An observational study in Sports Injuries in Children, sponsored by Central Hospital, Nancy, France. Recruiting at 1 site in France. Open to participants aged 5 Years to 18 Years. Per ClinicalTrials.gov, last updated 2023-06-18.
Sponsored by Central Hospital, Nancy, France · Observational
Ankle sprain in children is a very common pathology. Currently in France, a standard X-ray is done in almost all cases. However, the literature has for several years validated the consideration of the Ottawa ankle rules in children to avoid the realization of these X-rays.
Our study is an evaluation of clinical practice. The aim is to assess the impact of the implementation of a new protocol using the Ottawa ankle rules from the age of 5. In particular, radiographic sparing and absence of diagnostic error.
Main objective: To compare the rate of X-rays performed before and after implementation of the protocol in pediatric emergencies.
Secondary objectives (if applicable):
Primary endpoint = X-ray rate as a % of X-rays performed on the number of children presenting to pediatric emergencies over the period studied (before implementation of the protocol in a similar period = May to October 2022 / after implementation of the protocol = May to October 2023) Secondary endpoints =
258 studies on the registry are indexed under Athletic Injuries; 45 are open to participants now.
This study's planned enrollment of 600 is above the median of 100 across 91 observational studies indexed under Athletic Injuries.
Browse Athletic Injuries studies →Central Hospital, Nancy, France is the lead sponsor of 798 studies on the registry; 186 are open to participants now.
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5 to 18 years old consulting in pediatric emergency in Nancy children hospital for ankle injury
Go through the criteria one by one — yes, no or not sure — and take the list to your doctor or the study team. Kept in this browser only.
Exclusion Criteria:
Constitutional bone disease Polytrauma Inability to assess the patient (inebriated, altered consciousness, neurosensitive disease, intoxication) Non-acquired walking Injury more than 10 days old Patient re-consults for the same injury previously assessed in the same centre Patient with previous radiographs prior to consultation Open fracture Sensory or vascular deficit Haemophilia Metabolic disease with proven osteopenia
patients between 5 and 18 years of age consulting the paediatric emergency department for ankle trauma, before protocol implementation.
patients between 5 and 18 years of age consulting the paediatric emergency department for ankle trauma, after the implementation of the protocol
Diagnostic Test: OTTAWA ANKLE RULES
count the ottawa score and do an x-ray if the score is greater than or equal to 1
COMPARISON of the rate of x-rays
COMPARISON of the rate of x-rays as a % of x-rays performed among the number of children presenting to paediatric emergency departments over the period studied before and after implementation of the protoc
Time frame: 4 month
Plan to share: No
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