G34(P) The management of children diagnosed with torus (buckle) fractures of the distal radius : wrist splint and written self-care information versus wrist splint and hospital outpatient follow-up

Crowder, R., Rowland, Andrew, Handford, M., Tan, S. and Stuart, M. 2014, 'G34(P) The management of children diagnosed with torus (buckle) fractures of the distal radius : wrist splint and written self-care information versus wrist splint and hospital outpatient follow-up' , Archives of Disease in Childhood, 99 (Suppl) , A15-A15.

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Abstract

Background and objectives: In July 2013, the Paediatric Emergency Department (ED) of a UK District General Hospital ED seeing approximately 30000 children aged under 16 years of age per year in the ED, began managing children diagnosed with a torus fracture of the distal radius with a wrist splint and written self-care information, rather than a wrist splint and hospital-based fracture clinic follow-up. This study assessed the impact of this change in practice. Methods: A 14 month retrospective review of all children diagnosed with a torus fracture of the distal radius was conducted. Referrals to fracture clinic and the number of children re-attending the ED with complications related to the initial injury (such as pain or splint problem) were analysed. All children had appropriate wrist immobilisation. Results: 197 children were diagnosed with a torus fracture of the distal radius. 161 (median 14/month) attended pre-change in practice and 36 (median 12/month) attended post-change. 131 (66%) were referred to the fracture clinic, (126 (78%) pre-change in practice and 5 (14%) post-change). The remainder were discharged with written self-care information. In the one month following initial attendance, 34 (21%) re-attended the ED pre-change in practice and 3 (8%) post-change. Conclusions: Children with a torus fracture of the distal radius can be appropriately managed with a wrist splint and written self-care information, rather than by hospital fracture clinic follow-up. This more efficiently uses healthcare resources, reduces re-attendances during the month following initial injury and reduces social inconvenience for children and their families.

Item Type: Article
Schools: Schools > School of Nursing, Midwifery, Social Work & Social Sciences > Centre for Nursing, Midwifery, Social Work & Social Sciences Research
Journal or Publication Title: Archives of Disease in Childhood
Publisher: BMJ Journals
ISSN: 0003-9888
Related URLs:
Depositing User: Professor Andrew G Rowland
Date Deposited: 11 Apr 2017 09:10
Last Modified: 11 Apr 2017 09:10
URI: http://usir.salford.ac.uk/id/eprint/42110

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