Projected Prognosis as a Predictor of Short-term Outcome After Treatment of Minor Musculoskeletal Injuries in the Emergency Department

Musculoskeletal Diseases Clinical Trial

Official title:

Projected Prognosis as a Predictor of Short-term Outcome After Treatment of Minor Musculoskeletal Injuries in the Emergency Department: A Prospective Cohort Study

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT04011917
• Other study ID #: REG-032-2019
• Status: Completed
• Start date: August 15, 2019
• Est. completion date: November 15, 2019

Study information

• Verified date: January 2020
• Source: Slagelse Hospital
• Contact: n/a
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

This study describes the caseload treated by the extended scope physiotherapists(ESP) working in the emergency department at Slagelse Hospital.

Patients treated by the ESP during a 3 month period will be included in this study.

Furthermore we aim to assess if ESPs treating patients with minor musculoskeletal injuries in the ED can predict the short-term prognosis of recovery. The prediction is made at hospital discharge using a (-7/+7) numerical rating scale (-7=poor prognosis; 7=best prognosis).

Recruitment information / eligibility

• Status: Completed
• Enrollment: 432
• Est. completion date: November 15, 2019
• Est. primary completion date: November 15, 2019
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A and older

Eligibility

Inclusion Criteria:

• 1 Treated by an ESP for a minor musculoskeletal injury in the emergency room

• 2 Has an email address

• 3 Signed informed consent form

Exclusion Criteria:

• 1 A condition that, in the opinion of the investigator, would preclude participation in the study (e.g., not having access to the internet, cognitive impairments etc.)

• 2 Under the influence of drugs or alcohol

Related Conditions & MeSH terms

• Emergencies
• Musculoskeletal Diseases

Intervention

Behavioral:
• Standard care
Treatment by an extended scope physiotherapist following Standard Operating Procedures.

Locations

Country	Name	City	State
Denmark	The Emergency Department, Slagelse Hospital	Slagelse	Region Zealand

Sponsors (2)

Lead Sponsor	Collaborator
Slagelse Hospital	Bispebjerg Hospital

Country where clinical trial is conducted

Denmark, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Other	VAS Pain	The VAS pain is a measure of pain intensity, which has been widely used in diverse adult populations. The scale is a unidimensional continuous scale comprised of a horizontal line, anchored by 2 verbal descriptors, one for each symptom extreme (0 no pain, 10 the worst imaginable pain).	At baseline and 1 month after discharge
Other	Analgesic use	The participants self-reported use of analgesics will be collected at the 1 month follow-up. Participants will be asked to note their use of analgesic drugs, within the week before the follow-up, only related to the treated injury in the emergency room.	1 month after discharge
Other	Follow-up treatments	The participants self-reported use of follow-up visits with other allied health professionals will be recorded. All visits related to the treated injury during the 1-month follow-up period should be noted.	1 month after discharge
Other	Re-injury	The participants self-reported reinjury rate during the 1-month follow-up period will be recorded.	1 month after discharge
Primary	Transition ratings of global perceived effect	Using a transition questionnaire (TRANS-Q) the perceived effect of treatment will be measured by participants answering if their current health status is "unchanged", "worse" or "better" compared to their pre-injury status. "unchanged" equals a transition score of 0. If the participant answers "worse", he/she is asked to rate the degree of worsening on a 7 point Likert scale, with corresponding scores ranging from -1 to -7. If the participant answers "better", he/she is asked to rate the degree of improvement on a 7 point Likert scale, with corresponding scores ranging from 1 to 7. Thus the GPE score range from -7 (worsening) to 7 (improvement), with the mid-point - 0 - representing no change.	1 month after discharge
Secondary	Patient Acceptable Symptom State		1 month after discharge
Secondary	EuroQoL questionnaire		1 month after discharge