Clinical and cost effectiveness of mechanical support for severe ankle sprains: design of a randomised controlled trial in the emergency department [ISRCTN 37807450]
| Autor: | Michael Clark, Rachel A. Nakash, Jane L. Hutton, Emma J. Withers, Ala Szczepura, Jennifer Marsh, Sarah E Lamb, Sue Wilson, Jeremy Dale, Matthew Cooke |
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| Jazyk: | angličtina |
| Předmět: |
Orthotic Devices
medicine.medical_specialty lcsh:Diseases of the musculoskeletal system Cost effectiveness medicine.medical_treatment law.invention Study Protocol Physical medicine and rehabilitation Rheumatology Randomized controlled trial law Sprains and strains Humans Medicine Orthopedics and Sports Medicine Ankle Injuries Rehabilitation business.industry Health Care Costs Emergency department medicine.disease Orthotic device Clinical trial Treatment Outcome medicine.anatomical_structure Research Design Sprains and Strains Physical therapy lcsh:RC925-935 Ankle Emergency Service Hospital business RC |
| Zdroj: | BMC Musculoskeletal Disorders BMC Musculoskeletal Disorders, Vol 6, Iss 1, p 1 (2005) |
| ISSN: | 1471-2474 |
| DOI: | 10.1186/1471-2474-6-1 |
| Popis: | Background The optimal management for severe sprains (Grades II and III) of the lateral ligament complex of the ankle is unclear. The aims of this randomised controlled trial are to estimate (1) the clinical effectiveness of three methods of providing mechanical support to the ankle (below knee cast, Aircast® brace and Bledsoe® boot) in comparison to Tubigrip®, and (2) to compare the cost of each strategy, including subsequent health care costs. Methods/design Six hundred and fifty people with a diagnosis of severe sprain are being identified through emergency departments. The study has been designed to complement routine practice in the emergency setting. Outcomes are recovery of mobility (primary outcome) and usual activity, residual symptoms and need for further medical, rehabilitation or surgical treatment. Parallel economic and qualitative studies are being conducted to aid interpretation of the results and to evaluate the cost-effectiveness of the interventions. Discussion This paper highlights the design, methods and operational aspects of a clinical trial of acute injury management in the emergency department. |
| Databáze: | OpenAIRE |
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