Comparison of current local practice and the Ottawa Ankle Rules to determine the need for radiography in acute ankle injury
Autor: | A. Marathias, G. Singh-Ranger |
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Rok vydání: | 1999 |
Předmět: |
Adult
Male medicine.medical_specialty Adolescent Radiography MEDLINE Critical Care and Intensive Care Medicine Sensitivity and Specificity Ankle injury Medical Staff Hospital medicine Humans Nurse Practitioners Ankle Injuries Prospective Studies Practice Patterns Physicians' Arthrography Child Emergency Treatment General Nursing Local practice business.industry Decision Trees Attendance Reproducibility of Results Middle Aged Radiation exposure medicine.anatomical_structure Child Preschool Acute Disease Emergency Medicine Physical therapy Female Guideline Adherence Ankle business Algorithms Ottawa ankle rules |
Zdroj: | Accident and Emergency Nursing. 7:201-206 |
ISSN: | 0965-2302 |
DOI: | 10.1016/s0965-2302(99)80051-4 |
Popis: | Ankle injuries are a frequent cause of attendance to accident and emergency (A&E) departments. Although often classed as 'minor injuries', the consequences of mismanagement can be debilitating for patients. In addition, it is not always easy to differentiate those injuries with bony fractures from solely ligamentous injuries, and most patients are radiographed unnecessarily. Clinical prediction rules such as the Ottawa Ankle Rules have been devised to reduce the degree of radiographic requests, thus limiting harmful radiation exposure, and reducing departmental costs. The A&E environment of our centre often includes a variety of clinicians with little pure orthopaedic training or knowledge of these clinical prediction rules, hence, providing a prime atmosphere for their assessing their effectiveness. A prospective study was performed in our centre to investigate the validity of the clinician's decision in diagnosis of a bony injury in the absence of training with the Ottawa Ankle Rules. The effectiveness of applying the rules was then determined on the same set of patients. |
Databáze: | OpenAIRE |
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