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Animated Picture to Improve Provider Adherence to CT Scan for Head Injury Rule

Primary Purpose

Minor Head Injury

Status
Completed
Phase
Not Applicable
Locations
United States
Study Type
Interventional
Intervention
Pop-up picture
Sponsored by
Children's Hospitals and Clinics of Minnesota
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional diagnostic trial for Minor Head Injury focused on measuring head injury, CT, emergency, radiation

Eligibility Criteria

undefined - 18 Years (Child, Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Patients presenting to Children's ED will be included if they:
  • Are between 0 and 18 years of age (inclusive)
  • Receive a discharge diagnosis of head injury
  • Present to the ED within 24 hours of the head injury
  • GCS of 14 or greater

Exclusion Criteria:

  • Patients will be excluded if they :
  • Had a CT scans done in an outside transferring institution
  • Have obvious penetrating head injuries
  • Had a trivial injury mechanisms such as ground-level falls or walking or running into stationary objects
  • Have no signs or symptoms of head trauma other than scalp abrasions and lacerations.
  • Have known brain tumors, pre-existing neurological disorders complicating assessment, ventricular shunts, bleeding disorders

Sites / Locations

  • Children's Hospitals and Clinics of Minnesota
  • Children's Hospitals and Clinics of Minnesota

Arms of the Study

Arm 1

Arm Type

Experimental

Arm Label

Pop-up picture

Arm Description

Outcomes

Primary Outcome Measures

Compliance to the PECARN CT Scan Head Injury rules

Secondary Outcome Measures

Decreased rate of CT scans

Full Information

First Posted
January 12, 2012
Last Updated
July 30, 2013
Sponsor
Children's Hospitals and Clinics of Minnesota
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1. Study Identification

Unique Protocol Identification Number
NCT01514071
Brief Title
Animated Picture to Improve Provider Adherence to CT Scan for Head Injury Rule
Study Type
Interventional

2. Study Status

Record Verification Date
July 2013
Overall Recruitment Status
Completed
Study Start Date
February 2012 (undefined)
Primary Completion Date
July 2013 (Actual)
Study Completion Date
July 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Children's Hospitals and Clinics of Minnesota

4. Oversight

5. Study Description

Brief Summary
It is difficult for Pediatric Emergency Department providers to recognize clinically significant head injuries that are likely to require neurosurgical intervention or close monitoring from those that can be safely discharged. Research Question How do a combination of education and an animated picture depicting the PECARN CT Head Injury rules impact compliance to these rules and reduce unnecessary head CT scans? Design This is a within subject, repeated measures study design.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Minor Head Injury
Keywords
head injury, CT, emergency, radiation

7. Study Design

Primary Purpose
Diagnostic
Study Phase
Not Applicable
Interventional Study Model
Single Group Assignment
Masking
None (Open Label)
Allocation
N/A
Enrollment
746 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Pop-up picture
Arm Type
Experimental
Intervention Type
Behavioral
Intervention Name(s)
Pop-up picture
Intervention Description
An animated picture depicting the key elements of the PECARN CT scan head injury rules will be explained. The picture will "pop-up" when a provider selects the order set for a CT scan due to head injury. Providers will need to select a box stating the patient either "meets criteria" or "does not meet criteria" in order to close the animated picture window.
Primary Outcome Measure Information:
Title
Compliance to the PECARN CT Scan Head Injury rules
Time Frame
3 months
Secondary Outcome Measure Information:
Title
Decreased rate of CT scans
Time Frame
3 months

10. Eligibility

Sex
All
Maximum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Patients presenting to Children's ED will be included if they: Are between 0 and 18 years of age (inclusive) Receive a discharge diagnosis of head injury Present to the ED within 24 hours of the head injury GCS of 14 or greater Exclusion Criteria: Patients will be excluded if they : Had a CT scans done in an outside transferring institution Have obvious penetrating head injuries Had a trivial injury mechanisms such as ground-level falls or walking or running into stationary objects Have no signs or symptoms of head trauma other than scalp abrasions and lacerations. Have known brain tumors, pre-existing neurological disorders complicating assessment, ventricular shunts, bleeding disorders
Facility Information:
Facility Name
Children's Hospitals and Clinics of Minnesota
City
Minneapolis
State/Province
Minnesota
ZIP/Postal Code
55404
Country
United States
Facility Name
Children's Hospitals and Clinics of Minnesota
City
Twin Cities
State/Province
Minnesota
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
19758692
Citation
Kuppermann N, Holmes JF, Dayan PS, Hoyle JD Jr, Atabaki SM, Holubkov R, Nadel FM, Monroe D, Stanley RM, Borgialli DA, Badawy MK, Schunk JE, Quayle KS, Mahajan P, Lichenstein R, Lillis KA, Tunik MG, Jacobs ES, Callahan JM, Gorelick MH, Glass TF, Lee LK, Bachman MC, Cooper A, Powell EC, Gerardi MJ, Melville KA, Muizelaar JP, Wisner DH, Zuspan SJ, Dean JM, Wootton-Gorges SL; Pediatric Emergency Care Applied Research Network (PECARN). Identification of children at very low risk of clinically-important brain injuries after head trauma: a prospective cohort study. Lancet. 2009 Oct 3;374(9696):1160-70. doi: 10.1016/S0140-6736(09)61558-0. Epub 2009 Sep 14. Erratum In: Lancet. 2014 Jan 25;383(9914):308.
Results Reference
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Animated Picture to Improve Provider Adherence to CT Scan for Head Injury Rule

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