The Amsterdam Wrist Rules to reduce the need for radiography after a suspected distal radius fracture: an implementation study.

ABSTRACT:

Purpose

While most patients with wrist trauma are routinely referred for radiography, around 50% of these radiographs show no fracture. To avoid unnecessary radiographs, the Amsterdam Wrist Rules (AWR) have previously been developed and validated. The aim of the current study was to evaluate the effect of the implementation of the AWR at the Emergency Department (ED).

Methods

In a before-and-after comparative prospective cohort study, all consecutive adult patients with acute wrist trauma presenting at the ED of four hospitals were included. Primary outcome was the number of wrist radiographs before and after implementation of the AWR. Secondary outcomes were the number of clinically relevant missed fractures, the overall length of stay in the ED, physician compliance regard

SUBMITTER: Mulders MAM 

PROVIDER: S-EPMC7280343 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature