Animated Picture to Improve Provider Adherence to CT Scan for Head Injury Rule

NCT01514071 | Completed

• 1 other identifier: 1103-040
• Study Type: interventional
• Target: 746
• Locations: 1 country
• Sites: 2

Brief Summary

It is difficult for Pediatric Emergency Department providers to recognize clinically significant head injuries that are likely to require neurosurgical intervention or close monitoring from those that can be safely discharged. Research Question How do a combination of education and an animated picture depicting the PECARN CT Head Injury rules impact compliance to these rules and reduce unnecessary head CT scans? Design This is a within subject, repeated measures study design.

Conditions

Minor Head Injury

Keywords

head injury; CT; emergency; radiation

Outcome Measures

Primary Outcomes (1)

• Compliance to the PECARN CT Scan Head Injury rules

  3 months

Secondary Outcomes (1)

• Decreased rate of CT scans

  3 months

Study Arms (1)

Pop-up picture

EXPERIMENTAL

Behavioral: Pop-up picture

Interventions

Pop-up picture BEHAVIORAL

An animated picture depicting the key elements of the PECARN CT scan head injury rules will be explained. The picture will "pop-up" when a provider selects the order set for a CT scan due to head injury. Providers will need to select a box stating the patient either "meets criteria" or "does not meet criteria" in order to close the animated picture window.

Pop-up picture

Eligibility Criteria

• Age: Up to 18 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• Patients presenting to Children's ED will be included if they:
• Are between 0 and 18 years of age (inclusive)
• Receive a discharge diagnosis of head injury
• Present to the ED within 24 hours of the head injury
• GCS of 14 or greater

You may not qualify if:

• Patients will be excluded if they :
• Had a CT scans done in an outside transferring institution
• Have obvious penetrating head injuries
• Had a trivial injury mechanisms such as ground-level falls or walking or running into stationary objects
• Have no signs or symptoms of head trauma other than scalp abrasions and lacerations.
• Have known brain tumors, pre-existing neurological disorders complicating assessment, ventricular shunts, bleeding disorders

Sponsors & Collaborators

• Children's Hospitals and Clinics of Minnesota: lead

Study Sites (2)

Children's Hospitals and Clinics of Minnesota

Minneapolis, Minnesota, 55404, United States

Location

Children's Hospitals and Clinics of Minnesota

Twin Cities, Minnesota, United States

Location

Related Publications (1)

• Kuppermann N, Holmes JF, Dayan PS, Hoyle JD Jr, Atabaki SM, Holubkov R, Nadel FM, Monroe D, Stanley RM, Borgialli DA, Badawy MK, Schunk JE, Quayle KS, Mahajan P, Lichenstein R, Lillis KA, Tunik MG, Jacobs ES, Callahan JM, Gorelick MH, Glass TF, Lee LK, Bachman MC, Cooper A, Powell EC, Gerardi MJ, Melville KA, Muizelaar JP, Wisner DH, Zuspan SJ, Dean JM, Wootton-Gorges SL; Pediatric Emergency Care Applied Research Network (PECARN). Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet. 2009 Oct 3;374(9696):1160-70. doi: 10.1016/S0140-6736(09)61558-0. Epub 2009 Sep 14.

  PMID: 19758692 BACKGROUND

MeSH Terms

Conditions

Craniocerebral Trauma; Emergencies

Condition Hierarchy (Ancestors)

Trauma, Nervous System; Nervous System Diseases; Wounds and Injuries; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: January 12, 2012
• First Posted: January 20, 2012
• Study Start: February 1, 2012
• Primary Completion: July 1, 2013
• Study Completion: July 1, 2013
• Last Updated: July 31, 2013

Record last verified: 2013-07

Locations

US (2)