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NCT Number: NCT04011917

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

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).

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Key information

Conditions

Musculoskeletal Diseases Disease Attributes Emergencies Pathologic Processes Pathological Conditions, Signs and Symptoms

Sex eligibility

All sexes

Study type

Observational

Primary location

The Emergency Department, Slagelse Hospital

Slagelse, Region Sjælland, 4200, Denmark

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

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

Treatment and study plan

Standard Care

Behavioral

Treatment by an extended scope physiotherapist following Standard Operating Procedures.

Primary outcomes

  1. Transition ratings of global perceived effect

    Time frame: 1 month after discharge

    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.

Secondary outcomes

  1. Patient Acceptable Symptom State

    Time frame: 1 month after discharge

  2. EuroQoL questionnaire

    Time frame: 1 month after discharge

Other outcomes

  1. VAS Pain

    Time frame: At baseline and 1 month after discharge

    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).

  2. Analgesic use

    Time frame: 1 month after discharge

    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.

  3. Follow-up treatments

    Time frame: 1 month after discharge

    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.

  4. Re-injury

    Time frame: 1 month after discharge

    The participants self-reported reinjury rate during the 1-month follow-up period will be recorded.

Sponsors and collaborators

Lead sponsor

Slagelse Hospital

Other

Collaborators

  • Bispebjerg Hospital

Registry information

Official study title

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

Important dates

Study start
2019
Primary completion
2019
Study completion
2019
First posted
Jul 9, 2019
Registry last updated
Jan 18, 2020

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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