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

NCT04011917 | Completed DMC

• 1 other identifier: REG-032-2019
• Study Type: observational
• Target: 432
• Locations: 1 country
• Sites: 1

Brief Summary

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).

Conditions

Musculoskeletal Diseases

Keywords

Minor Musculoskeletal Injuries; Emergency Department; Prediction outcome; Extended Scope Physiotherapists

Outcome Measures

Primary Outcomes (1)

• Transition ratings of global perceived effect

  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.

  1 month after discharge

Secondary Outcomes (2)

• Patient Acceptable Symptom State

  1 month after discharge

• EuroQoL questionnaire

  1 month after discharge

Other Outcomes (4)

• VAS Pain

  At baseline and 1 month after discharge

• Analgesic use

  1 month after discharge

• Follow-up treatments

  1 month after discharge

Study Arms (2)

Caseload group

Behavioral: Standard care

Prediction group

Behavioral: Standard care

Interventions

Standard care BEHAVIORAL

Treatment by an extended scope physiotherapist following Standard Operating Procedures.

Caseload group; Prediction group

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

All patients treated by an ESP physiotherapist in the emergency room at Slagelse Hospital, Denmark, in a 3 month period +1 month follow-up will be invited to participate in this study.

You may qualify if:

• Treated by an ESP for a minor musculoskeletal injury in the emergency room
• Has an email address
• Signed informed consent form

You may not qualify if:

• 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.)
• Under the influence of drugs or alcohol

Sponsors & Collaborators

• Slagelse Hospital: lead
• Bispebjerg Hospital: collaborator

Study Sites (1)

The Emergency Department, Slagelse Hospital

Slagelse, Region Sjælland, 4200, Denmark

Location

MeSH Terms

Conditions

Musculoskeletal Diseases; Emergencies

Interventions

Standard of Care

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Intervention Hierarchy (Ancestors)

Quality Indicators, Health Care; Quality of Health Care; Health Services Administration; Health Care Quality, Access, and Evaluation

Study Officials

• Christian P Olsen, PT, Phd candidate

  Næstved-Slagelse-Ringsted Hospitals

  PRINCIPAL INVESTIGATOR

• Marius Henriksen, PT, PhD

  Department of Physical and Occupational Therapy, Bispebjerg-Frederiksberg Hospital

  STUDY CHAIR

• Søren T Skou, PT, PhD

  Næstved-Slagelse-Ringsted Hospitals and University of Southern Denmark

  STUDY CHAIR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: July 4, 2019
• First Posted: July 9, 2019
• Study Start: August 15, 2019
• Primary Completion: November 15, 2019
• Study Completion: November 15, 2019
• Last Updated: January 18, 2020

Record last verified: 2020-01

Data Sharing

• IPD Sharing: Will share

Locations

DK (1)