Protocol summary

Study aim
The effect of radiography request by triage nurse in isolated limb injuries reducing the time to disposition of patient in the emergency department
Design
The design of the study is a randomized clinical trial. The randomization method is blocked. The sample size for each study group is 150.
Settings and conduct
In this research, all patients referred to the to the Emergency Department of Shohada-e- Haftome tir Hospital who who suffered from isolated limb injuries will be enrolled. Patients will be randomly divided into two groups based on 10 blocks. A total of 300 patients will be examined. Data analyzers will be blind.
Participants/Inclusion and exclusion criteria
All patients referred to the Emergency Department of Shohada-e- Haftome tir Hospital who suffered from isolated limb injuries will be enrolled. Inclusion criteria: Patients with isolated upper or lower isolated trauma, Patients over the eighteen years old and under the eighty years old. Exclusion criteria: Signs of unstable life, Blow to the head, trunk, abdomen, chest and spine, Vascular or neurological damage.
Intervention groups
In the intervention group, after the patient returns to the triage and initial examination by the nurse, the radiography will be requested by the triage nurse. In the control group, after the patient returns to the triage and the initial examination by the nurse, the patient will visited by the doctor and the doctor will be requested the radiography.
Main outcome variables
Limb injury location, Radiography Requester, The time of the radiography request by the triage nurse, The time of the radiography request by the doctor, Time to disposition of patient.

General information

Reason for update
Acronym
IRCT registration information
IRCT registration number: IRCT20151003024317N3
Registration date: 2018-11-27, 1397/09/06
Registration timing: prospective

Last update: 2018-11-27, 1397/09/06
Update count: 0
Registration date
2018-11-27, 1397/09/06
Registrant information
Name
Mahdi Rezai
Name of organization / entity
Country
Iran (Islamic Republic of)
Phone
+98 21 8868 6772
Email address
rezaei.m@iums.ac.ir
Recruitment status
Recruitment complete
Funding source
Expected recruitment start date
2018-12-21, 1397/09/30
Expected recruitment end date
2019-03-21, 1398/01/01
Actual recruitment start date
empty
Actual recruitment end date
empty
Trial completion date
empty
Scientific title
The effect of radiography request by triage nurse in isolated limb injuries reducing the time to disposition of patient in the emergency department
Public title
The effect of radiography request by triage nurse
Purpose
Other
Inclusion/Exclusion criteria
Inclusion criteria:
Patients with isolated upper or lower isolated trauma Patients over the eighteen years old and under the eighty years old
Exclusion criteria:
Signs of unstable life Blow to the head, trunk, abdomen, chest and spine Vascular or neurological damage
Age
From 18 years old to 80 years old
Gender
Both
Phase
N/A
Groups that have been masked
  • Data analyser
Sample size
Target sample size: 300
Randomization (investigator's opinion)
Randomized
Randomization description
Patients will be randomly assigned to two groups. In order to randomize, a random block method will be used. For this purpose, we formed blocks with 10 person. In each block, 5 individuals will be in intervention group and 5 will be in control group. A total of 15 blocks will be considered for sample size.
Blinding (investigator's opinion)
Single blinded
Blinding description
Data will analyze by person who is blind to study groups (single blind).
Placebo
Not used
Assignment
Parallel
Other design features

Secondary Ids

empty

Ethics committees

1

Ethics committee
Name of ethics committee
Ethics committee of Iran University of Medical Sciences
Street address
Iran University of Medical Sciences, Hemmat Highway, Tehran
City
Tehran
Province
Tehran
Postal code
1449614535
Approval date
2016-12-18, 1395/09/28
Ethics committee reference number
IR.IUMS.REC.1396.29878

Health conditions studied

1

Description of health condition studied
Request the radiography by a triage nurse
ICD-10 code
ICD-10 code description

Primary outcomes

1

Description
Limb injury location
Timepoint
Before and After radiography
Method of measurement
According to radiology report

2

Description
Radiography Requester
Timepoint
At the moment of the request of the radiography
Method of measurement
Based on the information in the patient file

3

Description
The time of the radiography request by the triage nurse
Timepoint
At the moment of the request of the radiography
Method of measurement
Based on the information in the patient file

4

Description
The time of the radiography request by the doctor
Timepoint
At the moment of the request of the radiography
Method of measurement
Based on the information in the patient file

5

Description
Time to disposition of patient
Timepoint
The time of transfer to the ordinary wards of hospital, being discharged or being observed in ED,
Method of measurement
Based on the information in the patient file

Secondary outcomes

empty

Intervention groups

1

Description
Intervention group: After the patient returns to the triage and initial examination by the nurse, the radiography will be requested by the triage nurse.
Category
Diagnosis

2

Description
Control group: After the patient returns to the triage and the initial examination by the nurse, the patient will visited by the doctor and the doctor will be requested the radiography.
Category
Diagnosis

Recruitment centers

1

Recruitment center
Name of recruitment center
Shohada-e- Haftome tir Hospital
Full name of responsible person
Saieed Abbasi
Street address
Emergency Department, Shohada-e- Haftome tir Hospital, Shahid rajaee Highway, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1886718136
Phone
+98 21 5522 8580
Email
web7tir@iums.ac.ir

Sponsors / Funding sources

1

Sponsor
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
Kazem Malakooti
Street address
7th Floor, Department of Internal Medicine, Rasoul-Akram Hospital, Niayesh St., Sattarkahn Ave
City
Tehran
Province
Tehran
Postal code
1445613131
Phone
+98 21 8670 2503
Email
research@iums.ac.ir
Grant name
Grant code / Reference number
Is the source of funding the same sponsor organization/entity?
Yes
Title of funding source
Iran University of Medical Sciences
Proportion provided by this source
100
Public or private sector
Public
Domestic or foreign origin
Domestic
Category of foreign source of funding
empty
Country of origin
Type of organization providing the funding
Academic

Person responsible for general inquiries

Contact
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
Saieed Abbasi
Position
Assistant Professor of Emergency Medicine
Latest degree
Specialist
Other areas of specialty/work
Emergency Medicine
Street address
Emergency Department, Shohada-e- Haftome tir Hospital, Shahid rajaee Highway, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1886718136
Phone
+98 21 5522 8580
Email
Saieedabbasi@yahoo.com

Person responsible for scientific inquiries

Contact
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
Saieed Abbasi
Position
Assistant Professor of Emergency Medicine
Latest degree
Specialist
Other areas of specialty/work
Emergency Medicine
Street address
Emergency Department, Shohada-e- Haftome tir Hospital, Shahid rajaee Highway, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1886718136
Phone
+98 21 5522 8580
Email
Saieedabbasi@yahoo.com

Person responsible for updating data

Contact
Name of organization / entity
Iran University of Medical Sciences
Full name of responsible person
Saieed Abbasi
Position
Assistant Professor of Emergency Medicine
Latest degree
Specialist
Other areas of specialty/work
Emergency Medicine
Street address
Emergency Department, Shohada-e- Haftome tir Hospital, Shahid rajaee Highway, Tehran, Iran
City
Tehran
Province
Tehran
Postal code
1886718136
Phone
+98 21 5522 8580
Email
Saieedabbasi@yahoo.com

Sharing plan

Deidentified Individual Participant Data Set (IPD)
Undecided - It is not yet known if there will be a plan to make this available
Study Protocol
Undecided - It is not yet known if there will be a plan to make this available
Statistical Analysis Plan
Undecided - It is not yet known if there will be a plan to make this available
Informed Consent Form
Undecided - It is not yet known if there will be a plan to make this available
Clinical Study Report
Undecided - It is not yet known if there will be a plan to make this available
Analytic Code
Undecided - It is not yet known if there will be a plan to make this available
Data Dictionary
Undecided - It is not yet known if there will be a plan to make this available
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