RCEM50 Audit
Research And Audit
DRAFT3 – CASP
This trial aims to compare two treatment methods that are currently standard care for treating wrist fractures. There are a large number of wrist fractures every year in the UK and by comparing the clinical and cost effectiveness of the treatments, this could help save money for the NHS.
https://www.ndorms.ox.ac.uk/research/clinical-trials/current-trials-and-studies/draft-2013-casp
SUMMARY
Usual care for this population is to provide the patients with a temporary backslab plaster cast in the emergency department. The patient would then be referred to the fracture clinic where this cast is converted into a full, circumferential cast. The patient will then return at around 4-6 weeks to have this cast removed.
Some evidence has recently shown that a removable wrist splint may provide the same support as a cast whilst the fracture heals. The splint can be removed by the patient themselves and so would not require the patient to return to hospital and could save money for the NHS. However, if the splint does not provide patients the same support as a cast, the patient may have inferior function in their wrist.
This study aims to recruit a minimum of 1894 participants across 36 centres. The participants will be followed-up for 1 year following their recruitment to the trial and will complete a series of questionnaires in order to record their health related quality of life, wrist function and any costs incurred to them as a result of their injury.
The trial will help us find out if a removable splint can provide the same support as a plaster cast for undisplaced distal radius fractures.
RCEM50 Model For Improvement
Here are the resources for the RCEM50 Audit Model For Improvement.