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| Name | Class |
|---|---|
| Bispebjerg Hospital | OTHER |
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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).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Caseload group |
| ||
| Prediction group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Standard care | Behavioral | Treatment by an extended scope physiotherapist following Standard Operating Procedures. |
|
| Measure | Description | Time Frame |
|---|---|---|
| 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 |
| Measure | Description | Time Frame |
|---|---|---|
| Patient Acceptable Symptom State | 1 month after discharge | |
| EuroQoL questionnaire | 1 month after discharge |
| Measure | Description | Time Frame |
|---|---|---|
| VAS Pain | The VAS pain is a measure of pain intensity, which has been widely used in diverse adult populations. The scale is a unidimensional continuous scale comprised of a horizontal line, anchored by 2 verbal descriptors, one for each symptom extreme (0 no pain, 10 the worst imaginable pain). | At baseline and 1 month after discharge |
Inclusion Criteria:
Exclusion Criteria:
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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.
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| Name | Affiliation | Role |
|---|---|---|
| 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 |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| The Emergency Department, Slagelse Hospital | Slagelse | Region Sjælland | 4200 | Denmark |
Upon finalisation of the prespecified analyses we will share the IPD to other researchers based on an email inquiry.
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| ID | Term |
|---|---|
| D009140 | Musculoskeletal Diseases |
| D004630 | Emergencies |
| ID | Term |
|---|---|
| D020969 | Disease Attributes |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D059039 | Standard of Care |
| ID | Term |
|---|---|
| D019984 | Quality Indicators, Health Care |
| D011787 | Quality of Health Care |
| D006298 | Health Services Administration |
| D017530 | Health Care Quality, Access, and Evaluation |
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| Analgesic use |
The participants self-reported use of analgesics will be collected at the 1 month follow-up. Participants will be asked to note their use of analgesic drugs, within the week before the follow-up, only related to the treated injury in the emergency room. |
| 1 month after discharge |
| Follow-up treatments | The participants self-reported use of follow-up visits with other allied health professionals will be recorded. All visits related to the treated injury during the 1-month follow-up period should be noted. | 1 month after discharge |
| Re-injury | The participants self-reported reinjury rate during the 1-month follow-up period will be recorded. | 1 month after discharge |