IMPLEMENTATION OF OTTAWA ANKLE RULES IN UNIVERSITY HOSPITAL EMERGENCY ROOM: PILOT STUDY.

IF 0.5 4区 医学 Q4 ORTHOPEDICS
Acta Ortopedica Brasileira Pub Date : 2023-10-23 eCollection Date: 2023-01-01 DOI:10.1590/1413-785220233105e266034
Sacha Pugliese Schiper, Hugo Maia Rodrigues, João Eduardo Lima Ernesto Reis, Mayara Branco E Silva, Mauro Dinato, Rodrigo Gonçalves Pagnano
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引用次数: 0

Abstract

Ankle injuries are the most common musculoskeletal injuries in emergency rooms and are associated with a great social and economic impact. The need to request additional tests for ankle sprains is based on suspicion of fracture. The Ottawa Ankle Rules (OAR) establish criteria for ordering radiographs to avoid performing unnecessary examinations.

Objective: To evaluate the implementation of the Ottawa Rules as a protocol for treating ankle sprains in the emergency department of a university hospital.

Methods: This is a retrospective observational study, conducted over a period of three months before and three months after implementation of the protocol.

Results: In the first phase, all patients complaining of ankle sprain underwent radiographs. In the second phase, after the application of the OAR, out of 85 patients evaluated, only 58 underwent complementary exams, showing a reduction of 31.8% in the request for imaging exams. There was no significant difference in fracture detection between the two groups (p=0.476).

Conclusion: The OAR can be used as a tool in diagnosing ankle sprains, and their implementation reduced the request for imaging exams. Level of Evidence III, Retrospective Comparative Study.

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渥太华踝关节规则在大学医院急诊室的实施:试点研究。
踝关节损伤是急诊室最常见的肌肉骨骼损伤,具有巨大的社会和经济影响。脚踝扭伤需要额外的检查是基于对骨折的怀疑。渥太华踝关节规则(OAR)规定了订购射线照片的标准,以避免进行不必要的检查。目的:评估渥太华规则作为一项治疗大学医院急诊科脚踝扭伤的方案的实施情况。方法:这是一项回顾性观察性研究,在方案实施前和实施后的三个月内进行。结果:在第一阶段,所有抱怨脚踝扭伤的患者都接受了X线片检查。在第二阶段,应用OAR后,在评估的85名患者中,只有58人接受了补充检查,显示影像检查请求减少了31.8%。结论:OAR可作为诊断踝关节扭伤的工具,其实施降低了对影像学检查的要求。证据水平III,回顾性比较研究。
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来源期刊
CiteScore
0.90
自引率
14.30%
发文量
67
审稿时长
25 weeks
期刊介绍: A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.
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