an emergency physician that will have the opportunity to request new x-ray views if necessary. The normal pathway group will go straight to medical examination as soon as possible, depending on waiting times in the Emergency Department. Investigators will collect anagraphical data, waiting times, time to x-ray, overall length of stay in the Emergency Department, patients' and staff's satisfaction for the two groups.

Conditions

• Wrist Fracture
• Scaphoid Fracture

Interventions

Type	Name	Description
OTHER	fast track	short cut for the request of xrays directly at triage
OTHER	normal pathway	x-ray would be required according to doctor's clinical evaluation.

Timeline

• Start date: 2021-12-17
• Primary completion: 2024-09-30
• Completion: 2024-09-30
• First posted: 2022-01-10
• Last updated: 2025-02-27

Locations

1 site across 1 country: Switzerland