Clinical trial NCT03852095: Single Time Management Diseases in Pediatric Traumatology
Official title: Single Time Management for Seven Common Disease in Pediatric Traumatology. A Monocentric Prospective Study
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: Fractures, Bone
Keywords: Pediatric, traumatology, hemarthrosis, ankle, knee,
buckle fracture, clavicle, sprains
Lead sponsor: Fondation Lenval
Sponsor class: OTHER
First posted: 2019-02-22
Enrollment: 150
Sex: ALL
Minimum age (years): 1
Maximum age (years): 18
Standard ages: CHILD
ADULT
Accepts healthy volunteers: no
Observational model: COHORT
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Child from 1 to 18 years old suffering an isolated minor trauma presenting at the Lenval Foundation emergency services.

Brief summary: A recent internal study evaluating the relevance of the visit to traumatology consultation in our establishment highlight that 49.3% of consultations were not relevant passages. The project consists of individualizing 5 to 6 pathologies and to create care sheets and patient sheets to be given to the care teams and patients when the pathology lends itself to it. The aim is to reduce the irrelevant passage rate during these consultations, which is the source of absence from iterative work for parents, collateral expenses (toll, parking), absence from school for the children, unjustified expenses and X-ray examination unnecessary most often.

Detailed description: The Pediatric Orthopedics and Traumatology department proposes a reform of the care in Traumatology of the children in order to improve and homogenize the care for a better relevance of these.

A recent internal study (June 2018) evaluating the relevance of the visit to traumatology consultation in our establishment to highlight that 49.3% of consultations were not relevant passages (Benign diseases of sprained ankle type, muscular contusion or simple bone removals). Indeed, these specialist consultations are currently filled by pathologies of simple treatment that do not require medical follow-up (neither clinical nor radiological follow-up).

The project consists of individualizing 5 to 6 pathologies found in consultation recurrently which the scientific literature has established that their follow-up is not justified, and to create care sheets and patient sheets to be given to the care teams and patients when the pathology lends itself to it. These cards will include all the management of the pathology of the definition itself, including the treatment and expected outcomes.

The aim is to reduce the irrelevant passage rate during these consultations, which is the source of absence from iterative work for parents, collateral expenses (toll, parking), absence from school for the children, unjustified expenses and X-ray examination unnecessary most often.

The expected benefit is parental and child satisfaction, a time saving for the practitioner that he can reinvest in consultations for patients who are in fact a specialist opinion and a relative budget saving for the establishment.

The method of study of the decline of irrelevant consultations will be made by a systematic review of each reason for consultation over a period of 3 months after implementation of the cards and study of the percentage of irrelevant consultation over the same period. The objective pursued is a drop in attendance of at least 25% of consultations deemed irrelevant in Traumatology, associated with a satisfaction rate of parents greater than 90%.

Eligibility criteria: Inclusion Criteria:

* 0-18 years
* Positive diagnosis of elbow haemarthrosis, radial salter 1 fracture, fibula fracture 1 fracture, radial butter ball fracture, simple ankle sprain, simple knee sprain, fracture of the middle third of the clavicle .........
* No other associated anomaly

Exclusion Criteria:

* Refusal of the family ..............................................
* No understanding of the instructions ...............................
* Unaffiliated patient social security ..................................
* No French speaking .............

Primary outcomes:
measure: Change of the number of patients routinely summoned to post-emergency trauma consultation
timeFrame: at 6 months
Secondary outcomes:
measure: measurement of patient satisfaction
timeFrame: at 60 days after inclusion
measure: compliance of care
timeFrame: at 60 days after inclusion
Other outcomes:
Locations:
city: Nice
country: France
facility: Fondation Lenval Hopitaux Pediatriques de Nice Chu Lenval
Study officials:
affiliation: Fondation Lenval - Nice Children Hospital CHU-Lenval
name: RAMPAL VIRGINIE, MD
role: PRINCIPAL_INVESTIGATOR
References: