Observational Study of Musculoskeletal Patients in an Emergency Department in France

NCT06445218 | Completed

• 1 other identifier: CHRD0823
• Study Type: observational
• Target: 161
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of this study is to estimate the number of patients who come to the emergency department with a musculoskeletal referral, to describe the different types of diagnosis for these patients and their treatment and discharge.

Conditions

Musculoskeletal Pain

Keywords

Emergency department; musculoskeletal disorder

Outcome Measures

Primary Outcomes (1)

• Description of the population (diagnoses and treatment) considered to have a potential musculoskeletal disorder after nursing triage

  The description of the patients, triaged by the emergency reception and referral nurse as having a potential musculoskeletal pathology, will be carried out by collecting the different types of diagnoses, based on the International Classification of Diseases - 10th revision (ICD10) and their severity, as well as their age and gender, and the treatments that have been prescribed (medication, imaging, physiotherapy, other…).

  At the end of the study, an average of 3 month

Secondary Outcomes (4)

• Description of the management of patients (duration) with a potential musculoskeletal disorder after nursing triage

  At the end of the study, an average of 3 month

• Description of the management of patients (number of patients per day of the week) with a potential musculoskeletal disorder after nursing triage

  At the end of the study, an average of 3 month

• Description of the management of patients (end-of-care orientation) with a potential musculoskeletal disorder after nursing triage

  At the end of the study, an average of 3 month

• Assessment of the prevalence of people with a potential musculoskeletal disorder after nursing triage

  At the end of the study, an average of 3 month

Study Arms (1)

Data collection

Collection of various data from patients' medical file, such as demographic data, diagnostic results, discharge, treatment....

Other: Data collection

Interventions

Data collection OTHER

Collection of various data from patients' medical file, such as demographic data, diagnostic results, discharge, treatment....

Data collection

Eligibility Criteria

• Age: 18 Years - 68 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Patients suffering from musculoskeletal disorders in an emergency department

You may qualify if:

• Patients aged between 18 and 68
• Patients admitted to emergency with a triage by the Reception and Referral Nurse of 0, 1 or 2
• Patients who consulted for one of the following reasons:
• Lower limb pain (T13.9) Lower limb trauma (M79.61) Upper limb pain (T11.9) Upper limb trauma (M79.60) Spinal pain (M54.9) Lumbar or flank pain (R10.3) Diffuse/unspecific pain (R52.9) Loss of sensitivity/paraesthesia
• \- Patients informed of the study and who did not object

You may not qualify if:

• Patients with another reason for consultation associated with the first
• Patients under guardianship / curatorship and patients under safeguard of justice.

Sponsors & Collaborators

• Hôpital NOVO: lead
• University of Brighton: collaborator

Study Sites (1)

Emergency Service - Hôpital NOVO - Pontoise site

Pontoise, 95300, France

Location

Related Publications (3)

• Babatunde OO, Bishop A, Cottrell E, Jordan JL, Corp N, Humphries K, Hadley-Barrows T, Huntley AL, van der Windt DA. A systematic review and evidence synthesis of non-medical triage, self-referral and direct access services for patients with musculoskeletal pain. PLoS One. 2020 Jul 6;15(7):e0235364. doi: 10.1371/journal.pone.0235364. eCollection 2020.

  PMID: 32628696 BACKGROUND

• Demont A, Quentin J, Bourmaud A. [Impact of models of care integrating direct access to physiotherapy in primary care and emergency care contexts in patients with musculoskeletal disorders: A narrative review]. Rev Epidemiol Sante Publique. 2020 Sep;68(5):306-313. doi: 10.1016/j.respe.2020.08.001. Epub 2020 Sep 3. French.

  PMID: 32893028 BACKGROUND

• Demont A, Bourmaud A, Kechichian A, Desmeules F. The impact of direct access physiotherapy compared to primary care physician led usual care for patients with musculoskeletal disorders: a systematic review of the literature. Disabil Rehabil. 2021 Jun;43(12):1637-1648. doi: 10.1080/09638288.2019.1674388. Epub 2019 Oct 11.

  PMID: 31603709 BACKGROUND

MeSH Terms

Conditions

Musculoskeletal Pain; Emergencies; Musculoskeletal Diseases

Interventions

Data Collection

Condition Hierarchy (Ancestors)

Muscular Diseases; Pain; Neurologic Manifestations; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Disease Attributes; Pathologic Processes

Intervention Hierarchy (Ancestors)

Epidemiologic Methods; Investigative Techniques; Health Care Evaluation Mechanisms; Quality of Health Care; Health Care Quality, Access, and Evaluation; Public Health; Environment and Public Health

Study Officials

• Benoit ANCEL

  Hôpital NOVO

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: May 31, 2024
• First Posted: June 6, 2024
• Study Start: July 10, 2024
• Primary Completion: July 24, 2024
• Study Completion: July 24, 2024
• Last Updated: August 9, 2024

Record last verified: 2024-08

Locations

FR (1)