Efficient Anterior Shoulder Ultrasound Reduction Multicenter Prospective Randomized Trial

N/ATerminatedNCT04820491

Virginia Commonwealth University9 enrolled

Overview

The purpose of the study is to determine if using ultrasound to diagnosis and confirm reductions of shoulder dislocations impacts the length of an emergency department visit for this condition.

The purpose of the study is to determine if the length of the emergency department visit can be decreased and if patient exposure to x-rays can be reduced by utilizing an ultrasound to diagnose and confirm reduction in shoulder dislocations. This study also seeks to determine if patients prefer ultrasound to x-ray when used to treat their shoulder dislocation. Participants will be randomly assigned to one of two groups: either x-rays or ultrasound for the diagnosis and reduction confirmation of your shoulder dislocation. Participant's shoulder dislocation will be treated per standard of care. Participants will be asked to complete a short survey at the end of their visit.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

HEALTH_SERVICES_RESEARCH

Masking

NONE

Enrollment

Conditions

Shoulder Dislocation

Interventions

X-RayDIAGNOSTIC_TEST

Shoulder x-rays as felt necessary for standard of care of diagnosis of shoulder dislocation and reduction

UltrasoundDIAGNOSTIC_TEST

Initial evaluation with ultrasound; may also evaluate nearby areas for concern of fracture. Order x- rays after ultrasound as seen fit for other injuries of diagnostic uncertainty.

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Patients who are 18 years of age or older; and 2. Present to the VCU Emergency Department; and 3. Have clinical signs of uncomplicated shoulder dislocation; and 4. Agree to participation in the study; and 5. Provides a written consent to be included in the study. Exclusion Criteria: 1. Patients who have a level 1 or 2 trauma activation, and/or; 2. Patients who are pregnant, incarcerated, or unable to consent, and/or; 3. Patients who have a past medical history of shoulder replacement in dislocated shoulder; and/or 4. Provider Discretion

Locations (1)

Virginia Commonwealth University

Richmond, Virginia, United States

Outcomes

Primary Outcomes

Length of Stay in the Emergency Department (ED)

Length of stay in the ED will be calculated from time of first provider contact to time of discharge from the ED.

Time frame: up to 8 hours or time to admission

Secondary Outcomes

Patient Satisfaction

Patient satisfaction will be assessed using a 6 item scale. Each item is rated from 1 (extremely dissatisfied) to 5 (extremely satisfied). Scores are summed yielding scores ranging from 6 (most dissatisfied) to 30 (most satisfied).

Time frame: at discharge or admission - up to 8 hours

Time to Diagnosis

Time to diagnosis will be calculated from time of first provider contact to time of x-ray or time of ultrasound per treatment condition

Time frame: up to 8 hours or time to admission

Confirmation of Reduction

As documented by x-ray or ultrasound per treatment condition

Time frame: up to 8 hours or time to admission

Cost of Treatment

Calculated as total billing cost of procedures related to shoulder dislocation ED visit

Time frame: up to 8 hours or time to admission

Total Number of Xrays

Total number of xrays ordered during time in ED

Time frame: up to 8 hours or time to admission

Data from ClinicalTrials.gov

This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.