Detection Rate of Fractures by Triage Nurses Applying the Ottawa Foot Rule
Aim: The purpose of this study was to investigate the detection rate of fractures by triage nurses by applying the Ottawa foot rule.Materials and Methods: This is a prospective observational validation study that was designed in a training and research hospital between January and December 2013 on 9...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2018-09-01
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| Series: | Eurasian Journal of Emergency Medicine |
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| Online Access: |
http://akademikaciltip.com/archives/archive-detail/article-preview/detection-rate-of-fractures-by-triage-nurses-apply/20179
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| author | Abdullah Cuneyt Hocagil Hilal Hocagil |
| author_facet | Abdullah Cuneyt Hocagil Hilal Hocagil |
| author_sort | Abdullah Cuneyt Hocagil |
| collection | DOAJ |
| description | Aim: The purpose of this study was to investigate the detection rate of fractures by triage nurses by applying the Ottawa foot rule.Materials and Methods: This is a prospective observational validation study that was designed in a training and research hospital between January and December 2013 on 98 patients with isolated foot injury. After triage nurses were provided training on the Ottawa foot rule for 4 hours, they evaluated patients with foot trauma by applying the rule. Foot radiographs were obtained from all trauma patients who were evaluated in the triage. Radiographs were evaluated by an emergency medicine specialist and fractures were determined.Results: Data collection procedures included the evaluation of 90 out of 98 patients who demonstrated one or more qualities of the Ottawa foot rule according to the trained nurses. The fracture prediction rate of the triage nurses using the Ottawa foot rule was found to be 14.4%. The sensitivity of the “the inability to take four steps in the Emergency Department” was 100% and the specificity was 41.6%. Of all patients, 69.2% with fractures were aged <55 years, while 30.8% were aged ≥55 years.Conclusion: This study revealed that triage nurses could successfully perform the Ottawa foot rule after a brief training. According to the Ottawa foot rule applied by the triage nurses, the “inability to take four steps in the Emergency Department” rule was found to be the most significant. |
| first_indexed | 2024-04-10T13:38:14Z |
| format | Article |
| id | doaj.art-c26ddad41d1f49dbb54a243e956a7c28 |
| institution | Directory Open Access Journal |
| issn | 2149-5807 2149-6048 |
| language | English |
| last_indexed | 2024-04-10T13:38:14Z |
| publishDate | 2018-09-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Eurasian Journal of Emergency Medicine |
| spelling | doaj.art-c26ddad41d1f49dbb54a243e956a7c282023-02-15T16:11:19ZengGalenos YayineviEurasian Journal of Emergency Medicine2149-58072149-60482018-09-0117311812110.5152/eajem.2018.4353413049054Detection Rate of Fractures by Triage Nurses Applying the Ottawa Foot RuleAbdullah Cuneyt Hocagil0Hilal Hocagil1 Department of Emergency Medicine, Bulent Ecevit University School of Medicine, Zonguldak, Turkey Department of Emergency Medicine, Bulent Ecevit University School of Medicine, Zonguldak, Turkey Aim: The purpose of this study was to investigate the detection rate of fractures by triage nurses by applying the Ottawa foot rule.Materials and Methods: This is a prospective observational validation study that was designed in a training and research hospital between January and December 2013 on 98 patients with isolated foot injury. After triage nurses were provided training on the Ottawa foot rule for 4 hours, they evaluated patients with foot trauma by applying the rule. Foot radiographs were obtained from all trauma patients who were evaluated in the triage. Radiographs were evaluated by an emergency medicine specialist and fractures were determined.Results: Data collection procedures included the evaluation of 90 out of 98 patients who demonstrated one or more qualities of the Ottawa foot rule according to the trained nurses. The fracture prediction rate of the triage nurses using the Ottawa foot rule was found to be 14.4%. The sensitivity of the “the inability to take four steps in the Emergency Department” was 100% and the specificity was 41.6%. Of all patients, 69.2% with fractures were aged <55 years, while 30.8% were aged ≥55 years.Conclusion: This study revealed that triage nurses could successfully perform the Ottawa foot rule after a brief training. According to the Ottawa foot rule applied by the triage nurses, the “inability to take four steps in the Emergency Department” rule was found to be the most significant. http://akademikaciltip.com/archives/archive-detail/article-preview/detection-rate-of-fractures-by-triage-nurses-apply/20179 Emergency departmentOttawa foot rulefoot trauma |
| spellingShingle | Abdullah Cuneyt Hocagil Hilal Hocagil Detection Rate of Fractures by Triage Nurses Applying the Ottawa Foot Rule Eurasian Journal of Emergency Medicine Emergency department Ottawa foot rule foot trauma |
| title | Detection Rate of Fractures by Triage Nurses Applying the Ottawa Foot Rule |
| title_full | Detection Rate of Fractures by Triage Nurses Applying the Ottawa Foot Rule |
| title_fullStr | Detection Rate of Fractures by Triage Nurses Applying the Ottawa Foot Rule |
| title_full_unstemmed | Detection Rate of Fractures by Triage Nurses Applying the Ottawa Foot Rule |
| title_short | Detection Rate of Fractures by Triage Nurses Applying the Ottawa Foot Rule |
| title_sort | detection rate of fractures by triage nurses applying the ottawa foot rule |
| topic | Emergency department Ottawa foot rule foot trauma |
| url |
http://akademikaciltip.com/archives/archive-detail/article-preview/detection-rate-of-fractures-by-triage-nurses-apply/20179
|
| work_keys_str_mv | AT abdullahcuneythocagil detectionrateoffracturesbytriagenursesapplyingtheottawafootrule AT hilalhocagil detectionrateoffracturesbytriagenursesapplyingtheottawafootrule |